Overview of Cementless Stems in Total Hip Arthroplasty – Review Paper on the Corial Style Stem


  • Christian Wright, BS
  • Declan Brazil, PhD
  • Timothy McTighe, Dr. HS (hc)




The review summarizes published literature from a range of reputable sources regarding hip prosthesis (stems) of a specific design style (Corail) used currently in cementless Total Hip Arthroplasty. 

The short-term results of the best cementless femoral components recorded in the Norwegian Arthroplasty Register as described by Havelin et al, include the Corail, IMT, Profile and Zweyuller stems with revision for loosening <1% at 4.5 years, compared to cemented counterparts.

The critical review of published studies shows equivalence of the predicate Corail stem to the Signature CL2 femoral stem in all critical characteristics is demonstrated to represent the likely clinical performance of the CL2 stem implanted. This is using modern surgical techniques without cement.


Røkkum M, Brandt M, Bye K, Hetland KR, Waage S, Reigstad A. Polyethylene Wear, Osteolysis and Acetabular Loosening With an HA-Coated Hip Prosthesis: A Follow-Up of 94 Consecutive Arthroplasties J Bone Joint Surg 1999;81-B:582-9

Vidalain JP, ARTRO group. The Corail System in Primary THA: Results, Lessons and Comments From the Series Performed by the ARTRO Group (12-Year Experience) European Journal of Orthopaedic Surgery & Traumatology 1999;9:87-90

Geesink GT and Manley MT. Hydroxylapatite Coatings in Orthopaedic Surgery 1993, Raven Press Ltd New York

Hallan G, Lie SA, Furnes O, Engesaeter LB, Vollset SE, Havelin LI. Medium- and long-term performance of11 516 uncemented primary femoral stemsfrom the Norwegian arthroplasty register J Bone Joint Surg [Br] 2007;89-B:1574-80

Marshall AD, Mokris JG, Reitman RD, Dandar A, Mauerhan DR. Cementless Titanium Tapered-Wedge Femoral Stem: 10- to 15-Year Follow-Up J Arthroplasty 2004;19(5):546-552

Chambers B, St. Clair SF, Froimson MI. Hydroxyapatite-Coated Tapered Cementless Femoral Components in Total Hip Arthroplasty J Arthroplasty 2007;22(4-1):71-3

Min BW, Song KS, Bae KC, Cho Ch, Kang DH, Kim SY. The effect of stem alignment on results of total hip arthroplasty with a cementless tapered-wedge femoral component. J Arthroplasty. 2008;23:418-23

Vidalain JP. Corail Stem Long Term Results Based on the 15-year Artro Group Experience in Epinette JA and Manley MT. Fifteen years of Clinical Experience with Hydroxyapatite Coatings in Joint Arthroplasty, Springer- Verlag France, 2004; pp 217-223

Karachalios T, Tsatsaronis C, Efraimis G, Papadelis P, Lyritis G, Diakoumopoulos G. The Long-Term Clinical Relevance of Calcar Atrophy Caused by Stress Shielding in Total Hip Arthroplasty A 10-Year, Prospective, Randomized Study, Jorn. Of Arthroplasty 2004; 19(4), 469-75

Huo HM, Parvizi JB, Bal S and Mont MA. What’s New in Total Hip Arthroplasty J Bone Joint Surg Am. 2008; 90:2043-205

Ritter MA, Olberding EM, Malinzak RA. Ultaviolet lighting during orthopaedic surgery and the rate of infection. J Bone Joint Surg Am. 2007;89:21953-1940.




How to Cite

Wright, BS, C., Brazil, PhD, D., & McTighe, Dr. HS (hc), T. (2012). Overview of Cementless Stems in Total Hip Arthroplasty – Review Paper on the Corial Style Stem. Reconstructive Review, 2(1). https://doi.org/10.15438/rr.v2i2.13



Original Article

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