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- Talk
- 23/09/2021
- UK
Long-Term Survivorship of a Flexible, Titanium, HA Coated, Medium Length Revision Stem. 140 cases At 10 years with the Corail® Revision Stem
Description
The video features a presentation by Rohit Singhal on the long-term survivorship of the corail revision stem in hip arthroplasty. Singhal starts by thanking the chairpersons and colleagues, then discusses the increasing burden of revision hip arthroplasty globally, primarily due to aseptic loosening. He describes various types of implants used for femoral revisions, emphasizing the importance of the Paprosky classification for grading femoral osteolysis.
The corail revision stem is identified as a monobloc, fully HA-coated titanium stem with a taper-wedge design that allows for uniform bone loading. Singhal explains its features, including its length for distal fixation and additional slots to reduce thigh pain, underscoring the philosophy of conservative revision that aims to preserve bone for future procedures.
The study presented is retrospective, analyzing cases prior to 2010 to determine revision-free survivorship at 10 years, with results indicating 94.1% survivorship due to aseptic loosening. He discusses radiological findings, showing positive bone remodeling in some patients, and addresses complications experienced during the study, including an 8.5% revision rate. Singhal acknowledges the study's limitations, such as non-standardized radiographs and patient loss to follow-up.
The presentation concludes with positive long-term results for the corail revision stem, alongside a Q&A session where Singhal answers audience questions regarding patient selection and data robustness.