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Hip Resurfacing

 

     

   

Hip Resurfacing System

   
     

In the early 1990s, Corin developed a Hip Resurfacing device that combines the principles of conservative arthroplasty with metal-on-metal bearing technology – an innovation that provides a solution for the treatment of younger patients with osteoarthritis or rheumatoid arthritis of the hip. Today, Corin are world leaders in large diameter metal-on-metal hip replacement and, since its introduction in 1991, have developed the hip resurfacing range into a unique system which addresses the needs of the younger, active patient.

Faithful to the original design, Cormet Hip Resurfacing is a conservative treatment for the young, active, high demand patient group which conserves femoral bone, provides anatomical bone loading, eliminates polyethylene and is designed to be a high-function device.

  Cormet Hip
     
Features of the Cormet system include:
  • Extensive range of options
    Within the range there are cemented and cementless femoral components and standard and dysplasia cups.
     
  • Femoral Component
    Cormet femoral components are available in 4mm increments from 40mm to 56mm outside diameter, and are manufactured to exacting standards, ensuring optimum sphericity and surface finish.
     
  • Cementless Heads
    Introduced in 1998 to give the surgeon more flexibility, the femoral head can be prepared and then an intra-operative decision can be made between the cemented or cementless head.
     
  • Acetabular Component
    Cups are available in 2mm OD increments from 46mm to 64mm, with two cup sizes for each head size, providing surgical flexibility.
     
  • Bi-coating
    All cups and cementless heads are bi-coated™ with a plasma sprayed porous titanium coating overlaid with hydroxyapatite, which provides excellent primary and long-term fixation.
     
  • Dysplasia Cup
    An advanced dysplasia cup is available for use in the deficient acetabulum in both hip resurfacing and large diameter total hip replacement. The use of a unique twin thread diameter screw design allows the screw to be advanced within the acetabulum prior to engagement with the cup flange, thereby minimising the possibility of the cup being disturbed from its chosen position during insertion. The tapered section between the two diameters of the screw allows the thread form to be constant over the entire length of the screw. Based on a standard cortical bone screw, the screw tip is fluted to allow self-tapping. This unique design has the benefits of easy introduction, improved cup positioning and increased pullout resistance.

Flexibility of Surgical Approach
Cormet has been developed into a comprehensive system which allows the surgeon to decide which surgical approach and device options he wishes to use and are appropriate for a specific patient. Cormet instrumentation is suitable for posterior, antero-lateral and other approaches including the modified Ganz approach.

Clinical History
Excellent medium-term results have been published for the Corin Resurfacing Hip system. Multi-centre results show a 96% survivorship at 7 years1 for the Cormet Hip Resurfacing.

Precision Instruments
The third generation of advanced instrumentation for Cormet Hip Resurfacing allows small incision surgical approaches to be used for Cormet Hip Resurfacing. The Cormet Precision instruments eliminate the need for a complex, bulky head centering jig. The vacuum introducer is a unique, patented technology - standard theatre suction is used to attach the cup to the introducer for implantation of the acetabular component.

The Precision head centring device eliminates the need for a lateral pin and allows a smaller incision to be used in both standard and MIS approaches, reducing tissue damage and potentially improving post-operative recovery times. The instruments are simple to use, reducing operating time and allowing more accurate, reproducible placement of the femoral resurfacing component.

Wear Properties
Exacting manufacturing techniques mean that the high carbon cobalt chrome bearing surfaces are optimised to minimise wear. Optimal sphericity, surface roughness and diametrical separation of the components result in enhanced lubrication of the bearing, which reduces wear, as well as providing effective function and longevity. Studies have shown that optimised sphericity and diametrical separation are by far the most important factors influencing the wear of metal-on-metal bearings.

Cormet is a comprehensive system which adapts to the preferences of the surgeon while meeting the real needs of the younger active patient”

 

   
Optimom Large Diameter Metal-on-Metal Total Hip Replacement System
A new approach to stemmed total hip arthroplasty for patients in whom the condition of the femoral head or neck does not allow resurfacing, Corin has developed Optimom, a metal-on-metal stemmed large diameter total hip replacement. Optimom combines the benefits of large diameter metal-on-metal resurfacing arthroplasty with those of a stemmed femoral prosthesis that does not depend on the bone quality of the femoral neck.

Optimom represents a significant advance in hip replacement for the active patient, as well as providing improved stability for revision and DDH patients at risk of dislocation. Modular Optimom heads may be used with any Corin approved stem, providing a large diameter total hip replacement system with all the advantages of a metal-on-metal bearing surface and a large diameter articulation.

Stem Options
Optimom is available with a range of Corin and approved other hip stems for optimum flexibility and implant choice.
  Optimom Large Diameter Metal-on-Metal Total Hip Replacement System
     
Improved Stability
The modular Optimom system uses proven Cormet bearing technology, providing a long-lasting device which is highly stable. Large diameter heads are more resistant to dislocation than small diameter heads. Between 3% and 6% of conventional THR operations result in early post-operative dislocation. Reported dislocations of large diameter heads are extremely rare.

Increased Range of Motion
Compared to conventional total hip replacement, the Optimom large diameter total hip replacement allows a greater range of motion, permitting patients to return to high activity levels.

1 Nevelos J, Nelson R, Shelton J, Krikler S, Bishay M, Banan H, Pring D, Richardson J & Spencer R
“Development Validation and Multi-Centre Follow-up of a Modern Metal-Metal Hip Resurfacing Prosthesis”
AAOS 2004 Scientific Exhibit SE005