|
|
|
|
|
|
|
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. |
|
 |
|
|
|
|
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. |
|
 |
|
|
|
|
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 |
|
| |
|
 |
| |
|
|
|