Is the so-called 'French paradox' a reality?: long-term survival and migration of the Charnley-Kerboull stem cemented line-to-line.

@article{ElMasri2010IsTS,
  title={Is the so-called 'French paradox' a reality?: long-term survival and migration of the Charnley-Kerboull stem cemented line-to-line.},
  author={F El Masri and Luc Kerboull and Marcel Kerboull and Jean Pierre Courpied and Moussa Hamadouche},
  journal={The Journal of bone and joint surgery. British volume},
  year={2010},
  volume={92 3},
  pages={
          342-8
        }
}
We have evaluated the in vivo migration patterns of 164 primary consecutive Charnley-Kerboull total hip replacements which were undertaken in 155 patients. The femoral preparation included removal of diaphyseal cancellous bone to obtain primary rotational stability of the stem before line-to-line cementing. We used the Ein Bild Roentgen Analyse femoral component method to assess the subsidence of the femoral component. At a mean of 17.3 years (15.1 to 18.3) 73 patients were still alive and had… 
View on PubMed
boneandjoint.org.uk
43 Citations
Highly Influential Citations
1
Background Citations
4
Methods Citations
2

43 Citations

Citation Type

Citation Type

Minimum ten-year outcome of a triple-tapered femoral stem implanted with line-to-line cementing technique
TLDR
Line-to-line cementing technique with use of a triple-tapered polished femoral stem was effective to achieve good cementation quality and centralization of the stem.
The ‘French paradox’ may not be a paradox after all – but for what reason?
TLDR
Examining the subsidence of CMK stems implanted with either > 2 mm or < 2 mm cement mantle using radiostereometric analysis (RSA) as the outcome measure in a non-cadaveric model (without cancellous bone) of plastic femurs concluded that cement interdigitation is of paramount importance for long-term fixation both in primary and revision THA22.
Short vs Standard-Length Femoral Stems Cemented According to the "French Paradox": A Matched Paired Prospective Study Using Ein Bild Roentgen Analyze Femoral Component at Two-Year Follow-Up.
The Müller self-locking cemented total hip prosthesis with polyethylene liner: After twenty years, what did they become?
TLDR
A retrospective analysis confirms the good results seen with the MEM stem in the literature and support the “French paradox” concept, where improvements in survival will require optimisation of cup fixation and the use of a ceramic head to reduce wear in patients with a long life expectancy.
Is the French Paradox cementing philosophy superior to the standard cementing? A randomized controlled radiostereometric trial and comparative analysis
TLDR
The cemented Corail stem with a force-closed design seems to settle earlier and better with the line-to-line cementing method, although for subsidence the difference was not significant and the lower rate of migration into retroversion may reduce the wear and cement deformation contributing to good long-term fixation and implant survival.
Long-term results of revision total hip arthroplasty with a cemented femoral component
TLDR
Cemented straight stems used for revision ThA showed excellent long-term results regarding survivorship and radiological outcome and offers a valuable and cost-effective option in revision THA.
Outcomes of Cemented Distal Femoral Replacement Using "Line to Line" Technique With All-Polyethylene Tibial Implant for Tumors.
Survivorship of the C-Stem total hip replacement using the "French Paradox" technique.
Risk factors for aseptic loosening of Müller-type straight stems
TLDR
A risk factor analysis for aseptic loosening of 4 different versions of cemented Müller-type straight stems with special emphasis on design modifications, finding technical aspects combined with modern cementing techniques would improve the survival of Müllers-typestraight stems.
Is cemented revision total hip arthroplasty a reasonable treatment option in an elderly population?
TLDR
The stem provides a reliable early fullweight bearing solution for revision THA with excellent mid-term survival in an elderly population and even in two cases where subsidence was present, mobility was not impaired and re-revision could be avoided.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 54 REFERENCES
Hydroxyapatite-coated versus grit-blasted femoral stems. a prospective, randomised study using EBRA-FCA.
TLDR
The results indicate that, with the same design of stem, HA coating enhanced the stability of the femoral stem when compared with GB stems.
The premature failure of the Charnley Elite-Plus stem: a confirmation of RSA predictions.
TLDR
The study has shown that the Charnley Elite-Plus femoral component has an unacceptably high rate of failure, which confirms that early evaluation of new components is important and that roentgen stereophotogrammetric is a good tool for this.
The Exeter Universal cemented femoral component at 15 to 17 years: an update on the first 325 hips.
TLDR
Clinical and radiological results at a mean of 15.7 years after operation showed excellent preservation of bone stock in the proximal femur and no failures of the femoral component.
The prediction of failure of the stem in THR by measurement of early migration using EBRA-FCA
TLDR
It is confirmed that the early measurement of migration by a reasonably accurate method can help to predict long-term outcome and four different patterns of subsidence are discussed.
The prediction of failure of the stem in THR by measurement of early migration using EBRA-FCA. Einzel-Bild-Roentgen-Analyse-femoral component analysis.
TLDR
It is confirmed that the early measurement of migration by a reasonably accurate method can help to predict long-term outcome and four different patterns of subsidence are discussed.
Loosening of the femoral component after use of the medullary-plug cementing technique. Follow-up note with a minimum five-year follow-up.
TLDR
Of the 171 total hip replacements reported on previously that had had a minimum length of follow-up of two years, 117 replacements in 104 patients were analyzed at a minimum of five years postoperatively to assess the rate of loosening of the femoral component.
Eight year results of Charnley arthroplasties of the hip with special reference to the behavior of cement.
TLDR
Five hundred and forty-seven total hip replacements by the Charnley technique during 1967 and 1968 have been studied for the quality of the late results, finding evidence of incipient pathology at the bone-cement interface in the absence of any suspicion of clinical defect.
Minimum 10-year Survival of Kerboull Cemented Stems According to Surface Finish
TLDR
Survition of Kerboull stems was higher with a polished or satin surface finish than with a matte finish, and the data suggest survival of KerBoullstems was lower with a Matte finish.
Total hip arthroplasty for Crowe type IV developmental hip dysplasia: a long-term follow-up study.
TLDR
A consecutive series of 118 total hip arthroplasties was performed for Crowe type IV developmental hip dysplasia in 89 patients, with survival rate, with revision for any reason as the endpoint, was 78% at 20-year follow-up.
Charnley-Kerboull total hip arthroplasty for osteonecrosis of the femoral head a minimal 10-year follow-up study.
...
1
2
3
4
5
...