Corail
Corail
Corail
Surgical Technique
The Science Of Simplicity
Over time, additions have been made to the original CORAIL Hip
System to provide additional options for orthopaedic surgeons
treating today’s patients, including:
7 Proprietary HA coating
Simple Surgical Technique: Broach only technique offering reproducible surgical results
with minimal instrumentation
Thirty Years of Clinical History: Providing confidence for the surgeon and for the patient
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.
(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.
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).
Narrow Canal
Thick Cortices
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
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.
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.
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.
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.
the taper cover and add the trial head and acetabular
trial liner to assess implant stability and leg length.
Figure 6A Figure 6C
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
-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)
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
-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)
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
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
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
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
L971311 11 L971211 11
L971312 12 L971212 12
L971313 13 L971213 13
L971314 14 L971214 14
Instruments
CORAIL AMT Broach Case CORAIL AMT Core Case
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
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
2598-07-540 Long Posterior Broach Handle 2001-66-000 Replacement Tip Femoral Head Impactor
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
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
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.
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