Help your patients get back sooner with the Anterior Approach.

Delivering value to patients, surgeons and hospitals.


27.8% reduction in hospital LOS

(70 ± 3.3 vs. 97 ± 5.5 hours, p < 0.001)1


58% lower pain score at 2-week follow-up

(2.2 vs 5.2 p < 0.0001)2


30.8% score at 2-week follow-up lower narcotic usage on post-operative days1-3

(101 ± 12 vs. 146 ± 12 morphine equivalent dose, p = 0.010)1


CORAIL PINNACLE: Golden Standard linked to cost of revision


CORAIL Hip System

CORAIL Hip System has over 30 years of clinical heritage and demonstrates 93.7% Stem Survivorship at 30 Years.3 It is the most widely used primary hip stem construct with the PINNACLE Acetabular Cup System in the NJR.4 CORAIL Stems are offered in a variety of sizes to treat both primary and revision cases.


PINNACLE Acetabular Cup System

PINNACLE Acetabular Cup System has been provided to over 3 million patients worldwide since its introduction, across 15 years of clinical heritage.5 PINNACLE Acetabular Cups are offered in a variety of styles to treat both primary and revision cases.


ACTIS™ Total Hip System

ACTIS Total Hip System was designed for use in tissue sparing approaches like the Anterior Approach (although it can be used with traditional approaches) and demonstrates enhanced initial stability compared to collarless stems.6,7

CORAIL Collared Stem combined with PINNACLE Acetabular Cup has 28% less chance of revision vs all other cementless constructs in NJR.8


Approach Specific Instrumentation




Supporting Operating Theatre Efficiency


KINCISE™ Surgical Automated System




JOINTPOINT® Hip Navigation System

MEDENVISION efficiency through standardisation

MEDENVISION efficiency through standardisation

From recent Market Research, over 70% of Orthopaedic Surgeons confirmed that solutions to support operating theatre efficiency will play a very important role in the near future. For example: team training, the ‘time out’ concept, standardized and streamlined processes.9

Two key partnership specific to this area have recently been announced by DePuy Synthes.

Disclaimer: CE Mark Pending. The device(s) will not be marketed or put into service until it / they have been made to comply with the Medical Device Directive (93/42/EEC) or Medical Device Regulation (2017/745) (as applicable) and are appropriately CE marked.

The Gripper™  Assistant in a box

The Gripper™ allows the surgeon to control the retractor without extra help from an assistant. The Gripper™ allows a stable retractor positioning so that nursing staff can now be deployed much more effectively during other parts of the procedure or in preparation for or during other operations.


Study how orthostatic retractor placement can reduce operating time and post-operative inflammatory response during the learning curve of anterior approach.

Journal of Orthopedics

EsySuit™  One minute draping system

Safe and user-friendly draping in less than 1 minute with the EsySuit™ The time needed to perform the surgery itself is usually fairly constant. The EsySuit™ delivers a positive contribution to the optimal use of the resources and the associated efficient functioning of the OR.



World Class Professional Education


1. Webinar or Meeting

Duration: 2 hours
Attendees: Surgeon, Nurse(s), Management

2. Learn the EDA Approach

To complete in: 4 weeks
Deferred Live Surgery
ESY Concept Videos
DePuy Synthes VR in Hospital


Duration: 1 Day
Instructional Course for Team
VR Haptic Simulation
Cadaver Lab

4. Learn from the Master

Duration: 1 Day
At EDA Reference Center (Surgeon and Nurse)

5. Visitation of a Master

Duration: 1 Day
Visitation of EDA Instructor Surgeon to Own Center

All Resources

  1. Schweppe et al. Does Surgical Approach in Total Hip Arthroplasty Affect Rehabilitation, Discharge Disposition, and Readmission Rate? Surgical Technology International XXIII. 2013. Orthopedic Surgery, 219-227.
  2. Zawadsky MW, et al. “Early Outcome Comparison Between the Direct Anterior Approach and the Mini-Incision Posterior Approach for Primary Total Hip Arthroplasty: 150 Consecutive Cases.” The Journal of Arthroplasty 2014; (29): 1256-1260.
  3. Jacquot L, Bonnin MP, Machenaud A, Choteau J, Saffarini M, Vidalain JP. Clinical and Radiographic Outcomes at 25–30 Years of a Hip Stem Fully Coated With Hydroxyapatite. J Arthroplasty. 2018 Feb;33(2):482–490.
  4. National Joint registry for England, Wales, Northern Ireland and the Isle of Man, 16th Annual Report, 2019. Table 3.9. Available from
  5. Royalty COE, PINNACLE WW implantations 2000 - June 2019.
  6. Demey G, Fary C, Lustig S, et. al. “Does a Collar Improve the Immediate Stability of Uncemented Femoral Hip Stems in Total Hip Arthroplasty? A Bilateral Comparative Cadaver Study.” JOA. 2011; 26(8): 1549–1555.
  7. Hamburg University Actis Cadaveric Stability Testing. Data on File (Adaptiv #103156243).
  8. Bespoke Implant report CORAIL Collared Stem-Pinnacle Cup vs Cementless NJR. Report can be accessed at
  9. Olson Research Group. Market Research in THR. 2019

102336-200116 EMEA