Corail

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CORAIL Hip System

Surgical Technique
The Science Of Simplicity

With over 2,000,000 stems provided for patients worldwide1 and


over thirty years of clinical history, the CORAIL® Total Hip System
has extensive experience as a hydroxyapatite (HA) coated stem.

Combining basic design features, including shape, surface finish


and extensive hydroxyapatite coating, with a simple compaction
broach-only surgical technique, the CORAIL Total Hip System has
demonstrated long-term stem survivorship of 96.3% at 25 years2

Over time, additions have been made to the original CORAIL Hip
System to provide additional options for orthopaedic surgeons
treating today’s patients, including:

• Neck geometry designed for broad range of motion


• High offset option to treat increased femoral offset patients
• Coxa vara stem option to treat varus neck angled patients
• Short neck option to treat patients with a smaller femoral
neck anatomy

2 DePuy Synthes CORAIL ® Hip System Surgical Technique


1

1 Multiple offset options aiming to restore hip biomechanics


3
4
2 Tapered neck geometry and ARTICUL/EZE® Hip Taper
designed to increase range of motion
5
3 Low-profile lateral shoulder design enables easy insertion in
reduced incision techniques, including the anterior approach

4 Available in collared and non-collared options

5 Step geometry is designed to convert hoop stresses to


compressive loads
6

6 Vertical/horizontal grooves designed to provide rotational and


axial stability
7

7 Proprietary HA coating

Surgical Technique CORAIL ® Hip System DePuy Synthes 3


Preoperative Planning

The CORAIL Stem may be implanted using any of the


contemporary less invasive approaches as well as the
traditional surgical techniques for total hip arthroplasty.
The goal of any technique selected is adequate
visualization of both the acetabulum and the proximal
femur so that a direct view down the femoral canal can
be gained and the entire rim and depth of the
acetabulum visualized.

Preoperative planning enables the surgeon to prepare


for the case and anticipate situations that may arise
during surgery. A thorough preoperative plan
incorporates elements from the patient’s history, physical
examination and radiographic analysis.

Preoperative Planning Goals


1. Determine preoperative leg length discrepancy

2. Assess acetabular component size and placement

3. Determine femoral component, size, position and fit

4. Assess femoral offset

Simple Surgical Technique: Broach only technique offering reproducible surgical results
with minimal instrumentation

Compaction Broaching Technique: Designed for preservation of endosteal blood supply


and cancellous bone structures

Dual Offset Options: Designed to accommodate a variety of patient anatomies to restore


hip biomechanics

Thirty Years of Clinical History: Providing confidence for the surgeon and for the patient

4 DePuy Synthes CORAIL ® Hip System Surgical Technique


Preoperative Planning

Radiographs
The first step in accurate templating is obtaining high-
quality radiographs using a standardized protocol with
known magnification. Use magnification markers
attached to the patient leg at the level of the greater
trochanter to verify magnification.

The CORAIL Total Hip System incorporates 20%


magnification in its x-ray templates.

Obtain an anterior/posterior (A/P) view of the pelvis with


both extremities in 15 degrees of internal rotation to
position the head and neck parallel to the coronal plane.
A direct lateral radiograph should also be obtained and
used to determine femoral fixation.

Determination of Leg Length Discrepancy


Perform a clinical evaluation in conjunction with a
radiographic analysis to determine preoperative leg
length discrepancy and use both to determine
intraoperative leg length management.

To estimate leg length discrepancy radiographically,


draw a reference line through the bottom of the ischium
(Figure A). Measure the distance from the lesser
trochanter landmark to the reference line on each side.
The difference between the two is the radiographic leg
length discrepancy. Clinical examination should help
determine the actual leg length irregularity.

The tip of the greater trochanter may be used as an


alternative reference mark in conjunction with the lines
through the obturator foramina. Figure A

Surgical Technique CORAIL ® Hip System DePuy Synthes 5


Preoperative Planning

Acetabular Cup size and position


Most sizing determinations are made using the A/P
radiograph of the hip. Determine the optimal position
for the acetabular component and estimate the size
using the PINNACLE® Acetabular Cup System template
overlays. The acetabular teardrop can be referenced as
the interior margin of the acetabular reconstruction.

The goal in cementless acetabular fixation is to optimize


position and bone contact. Once this is determined,
mark the intended center of rotation of the bearing
surface on the A/P radiograph (Figure B). +4 Head Center
0 Head Center
54mm

Figure B Cup center of rotation

Femoral Stem Selection


The CORAIL Stem is designed to seat in cancellous bone,
and cortical contact should be avoided when templating.
Select the appropriate template size that is smaller than
the cortex in the proximal femur. The femoral template
should be in line with the long axis of the femur and the
neck resection line drawn at the point where the
selected stem provides the desired amount of leg length.

The vertical distance between the planned center of


rotation of the acetabular component and the center of
rotation of the femoral head constitutes the distance the
leg length will be adjusted.

The level of neck osteotomy depends on the stem size


and the desired leg length, with the goal of using a non-
skirted modular head to optimize range of motion prior
to prosthetic impingement. To help properly position the
template on the lateral radiograph, estimate the distance
between the tip of the greater trochanter and the lateral
shoulder of the prosthesis using the A/P radiograph Figure C Head center of rotation

(Figure C).

Verify that the stem size chosen in the A/P plane also fits
in the lateral plane. The lateral radiograph of a properly
sized CORAIL Implant will not exhibit cortical contact.

6 DePuy Synthes CORAIL ® Hip System Surgical Technique


Preoperative Planning

Offset Requirements
The CORAIL Total Hip System Implants are available in
standard, high offset, varus, and short neck options.
Through templating and intraoperative trialing,
determine which option restores proper offset by
matching the cup’s center of rotation with the desired
head center of rotation (Figure D).

Figure D Head center of rotation


Cup center of rotation

Optional Distal Reaming


In Dorr Type A (‘champagne flute’) femurs (Figure E)
proper metaphyseal fit may require a larger size than the
femoral canal can accommodate distally. In these cases
consideration should be given to distal reaming to
enlarge the canal to accommodate a broach of the
appropriate size.

Narrow Canal

Thick Cortices

Figure E – Example of a DORR Type A femur.

Surgical Technique CORAIL ® Hip System DePuy Synthes 7


Surgical Technique

1
Neck Osteotomy
The level of the neck resection is determined during
preoperative templating. The cut will be approximately 1
cm above the lesser trochanter. Center the resection
guide along the neutral axis of the femur and mark the
resection line. Perform the osteotomy, taking care to
maintain the correct angle (Figure 1).

Figure 1

2
Metaphyseal Preparation
It is important to select a point of entry posterolaterally to
the Piriformis Fossa to avoid varus positioning. Use a
curette or general instrument to indicate the direction of
the canal. To prevent under-sizing or varus positioning,
the greater trochanter may be prepared with a Modular
Box Osteotome to allow better insertion of the broaches
and accomdate multiple approaches to the hip (Figure 2).

Modular Osteotome

Figure 2

8 DePuy Synthes CORAIL ® Hip System Surgical Technique


Surgical Technique

3
Femoral Canal Preparation
The CORAIL Broach is available with several broach
handle options depending on the surgical approach
(Figures 3A, 3B, 3C); the dual-offset handle is also
available, but not shown. Select the appropriate handle
for the surgical approach.

Beginning with the smallest CORAIL Compaction Broach


attached to the selected broach handle, progressively
enlarge the metaphyseal cavity by compacting and
shaping the cancellous bone until the level of the neck
resection is reached. Broaching should continue until
complete stability is achieved with the last size broach
used without reaching cortical contact in the femoral
canal, ensuring cancellous bone preservation. The size of
each broach is the same as the corresponding implant
without HA (hydroxyapatite) coating (155 microns).

If you impact a broach and it does not fully seat in the


canal, it is recommended to go back to the previous size
broach and re-establish the broach envelope of
cancellous bone to accept the smaller size implant. The
Posterior Approach Posterolateral/ Anterior Approach
CORAIL Implant’s design allows you to go back to the Figure 3A Anterolateral Approach Figure 3C
smaller size. Figure 3B

4
Calcar Preparation
Place the calcar planer onto the broach stud and mill the
calcar to the broach face, allowing the implant collar (if
used) to seat flush against the calcar. Make certain the
calcar planer is rotating before engaging calcar to
prevent the planer from binding on the calcar.

Surgical Technique CORAIL ® Hip System DePuy Synthes 9


Surgical Technique

5
Trial Reduction
Trial neck segments and trial modular heads are available to
assess proper component position, joint stability, range-of-
motion and leg length (Figure 4). The CORAIL Hip is
available in the five stem options shown below and offers
the appropriate neck trial segment to match up with the
stem option.

• 135° Standard Offset Collarless/Collared (KS/KA)


– Neck Trial: STD-135

• 135° High Offset Collarless/Collared (KHO)


– Neck Trial: KHO

• 135° Short Neck Low Offset Collarless/Collared (SN)


– Neck Trial: SN
Figure 4
• 125° High Offset Coxa Vara Collared (KLA)
– Neck Trial: KLA

• 125° Standard Offset Collarless/Collared (STD)


– Neck Trial: STD-125

With the CORAIL Broach in situ, attach one of the five


neck segment options. Perform a trial reduction with a
+5 ARTICUL/EZE Head trial to allow for one up or down
adjustment in neck length without using a skirted
femoral head (see stem specifications chart in back of
the technique for adjustment measurements). Reduce
the hip and assess stability through a full range of
motion, and check for impingement. Leg length and
offset may be adjusted by varying the neck length with
the appropriate femoral head. Alternatively, leg length
may be reduced with a lower neck cut and advancing
the broach or alternatively driving the broach and
repeating the calcar milling.

11 DePuy Synthes CORAIL ® Hip System Surgical Technique


Surgical Technique

6
Femoral Component Insertion
CORAIL Total Hip System Implants can be inserted with
either a threaded retaining inserter or a non-threaded
inserter. Both inserters provide rotational control during Figure 5B
stem implantation.

Note: Prior to using either inserter, the CORAIL


Stem should be inserted by hand into the femoral
canal with 1.5 to 2.0 cm of HA showing above the
resection.

If the retaining inserter is chosen, verify that it is


assembled with the inserter shaft threaded into the
inserter handle (Figure 5A). Ensure the tines on the
inserter are aligned with the recesses of the inserter
Figure 5A
platform on the top of the implant (Figure 5B). Fully
Figure 5C
engage the threads of the inserter into the implant to
ensure the inserter is securely attached to the implant.

If the non-retaining inserter is chosen, introduce stem by


hand into femoral canal (Figure 6A). Ensure the tines of
the inserter are aligned with the recesses of the inserter
platform on the top of the implant (Figure 6B).

With the taper protected by the cover, gently introduce


the implant and impact it in the central axis of the
femur, to the level of the HA coating (or the collar)
(Figures 5C and 6C). With the prostheses in situ, remove Figure 6B

the taper cover and add the trial head and acetabular
trial liner to assess implant stability and leg length.

Figure 6A Figure 6C

Surgical Technique CORAIL ® Hip System DePuy Synthes 11


Surgical Technique

7
Femoral Head Impaction
Irrigate, clean and dry the prosthesis to ensure the taper
is free of debris. Place the appropriate femoral head
onto the taper and lightly tap using the head impactor
before reducing the hip (Figure 7).

Figure 7

5 years post-op

11 DePuy Synthes CORAIL ® Hip System Surgical Technique


CORAIL AMT Stem Specifications

STD 135° KHO 135° HIGH


Sz 8-20 Sz 9-20
Leg
-5 Length
STD
SN 135°
135° STD 125° KLA 125°
Sz 6-10
8-14 Sz 8-14
7-10 Sz 9-18
9-20 LOW

-5 +7
Offset

A B
E G
Lateral Medial C D F
Neck Distal
Stem Stem Offset with Head Neck Length Leg Adjustment
Size Shaft Width
Length Length (mm) with Head (mm) Length (mm)
Angle (mm)
(mm) (mm)

-2 +1.5 +5 +8.5 +12 +15.5 -2 +1.5 +5 +8.5 +12 +15.5 -2 +1.5 +5 +8.5 +12 +15.5
6 STANDARD
OFFSET† 110 93 25.8 28.3 30.8 33.2 35.7 38.2 27 30 34 37 41 44 135 26 28 31 33 35 38 8
(Collarless Only)
8 STANDARD
115 93 33.3 35.8 38.3 40.8 43.2 45.7 32 35 39 42 45 49 135 31 33 36 38 41 43 7
OFFSET
9 STANDARD
130 108 33.8 36.3 38.8 41.3 43.7 46.2 32 35 39 42 45 49 135 31 33 36 38 41 43 8
OFFSET
10 STANDARD
140 118 34.6 37.1 39.5 42.0 44.5 47.0 32 35 39 42 45 49 135 31 33 36 38 41 43 8
OFFSET
11 STANDARD
COLLARED & COLLARLESS (KA / KS)

145 123 35.3 37.8 40.3 42.8 45.2 47.7 32 35 39 42 45 49 135 31 33 36 38 41 43 9


OFFSET
12 STANDARD
150 128 36.1 38.6 41.0 43.5 46.0 48.4 32 35 39 42 45 49 135 31 33 36 38 41 43 10
OFFSET
13 STANDARD
155 133 36.7 39.2 41.7 44.1 46.6 49.1 32 35 39 42 45 49 135 31 33 36 38 41 43 10
OFFSET
14 STANDARD
160 138 37.3 39.8 42.3 44.8 47.2 49.7 32 35 39 42 45 49 135 31 33 36 38 41 43 10
OFFSET
15 STANDARD
165 143 38.1 40.6 43.0 45.5 48.0 50.5 32 35 39 42 45 49 135 31 33 36 38 41 43 10
OFFSET
16 STANDARD
170 148 38.8 41.3 43.8 46.3 48.7 51.2 32 35 39 42 45 49 135 31 33 36 38 41 43 10
OFFSET
18 STANDARD
180 158 39.8 42.3 44.8 47.3 49.7 52.2 32 35 39 42 45 49 135 31 33 36 38 41 43 11
OFFSET
20 STANDARD
OFFSET 190 168 40.8 43.3 45.8 48.3 50.7 53.2 32 35 39 42 45 49 135 31 33 36 38 41 43 11
(Collared Only)

9 HIGH OFFSET 130 108 40.7 43.2 45.7 48.1 50.6 53.1 36 40 43 47 50 54 135 30 33 35 38 41 43 8

10 HIGH OFFSET 140 118 41.5 43.9 46.4 48.9 51.3 53.8 36 40 43 47 50 54 135 30 33 35 38 41 43 8
COLLARED & COLLARLESS (KHO)

11 HIGH OFFSET 145 123 42.2 44.7 47.2 49.6 52.1 54.6 36 40 43 47 50 54 135 30 33 35 38 41 43 9

12 HIGH OFFSET 150 128 43.0 45.4 47.9 50.4 52.8 55.3 36 40 43 47 50 54 135 30 33 35 38 41 43 10

13 HIGH OFFSET 155 133 43.6 46.1 48.5 51.0 53.5 56.0 36 40 43 47 50 54 135 30 33 35 38 41 43 10

14 HIGH OFFSET 160 138 44.2 46.7 49.2 51.6 54.1 56.6 36 40 43 47 50 54 135 30 33 35 38 41 43 10

15 HIGH OFFSET 165 143 45.0 47.4 49.9 52.4 54.8 57.3 36 40 43 47 50 54 135 30 33 35 38 41 43 10

16 HIGH OFFSET 170 148 45.7 48.2 50.7 53.1 55.6 58.1 36 40 43 47 50 54 135 30 33 35 38 41 43 10

18 HIGH OFFSET 180 158 46.9 49.4 51.8 54.3 56.8 59.2 36 40 43 47 50 54 135 30 33 36 38 41 43 11

20 HIGH OFFSET 190 168 47.9 50.4 52.9 55.3 57.8 60.3 36 40 43 47 50 54 135 30 33 36 38 41 43 11

Surgical Technique CORAIL ® Hip System DePuy Synthes 11


CORAIL AMT Stem Specifications

STD 135° KHO 135° HIGH


Sz 8-20 Sz 9-20
Leg
-5 Length
STD
SN 135°
135° STD 125° KLA 125°
Sz 6-10
8-14 Sz 8-14
7-10 Sz 9-18
9-20 LOW

-5 +7
Offset

A B
E G
Lateral Medial C D F
Neck Distal
Stem Stem Offset with Head Neck Length Leg Adjustment
Size Shaft Width
Length Length (mm) with Head (mm) Length (mm)
Angle (mm)
(mm) (mm)

-2 +1.5 +5 +8.5 +12 +15.5 -2 +1.5 +5 +8.5 +12 +15.5 -2 +1.5 +5 +8.5 +12 +15.5
9 HIGH
130 108 40.6 43.1 45.6 48.1 50.5 53.0 33 36 40 43 47 50 125 26 28 30 33 35 38 8
OFFSET
10 HIGH
140 118 41.4 43.9 46.3 48.8 51.3 53.8 33 36 40 43 47 50 125 26 28 30 33 35 38 8
OFFSET
11 HIGH
145 123 42.1 44.6 47.1 49.6 52.0 54.5 33 36 40 43 47 50 125 26 28 30 33 35 38 9
OFFSET
12 HIGH
COLLARED (KLA)

150 128 42.9 45.4 47.8 50.3 52.8 55.2 33 36 40 43 47 50 125 26 28 30 33 35 38 10


OFFSET
13 HIGH
155 133 43.5 46.0 48.5 50.9 53.4 55.9 33 36 40 43 47 50 125 26 28 30 33 35 38 10
OFFSET
14 HIGH
160 138 44.1 46.6 49.1 51.6 54.0 56.5 33 36 40 43 47 50 125 26 28 30 33 35 38 10
OFFSET
15 HIGH
165 143 44.9 47.4 49.8 52.3 54.8 57.2 33 36 40 43 47 50 125 26 28 30 33 35 38 10
OFFSET
16 HIGH
170 148 45.6 48.1 50.6 53.1 55.5 58.0 33 36 40 43 47 50 125 26 28 30 33 35 38 10
OFFSET
18 HIGH
180 158 46.8 49.3 51.8 54.3 56.7 59.2 33 36 40 43 47 50 125 26 28 31 33 36 38 11
OFFSET
8 STANDARD
115 93 33.4 35.9 38.4 40.8 43.3 45.8 28 32 35 39 42 45 125 26 28 31 33 36 38 7
COLLARLESS (STD)

OFFSET
COLLARED &

9 STANDARD
130 108 33.9 36.4 38.9 41.3 43.8 46.3 28 32 35 39 42 45 125 26 28 31 33 36 38 8
OFFSET

10 STANDARD
140 118 34.7 37.1 39.6 42.1 44.6 47.0 28 32 35 39 42 45 125 26 28 31 33 36 38 8
OFFSET

11 STANDARD
145 123 35.4 37.9 40.4 42.8 45.3 47.8 28 32 35 39 42 45 125 26 28 31 33 36 38 9
OFFSET
12 STANDARD
COLLARED

150 128 36.2 38.6 41.1 43.6 46.1 48.5 28 32 35 39 42 45 125 26 28 31 33 36 38 10


OFFSET
13 STANDARD
155 133 36.8 39.3 41.7 44.2 46.7 49.2 28 32 35 39 42 45 125 26 28 31 33 36 38 10
OFFSET
14 STANDARD
160 138 37.4 39.9 42.4 44.8 47.3 49.8 28 32 35 39 42 45 125 26 28 31 33 36 38 10
OFFSET
8 LOW
COLLARLESS (SN)

115 93 28.0 30.5 33.0 35.5 37.9 40.4 25 28 32 35 38 42 135 26 29 31 34 36 38 7


OFFSET
COLLARED &

9 LOW
130 108 28.5 31.0 33.5 36.0 38.4 40.9 25 28 32 35 38 42 135 26 29 31 34 36 38 8
OFFSET
10 LOW
140 118 29.3 31.8 34.2 36.7 39.2 41.7 25 28 32 35 38 42 135 26 29 31 34 36 38 8
OFFSET
11 LOW
145 123 30.0 32.5 35.0 37.5 39.9 42.4 25 28 32 35 38 42 135 26 29 31 34 36 38 9
OFFSET
12 LOW
COLLARED

150 128 30.8 33.3 35.7 38.2 40.7 43.2 25 28 32 35 38 42 135 26 29 31 34 36 38 10


OFFSET
13 LOW
155 133 31.4 33.9 36.4 38.8 41.3 43.8 25 28 32 35 38 42 135 26 29 31 34 36 38 10
OFFSET
14 LOW
160 138 32.0 34.5 37.0 39.5 41.9 44.4 25 28 32 35 38 42 135 26 29 31 34 36 38 10
OFFSET

Ref. Number 103519609 Rev 2

11 DePuy Synthes CORAIL ® Hip System Surgical Technique


Ordering Information

Implants
135° Standard Offset 135° Standard Offset 135° High Offset 135° High Offset 125° Coxa Vara High
Collarless (KS) Collared (KA) Collarless (KHO) Collared (KHO) Offset Collared (KLA)

Cat. No. Size Cat. No. Size Cat. No. Size Cat. No. Size Cat. No. Size

L20106 6† 3L92498 8 L20309 9 L971109 9 3L93709 9

3L92507 8 3L92499 9 L20310 10 L971110 10 3L93710 10

3L92509 9 3L92500 10 L20311 11 L971111 11 3L93711 11

3L92510 10 3L92501 11 L20312 12 L971112 12 3L93712 12

3L92511 11 3L92502 12 L20313 13 L971113 13 3L93713 13

3L92512 12 3L92503 13 L20314 14 L971114 14 3L93714 14

3L92513 13 3L92504 14 L20315 15 L971115 15 3L93715 15

3L92514 14 3L92505 15 L20316 16 L971116 16 3L93716 16

3L92515 15 3L92506 16 L20318 18 L971118 18 3L93718 18

3L92516 16 3L92508 18 L20320 20 L971120 20

3L92518 18 3L92521 20

135° Short Neck Low 135° Short Neck Low 125° Standard Offset 125° Standard Offset
Offset Collarless (SN) Offset Collared (SN) Collarless (STD) Collared (STD)

Cat. No. Size Cat. No. Size Cat. No. Size Cat. No. Size

L981308 8 L971308 8 L981208 8 L971208 8

L981309 9 L971309 9 L981209 9 L971209 9

L981310 10 L971310 10 L981210 10 L971210 10

L971311 11 L971211 11

L971312 12 L971212 12

L971313 13 L971213 13

L971314 14 L971214 14

Surgical Technique CORAIL ® Hip System DePuy Synthes 11


Ordering Information

Instruments
CORAIL AMT Broach Case CORAIL AMT Core Case

2665-99-000 CORAIL Broach Case Complete* 2665-99-003 CORAIL Core Case


(Tray, Head Caddy, Lid)
L20440 Neck Resection Guide
2354-10-000 Canal Probe
L20408 Broach Size 8
53-0360 T-Handle
L20409 Broach Size 9
2598-07-570 Retaining Implant Inserter (2 pcs)
L20410 Broach Size 10
2570-05-100 Standard Implant Inserter
L20411 Broach Size 11
2001-65-000 Head Impactor
L20412 Broach Size 12
2530-81-000 28 mm Articul/eze +1.5 mm Trial Head
L20413 Broach Size 13
2530-82-000 28 mm Articul/eze +5.0 mm Trial Head
L20414 Broach Size 14
2530-83-000 28 mm Articul/eze +8.5 mm Trial Head
L20415 Broach Size 15
2530-84-000 28 mm Articul/eze +12.0 mm Trial Head
L20416 Broach Size 16
2530-85-000 28 mm Articul/eze +15.5 mm Trial Head
L20418 Broach Size 18

L20420 Broach Size 20 X-Ray Templates


L94003 CORAIL Neck Segment 125° Standard 2665-04-511 CORAIL STD 125 135 KLA KHO LE2
Offset (STD-125)
2665-04-512 CORAIL SN 135 and Dysplasia 6 LE2
L94004 CORAIL Neck Segment 125° Coxa Vara
High Offset Collared (KLA)

L94005 CORAIL Neck Segment 135° Standard


Offset (STD-135)

L94006 CORAIL Neck Segment 135° High †Note: For size 6 instrumentation and implant ordering information, see the CORAIL Size 6
surgical technique - available from your DePuy Synthes Joint Reconstruction Sales
Offset (KHO) Consultant.

L94007 CORAIL Neck Segment 135° Short Neck *CORAIL Broach Case include the Tray, Base, and Lid. The tray holds broaches size 8-20, 3
Neck Segments (135° STD, 135° KHO, and 125° KLA), and the Neck Resection Guide. The
Low Offset (SN) base holds the Broach Handles, Anteversion Osteotome, and Calcar Planer Small.

9522-11-500 CORAIL AMT Curved Handle **CORAIL Upgrade Tray is an upgrade to the tray currently included in 2665-99-000 with a
similar design in that it will hold broaches size 8-20 and the Neck Resection Guide, but has been
upgraded to have 5 spaces for Neck Segments to accommodate the CORAIL Line Extension.
9522-10-500F CORAIL AMT Straight Broach Handle

9522-12-500F CORAIL AMT Extra Curved Handle

2002-31-000 Anteversion Osteotome

2570-04-100 Calcar Planer Small

2665-99-100 CORAIL Upgrade Tray**

11 DePuy Synthes CORAIL ® Hip System Surgical Technique


Ordering Information

TSS Femoral Core Case 1 TSS Femoral Core Case 2

2598-07-460 Universal Stem Inserter Handle 2354-10-000 Muller Awl Reamer with Hudson End
Trial Heads – 2 Sets per Case 2001-42-000 T-Handle
Note: accommodates up through size 44 mm
2001-80-501 IM Initiator Sized
2598-07-570 Retaining Stem Inserter (2 pcs)
9400-80-007 Shielded Calcar Planer Small
2598-07-530 Modular Box Osteotome
85-3927 Femoral Rasp

Any two of the below handles accommodated: 9400-80-001 Canal Finder

2570-00-000 SUMMIT® Universal Broach Handle 2001-65-000 Femoral/Humeral Head Impactor

2598-07-540 Long Posterior Broach Handle 2001-66-000 Replacement Tip Femoral Head Impactor

2598-07-550 Extra Curved Broach Handle

2598-07-350 Anterior Dual Offset Broach Handle – Left Additional Instruments Compatible
2598-07-360 Anterior Dual Offset Broach Handle – Right with CORAIL Hip System

9522-10-500F CORAIL AMT Straight Broach Handle L93205 CORAIL Bone Impactor

9522-11-500 CORAIL AMT Curved Broach Handle L93606 Bone Tamp

2598-07-470 CORAIL/TRI-LOCK® Posterior Stem 2570-04-200 Calcar Planer Large

Inserter Shaft 2001-47-000 Calcar Mill Small

2598-07-480 SUMMIT Posterior Stem Inserter Shaft 2001-48-000 Calcar Mill Medium

2598-07-435 Bullet Tip Stem Inserter Shaft 2001-49-000 Calcar Mill Large

2598-07-430 Standard Straight Stem Inserter Shaft 2570-04-501 Modular Calcar Planer Small

2598-07-440 CORAIL/TRI-LOCK Anterior Stem 2570-04-503 Modular Calcar Planer Large


Inserter Shaft 2570-04-500 MI Calcar Reamer Shaft
2598-07-450 SUMMIT Anterior Stem Inserter Shaft

Surgical Technique CORAIL ® Hip System DePuy Synthes 11


References
1. DPS__DPS_Corail 1986-2017 sales da_DOF_RPT_20170717.pdf
2. Vidalain JP (2011) 25-year ARTRO Results: A Special Vintage from the Old World. In: Vidalain JP et al; The CORAIL Hip System: A
Practical Approach Based on 25 Years of Experience. Springer; pg 94-101.

Limited Warranty and Disclaimer: DePuy Synthes products are sold with a limited warranty to the original purchaser against defects in workmanship and
materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed.
Please also refer to the package insert(s) or other labeling associated with the devices identified in this surgical technique guide for additional information.
CAUTION: Federal Law restricts these devices to sale by or on the order of a physician.
Some devices listed in this surgical technique may not have been licensed in accordance with Canadian law and may not be for sale in Canada.
Please contact your sales consultant for items approved for sale in Canada.
Not all products may currently be available in all markets.

Only for distribution within the USA.

DePuy Orthopaedics, Inc.


700 Orthopaedic Drive DePuy (Ireland)
Warsaw, IN 46582 Loughbeg, Ringaskiddy
USA Co. Cork, Ireland
Tel: +1 (800) 366-8143 Tel: + 353 21 4914 000
Fax: +1 (800) 669-2530 Fax: + 353 21 4914 199

www.depuysynthes.com

© DePuy Synthes 2017, 2019. All rights reserved.


DSUS/JRC/0116/1350 Rev 3

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