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The Actis and Corail Femoral Stems Provide for Similar Clinical and Radiographic Outcomes in Total Hip Arthroplasty

  • Original Article
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HSS Journal ®

Abstract

Background

The introduction of new devices for total hip arthroplasty (THA) offers surgeons the ability to address deficits in the portfolio. However, once introduced, data regarding the performance of devices is not publicly available until their use is widespread.

Purpose/Questions

The objective of this study was to compare the clinical and radiographic performance, including patient reported outcomes and radiographic evidence of osseointegration, subsidence, and stress shielding, of the newer Actis femoral component to the Corail stem (DePuy Synthes, Warsaw, IN, USA), which has an extensive clinical history.

Methods

This short-term, retrospective cohort study was a single surgeon series of 330 anterior approach THAs, consisting of 165 cases using the Actis stem and 165 cases using the Corail stem. Both devices were cementless, titanium, tapered, hydroxyapatite–coated stems. They differed in geometry, neck choices, broach philosophy, and collar availability. Data was obtained for 1 year following THA. Functional outcomes were measured with the Hip Dysfunction and Osteoarthritis Outcome Score for Joint Replacement (HOOS, JR.) survey. Complications were recorded from patient charts, and radiographic analysis was performed for signs of osseointegration, subsidence, and stress shielding.

Results

The groups shared similar demographic characteristics except the Actis population was younger with fewer women. The complication rate did not significantly vary, and no patient required revision within the first year. Radiographically, one patient in each group demonstrated subsidence. No cases exhibited radiolucent lines, and the prevalence of stress shielding at 1 year was comparable. HOOS, JR. scores did not significantly vary at 8 weeks or 1 year.

Conclusion

The Actis stem does not carry an increased risk of device-related complications compared with the Corail implant. Although aspects of bone remodeling differed between groups, Actis achieved radiographic signs of bone ingrowth at the 1-year mark and performed well clinically, with equivalent patient reported outcome scores to the Corail stem.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Illinois Bone & Joint Institute, 9000 Waukegan Road, Suite 200, Morton Grove, IL, 60053, USA

    Stephanie V. Kaszuba BS, Nancy Cipparrone MA & Alexander C. Gordon MD

  2. Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA

    Stephanie V. Kaszuba BS

  3. Department of Orthopedic Surgery, Advocate Lutheran General Hospital, Park Ridge, IL, USA

    Alexander C. Gordon MD

  4. Department of Orthopedic Surgery, NorthShore Skokie Hospital, Skokie, IL, USA

    Alexander C. Gordon MD

Authors
  1. Stephanie V. Kaszuba BS
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  2. Nancy Cipparrone MA
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  3. Alexander C. Gordon MD
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Corresponding author

Correspondence to Alexander C. Gordon MD.

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The authors declare that they have no conflict of interest.

Human/Animal Rights

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2013.

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Informed consent was waived from all patients for being included in this study.

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Level of Evidence: Level III: Therapeutic Study

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Kaszuba, S.V., Cipparrone, N. & Gordon, A.C. The Actis and Corail Femoral Stems Provide for Similar Clinical and Radiographic Outcomes in Total Hip Arthroplasty. HSS Jrnl 16 (Suppl 2), 412–419 (2020). https://doi.org/10.1007/s11420-020-09792-2

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  • DOI: https://doi.org/10.1007/s11420-020-09792-2

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