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Corail uncemented hemiarthroplasty with a Cathcart head for intracapsular hip fractures
B J L Kendrick1, H A Wilson, J E Lippett
1Royal Berkshire NHS Foundation Trust, London Road, Reading RG1 5AN, UK.
Insights
Uncemented hemi-arthroplasty for intracapsular hip fractures yielded satisfactory outcomes, including good return-to-home rates and acceptable mortality. This approach is effective when surgeons are experienced with the uncemented Corail stem.
Area of Science:
- Orthopedic Surgery
- Geriatric Trauma
Background:
- NICE guidelines (2011) recommend cemented hemi-arthroplasty for intracapsular hip fractures.
- Institutional practice utilized uncemented Corail stems for suitable patients (April 2010 - July 2012).
Purpose of the Study:
- Evaluate the efficacy and safety of uncemented Corail stems in hemi-arthroplasty for hip fractures.
- Determine if continued use of uncemented stems is justified.
Main Methods:
- Retrospective analysis of 306 patients undergoing hemi-arthroplasty with a Corail uncemented stem.
- Data collected via the National Hip Fracture database.
- Included patient demographics, surgical details, and outcomes.
Main Results:
- Mean patient age was 83.3 years; 70.6% were female.
- 30-day mortality rate was 5.8%.
- 46.5% returned home by 30 days, increasing to 73.2% by 120 days.
Conclusions:
- Uncemented hemi-arthroplasty using the Corail stem provides satisfactory functional recovery and acceptable mortality for intracapsular hip fractures.
- Successful outcomes depend on surgeon familiarity and expertise with the specific implant design.
Abstract:
The National Institute for Health and Clinical Excellence (NICE) guidelines from 2011 recommend the use of cemented hemi-arthroplasty for appropriate patients with an intracapsular hip fracture. In our institution all patients who were admitted with an intracapsular hip fracture and were suitable for a hemi-arthroplasty between April 2010 and July 2012 received an uncemented prosthesis according to our established departmental routine practice. A retrospective analysis of outcome was performed to establish whether the continued use of an uncemented stem was justified. Patient, surgical and outcome data were collected on the National Hip Fracture database. A total of 306 patients received a Cathcart modular head on a Corail uncemented stem as a hemi-arthroplasty. The mean age of the patients was 83.3 years (SD 7.56; 46.6 to 94) and 216 (70.6%) were women. The mortality rate at 30 days was 5.8%. A total of 46.5% of patients returned to their own home by 30 days, which increased to 73.2% by 120 days. The implant used as a hemi-arthroplasty for intracapsular hip fracture provided satisfactory results, with a good rate of return to pre-injury place of residence and an acceptable mortality rate. Surgery should be performed by those who are familiar with the design of the stem and understand what is required for successful implantation.
