Fracture Neck of Femur

This lady was the very first CORAIL® stem patient and the first fractured neck of femur patient treated with CORAIL. Although suffering from severe osteoporosis, she was then a very active woman, she was a keen alpine skier and mountaineer. In August 1986, she suffered from a fractured neck of femur after a mountain accident. Madame V was operated on at the Clinique d’Argonnay, Annecy, by Dr Machenaud of the ARTRO Group, who implanted the first CORAIL Stem.


Results from trials around the treatment of femoral neck fractures show that primary arthroplasty provides a better solution than hemi-arthroplasty or internal fixation. In randomised clinical trials Total Hip Replacement (THR) has been found to provide improved clinical results in relation to hip function, level of pain and health-related quality of life than either internal fixation or hemiarthroplasty, in previously mobile, otherwise healthy lucid fractured neck of femur patients aged more than 60 years old.1-3 In those patients, randomised clinical trials have also reported lower revision rates for THR than either hemi-arthroplasty or internal fixation.3


Clinical References

CORAIL uncemented hemiarthroplasty with a Cathcart head for intracapsular hip fractures.
Kendrick BJL, Wilson HA, Lippett JE, McAndrew AR, Andrade AJMD. Bone Joint J 2013;95-B:1538-43.

Total hip arthroplasty and hemiarthroplasty in mobile, independent patients with a displaced intracapsular fracture of the femoral neck. A randomized, controlled trial.
Baker RP, Squires B, Gargan MF, Bannister GC. Journal of Bone and Joint Surgery, 2006;88A:2583-2589.

Hydroxyapatite-Coated Femoral Arthroplasties : Long Term Study Through 29 Corail Prostheses Explanted During Ten Year Survey.
Hardy D, Frayssinet P. Surgical Technology International X, 2003;237-245.

A randomised controlled trial comparing bipolar hemiarthroplasty with total hip replacement for displaced intracapsular fractures of the femoral neck in elderly patients.
Blomfeldt R, Tornkvist H, Eriksson K, Soderqvist A, Ponzer S, Tidermark J. Journal of Bone and Joint Surgery, 2007;89-B:160-165.

Internal fixation versus arthroplasty for intracapsular proximal femoral fractures in adults.
Parker MJ, Gurusamy K. Cochrane Database of Systematic Reviews, 2006;(4):CD001708.

Internal fixation versus hemiarthroplasty versus total hip arthroplasty for displaced subcapital fractures of the femur - 13 year results of a prospective randomised study.
Ravikumar KJ, Marsh G. Injury, 2003;31(10):793-797.

Primary arthroplasty is better than internal fixation of displaced femoral neck fractures: a meta-analysis of 14 randomized studies with 2,289 patients.
Rogmark C, Johnell O. Acta Orthopaedica, 2006;77(3):359-367.


  1. Ravikumar KJ, Marsh G. Internal Fixation Versus Hemiarthroplasty Versus Total Hip Arthroplasty for Displaced Subcapital Fractures of the Femur - 13 Year Results of a Prospective Randomised Study. Injury. 2000;31:793-797.
  2. Blomfeldt R, Tornkvist H, Eriksson K, Soderqvist A, Ponzer S, Tidermark J. A Randomised Controlled Trial Comparing Bipolar Hemiarthroplasty with Total Hip Replacement for Displaced Intracapsular Fractures of the Femoral Neck in Elderly Patients. J. Bone Joint Surg. 2007;89-B:160-165.
  3. Baker RP, Squires B, Gargan MF, Bannister GC. Total Hip Arthroplasty and Hemiarthroplasty in Mobile, Independent Patients with a Displaced Intracapsular Fracture of the Femoral Neck. A Randomized, Controlled Trial. J. Bone Joint Surg. 2006;88-A:2583-2589.

Indication Statement

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102335-200116 EMEA