THE ‘FRENCH PARADOX’

The Journal of Bone and Joint Surgery. British volumeVol. 85-B, No. 1 AnnotationFree AccessTHE ‘FRENCH PARADOX’F. Langlais, M. Kerboull, L. Sedel, R. S. M. LingF. LanglaisProfessor of Orthopaedic SurgerySearch for more papers by this author, M. KerboullProfessor of Orthopaedic SurgerySearch for more papers by this author, L. SedelProfessor of Orthopaedic SurgerySearch for more papers by this author, R. S. M. LingHonorary Consultant Orthopaedic SurgeonSearch for more papers by this authorPublished Online:1 Jan 2003https://doi.org/10.1302/0301-620X.85B1.13948AboutSectionsPDF/EPUB ToolsAdd to FavouritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InRedditEmail FiguresReferencesRelatedDetailsCited byMinimum 10-Year Follow-Up of Total Hip Arthroplasty With a Collarless Triple-Tapered Polished Cemented Stem With Line-to-Line Implantation Using a Direct Anterior ApproachThe Journal of Arthroplasty, Vol. 37, No. 11Docteur, combien pèse ma prothèse de hanche en céramique ?Revue de Chirurgie Orthopédique et Traumatologique, Vol. 99Bone cement implantation syndrome in hip arthroplasty: Frequency, severity and preventionOrthopaedics & Traumatology: Surgery & Research, Vol. 108, No. 2Doctor, what does my ceramic-on-ceramic hip arthroplasty weigh?Orthopaedics & Traumatology: Surgery & Research, Vol. 99Syndrome de scellement osseux en arthroplastie de hanche : fréquence, gravité et préventionRevue de Chirurgie Orthopédique et Traumatologique, Vol. 108, No. 2Survivorship of the C-Stem total hip replacement using the “French Paradox” techniqueJournal of Orthopaedics, Vol. 30Is the French Paradox cementing philosophy superior to the standard cementing? A randomized controlled radiostereometric trial and comparative analysisKirsti Sevaldsen, Otto Schnell Husby, Øystein Bjerkestrand Lian, Kamel Mohamed Farran, Vigdis Schnell Husby31 December 2021 | The Bone & Joint Journal, Vol. 104-B, No. 1Femoral Stem Cementation in Primary Total Hip Arthroplasty1 October 2022 | JBJS Reviews, Vol. 10, No. 10Minimum ten-year outcome of a triple-tapered femoral stem implanted with line-to-line cementing technique30 June 2021 | BMC Musculoskeletal Disorders, Vol. 22, No. 1Syndrome de scellement osseux en arthroplastie de hanche : fréquence, gravité et préventionRevue de Chirurgie Orthopédique et Traumatologique, Vol. 150Does the line-to-line cementing technique of the femoral stem create an adequate cement mantle?18 June 2020 | HIP International, Vol. 31, No. 5Distal femoral replacement – Cemented or cementless? Current concepts and review of the literatureJournal of Clinical Orthopaedics and Trauma, Vol. 19Outcomes of Cemented Distal Femoral Replacement Using “Line to Line” Technique With All-Polyethylene Tibial Implant for TumorsThe Journal of Arthroplasty, Vol. 36, No. 8Cemented short‐stem total hip arthroplasty: Characteristics of line‐to‐line versus undersized cementing techniques using a validated CT‐based finite element analysis9 November 2020 | Journal of Orthopaedic Research, Vol. 39, No. 8The Effects of Rasp Oversize on the Clinical and Radiographic Outcomes of Total Hip Arthroplasty With a Collared Satin-Finished Composite Beam Cemented StemThe Journal of Arthroplasty, Vol. 36, No. 6Conical Primary Cementless Stem in Revision Hip Arthroplasty: 94 Consecutive Implantations at a Mean Follow-Up of 12.7 yearsThe Journal of Arthroplasty, Vol. 36, No. 3Short 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-UpThe Journal of Arthroplasty, Vol. 36, No. 3The Effect of a Distal Centralizer on Cemented Femoral Stems in Arthroplasty Shown on Radiographs and SPECT/CT1 January 2021 | JBJS Case Connector, Vol. 11, No. 2Radiographic, Functional, and Oncologic Outcomes of Cemented Modular Proximal Femur Replacement Using the “French Paradox” TechniqueThe Journal of Arthroplasty, Vol. 35, No. 9Postoperative migration of the anatomical and functional anteversion angle following total hip arthroplasty with a well-fixed cemented femoral component with line-to-line implantation20 April 2020 | European Journal of Orthopaedic Surgery & Traumatology, Vol. 30, No. 6Quality of the femoral cement mantle in total hip arthroplasty using the direct anterior hip approachArthroplasty TodayLes prothèses modulaires cimentées à charnière fixe : un moyen efficace de reconstruction après résection d’une tumeur osseuse primitive du fémur distal. Série multicentrique de 136 casRevue de Chirurgie Orthopédique et Traumatologique, Vol. 106, No. 3Fixed-hinge cemented modular implants: An effective reconstruction technique following primary distal femoral bone tumor resection. A 136-case multicenter seriesOrthopaedics & Traumatology: Surgery & Research, Vol. 106, No. 3Cementing Technique in Total Elbow Arthroplasty6 September 2019Hip Replacement: Its Development and Future1 July 2020Total hip arthroplasty in osteonecrosis secondary to sickle cell disease15 June 2018 | International Orthopaedics, Vol. 43, No. 2Cemented Femoral Component Use in Hip ArthroplastyJournal of the American Academy of Orthopaedic Surgeons, Vol. 27, No. 4The ‘French paradox’ may not be a paradox after all – but for what reason?M. Clauss, S. J. Breusch2 January 2019 | Bone & Joint Research, Vol. 8, No. 1Long-term results of revision total hip arthroplasty with a cemented femoral component11 August 2018 | Archives of Orthopaedic and Trauma Surgery, Vol. 138, No. 11Standard and line-to-line cementation of a polished short hip stem: Long-term in vitro implant stability13 June 2018 | Journal of Orthopaedic Research®, Vol. 36, No. 10Long-term survival of the cemented Müller CDH stem: a minimum follow-up of 10 years25 July 2018 | Archives of Orthopaedic and Trauma Surgery, Vol. 138, No. 10Biomechanical behaviour of a French femoral component with thin cement mantleThe ‘French paradox’ may not be a paradox after allY. Numata, A. Kaneuji, L. Kerboull, E. Takahashi, T. Ichiseki, K. Fukui, J. Tsujioka, N. Kawahara25 July 2018 | Bone & Joint Research, Vol. 7, No. 7A long-term comparative study between two different designs of cemented stems: Distal-cylindrical versus distal-taperJournal of Orthopaedics, Vol. 15, No. 1Biomechanics of a cemented short stem: Standard vs. line-to-line cementation techniques. A biomechanical in-vitro study involving six osteoporotic pairs of human cadaver femursClinical Biomechanics, Vol. 52Atualização em artroplastia total de quadril: uma técnica ainda em desenvolvimentoRevista Brasileira de Ortopedia, Vol. 52, No. 5Total hip arthroplasty: a still evolving techniqueRevista Brasileira de Ortopedia (English Edition), Vol. 52, No. 5Radiographic assessment of distal femur cemented stems in tumor endoprostheses28 April 2017 | European Journal of Orthopaedic Surgery & Traumatology, Vol. 27, No. 6The influence of cement thickness on stem subsidence and cement creep in a collarless polished tapered stemWhen are thick cement mantles detrimental?E. Takahashi, A. Kaneuji, R. Tsuda, Y. Numata, T. Ichiseki, K. Fukui, N. Kawahara31 May 2017 | Bone & Joint Research, Vol. 6, No. 5The Müller self-locking cemented total hip prosthesis with polyethylene liner: After twenty years, what did they become?25 April 2016 | International Orthopaedics, Vol. 41, No. 1Reste-t-il une place pour la fixation fémorale cimentée dans l'arthroplastie totale de hanche ?Advances and Prospects in Stem Cells for Cartilage RegenerationStem Cells International, Vol. 2017Quality of Life in Sickle Cell Patients After Cementless Total Hip ArthroplastyThe Journal of Arthroplasty, Vol. 31, No. 11CLASSIFICATION AND ALGORITHM FOR DIAGNOSIS AND TREATMENT OF HIP PROSTHETIC JOINT INFECTION24 June 2016 | Traumatology and Orthopedics of Russia, Vol. 22, No. 1Similar effect of stem geometry on radiological changes with 2 types of cemented straight stem16 October 2015 | Acta Orthopaedica, Vol. 87, No. 2Long-term clinical results and MRI changes after autologous chondrocyte implantation in the knee of young and active middle aged patients24 October 2015 | Journal of Orthopaedics and Traumatology, Vol. 17, No. 1Blood-pressure changes and outcomes associated with cemented bipolar hemiarthroplasty for displaced femoral-neck fractures7 July 2015 | European Orthopaedics and Traumatology, Vol. 6, No. 4Late Onset Imminent Femoral Fatigue Fracture Associated with Intraoperative Cement Extrusion as a Rare Cause of Thigh Pain after Total Hip Replacement24 June 2015 | HIP International, Vol. 25, No. 6Clinical Evaluation and Preoperative Planning of Articular Cartilage Lesions of the KneeJournal of the American Academy of Orthopaedic Surgeons, Vol. 23, No. 10In vitro isolation and cultivation of human chondrocytes for osteoarthritis renovation11 June 2014 | In Vitro Cellular & Developmental Biology - Animal, Vol. 50, No. 7Intra-articular administration of hyaluronic acid increases the volume of the hyaline cartilage regenerated in a large osteochondral defect by implantation of a double-network gel7 January 2014 | Journal of Materials Science: Materials in Medicine, Vol. 25, No. 4Current Evidence in Designs and Fixation Surfaces in Total Hip Arthroplasty4 October 2013Bone-Cement Interface in Total Joint Arthroplasty4 October 2013Periprothetische Infektion nach Hüftendoprothetik12 January 2014 | Der Orthopäde, Vol. 43, No. 1Evolution of Autologous Chondrocyte Repair and Comparison to Other Cartilage Repair TechniquesBioMed Research International, Vol. 2014Influence of the gel thickness on in vivo hyaline cartilage regeneration induced by double-network gel implanted at the bottom of a large osteochondral defect: Short-term results31 January 2013 | BMC Musculoskeletal Disorders, Vol. 14, No. 1Development of a salmon-derived crosslinked atelocollagen sponge disc containing osteogenic protein-1 for articular cartilage regeneration: in vivo evaluations with rabbits30 May 2013 | BMC Musculoskeletal Disorders, Vol. 14, No. 1Risk factors for aseptic loosening of Müller-type straight stems25 June 2013 | Acta Orthopaedica, Vol. 84, No. 4Can Fresh Osteochondral Allografts Restore Function in Juveniles With Osteochondritis Dissecans of the Knee?13 September 2012 | Clinical Orthopaedics and Related Research®, Vol. 471, No. 4Graduação radiográfica da cimentação de hastes femorais na artroplastia do quadrilActa Ortopédica Brasileira, Vol. 21, No. 1Current Evidence on Designs and Surfaces in Total Hip Arthroplasty16 February 2013Management of cartilage defects in the shoulder25 May 2012 | Current Reviews in Musculoskeletal Medicine, Vol. 5, No. 3Long-Term Femoral Bone Remodeling After Cemented Hip Arthroplasty With the Müller Straight Stem in the Operated and Nonoperated FemoraThe Journal of Arthroplasty, Vol. 27, No. 6Potential of exogenous cartilage proteoglycan as a new material for cartilage regeneration12 August 2011 | International Orthopaedics, Vol. 36, No. 4Is there still a place for the cemented titanium femoral stem?29 December 2011 | Acta Orthopaedica, Vol. 83, No. 1Stem Cells and Gene Therapy for Cartilage RepairStem Cells International, Vol. 2012Gene expression profile of the cartilage tissue spontaneously regenerated in vivo by using a novel double-network gel: Comparisons with the normal articular cartilage29 September 2011 | BMC Musculoskeletal Disorders, Vol. 12, No. 1Clinical outcomes of cemented double-tapered titanium femoral stems: a minimum 5-year follow-upJournal of Orthopaedic Science, Vol. 16, No. 6Evaluation and Management of Osteochondral Lesions of the Knee13 March 2015 | The Physician and Sportsmedicine, Vol. 39, No. 4Monitoring the quality of total hip replacement in a tertiary care department using a cumulative summation statistical method (CUSUM)D. J. Biau, M. Meziane, R. S. Bhumbra, V. Dumaine, A. Babinet, P. Anract1 September 2011 | The Journal of Bone and Joint Surgery. British volume, Vol. 93-B, No. 9Hybrid total hip arthroplasty using specifically-designed stems for patients with developmental dysplasia of the hip. A minimum five-year follow-up study24 July 2010 | International Orthopaedics, Vol. 35, No. 9Comments on: “Is alumina-on-alumina ceramic bearings total hip replacement the right choice in patients younger than 50 years of age? A 7- to 15-year follow-up study” by P. Boyer, D. Huten, P. Loriaut, V. Lestrat, C. Jeanrot, P. Massin, published in Orthop Traumatol Surg Res 2010;96:616–22Orthopaedics & Traumatology: Surgery & Research, Vol. 97, No. 5À propos de l’article : « Les prothèses totales de hanche à couple alumine-alumine chez les patients de moins de 50ans sont-elles la meilleure option ? Un suivi de sept à 15ans » de P. Boyer, D. Huten, P. Loriaut, V. Lestrat, C. Jeanrot, P. Massin, publié dans Rev Chir Orthop 2010;96:687–93Revue de Chirurgie Orthopédique et Traumatologique, Vol. 97, No. 5Diagnosis and Treatment of Osteochondritis DissecansAmerican Academy of Orthopaedic Surgeon, Vol. 19, No. 5The histology around the cemented Müller straight stemA POST-MORTEM ANALYSIS OF EIGHT WELL-FIXED STEMS WITH A MEAN FOLLOW-UP OF 12.1 YEARSM. Clauss, T. Ilchmann, P. Zimmermann, P. E. Ochsner1 November 2010 | The Journal of Bone and Joint Surgery. British volume, Vol. 92-B, No. 11The Charnley stem: Clinical, radiological and survival data after 11–14 yearsOrthopaedics & Traumatology: Surgery & Research, Vol. 96, No. 2Cemented total Hip stem design influence on adaptative cortical thickness and femoral morphologyOrthopaedics & Traumatology: Surgery & Research, Vol. 96, No. 2Modifications osseuses fémorales selon la tige cimentée utiliséeRevue de Chirurgie Orthopédique et Traumatologique, Vol. 96, No. 2Is the so-called ‘French paradox’ a reality?LONG-TERM SURVIVAL AND MIGRATION OF THE CHARNLEY-KERBOULL STEM CEMENTED LINE-TO-LINEF. El Masri, L. Kerboull, M. Kerboull, J. P. Courpied, M. Hamadouche1 March 2010 | The Journal of Bone and Joint Surgery. British volume, Vol. 92-B, No. 3Spontaneous In Vivo Regeneration of the Articular Cartilage Using a Novel Double-Network HydrogelReprises fémorales des prothèses totales de hanche par tige de première intentionReprises fémorales de PTH par tiges cimentéesThe cement mantle of femoral hip implants is more influenced by stem-broach sizing than by shape: an in vitro CT analysis of straight Charnley-Kerboul and anatomic Lubinus SPII stems7 February 2009 | Archives of Orthopaedic and Trauma Surgery, Vol. 129, No. 11Clinical and biological assessment of cemented titanium femoral stems: an 11-year experience28 October 2008 | International Orthopaedics, Vol. 33, No. 5Fixation and loosening of the cemented Müller straight stemA LONG-TERM CLINICAL AND RADIOLOGICAL REVIEWM. Clauss, M. Luem, P. E. Ochsner, T. Ilchmann1 September 2009 | The Journal of Bone and Joint Surgery. British volume, Vol. 91-B, No. 9Monitoring surgical performance: an application to total hip replacementJournal of Evaluation in Clinical Practice, Vol. 15, No. 3Les arthroplasties de hanche aujourd’hui : principaux matériaux, voies d’abordRevue du Rhumatisme, Vol. 76, No. 4The importance of a thick cement mantle depends on stem geometry and stem—cement interfacial bonding18 December 2008 | Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, Vol. 223, No. 3Fixation of the Cemented Stem: Clinical Relevance of the Porosity and Thickness of the Cement MantleThe Open Orthopaedics Journal, Vol. 3, No. 1How to Do a Cemented Total Hip ArthroplastyTests au laboratoire et prothèses totales de hanche : intérêts, limites et réflexions personnellesTumores óseos malignos del fémur proximal: exéresis y reconstruccionesEMC - Técnicas Quirúrgicas - Ortopedia y Traumatología, Vol. 1, No. 1Tumores óseos malignos de la rodilla: exéresis y reconstrucciónEMC - Técnicas Quirúrgicas - Ortopedia y Traumatología, Vol. 1, No. 1Finite element analysis of the effect of cementing concepts on implant stability and cement fatigue failure26 October 2009 | Acta Orthopaedica, Vol. 80, No. 318 years of results with cemented primary hip prostheses in the Norwegian Arthroplasty Register13 August 2009 | Acta Orthopaedica, Vol. 80, No. 4Thin cement mantles surrounding femoral hip implants might not be deleterious in all casesClinical Biomechanics, Vol. 23, No. 4Dual Mobility Cemented Cups Have Low Dislocation Rates in THA Revisions10 January 2008 | Clinical Orthopaedics and Related Research, Vol. 466, No. 2Total THA in Adult Osteonecrosis Related to Sickle Cell Disease10 January 2008 | Clinical Orthopaedics and Related Research, Vol. 466, No. 2Minimum 10-year Survival of Kerboull Cemented Stems According to Surface Finish10 January 2008 | Clinical Orthopaedics and Related Research, Vol. 466, No. 2Quantification of stem-cement interfacial gapsIN VITRO CT ANALYSIS OF CHARNLEY-KERBOUL AND LUBINUS SPII FEMORAL HIP IMPLANTST. Scheerlinck, P. Vandenbussche, P. C. Noble1 January 2008 | The Journal of Bone and Joint Surgery. British volume, Vol. 90-B, No. 1Endoprosthetic replacements for bone tumors: review of the most recent literatureCurrent Opinion in Orthopaedics, Vol. 18, No. 6The operation of the century: total hip replacementThe Lancet, Vol. 370, No. 9597Therapie der Osteochondrosis dissecans des Kniegelenks8 August 2007 | Der Orthopäde, Vol. 36, No. 9Optimal Combination of Soluble Factors for Tissue Engineering of Permanent Cartilage from Cultured Human Chondrocytes10 May 2007 | Journal of Biological Chemistry, Vol. 282, No. 28Increased long-term failure risk associated with excessively thin cement mantle in cemented hip arthroplasty: A comparative in vitro studyClinical Biomechanics, Vol. 22, No. 4Excellent results of a femoral press-fit stem cemented with a thin mantle: 116 hips followed for 11–18 years7 September 2006 | European Journal of Orthopaedic Surgery & Traumatology, Vol. 17, No. 3Tight Fit Technique in Primary Hybrid Total Hip Arthroplasty for Patients with Hip DysplasiaThe Journal of Arthroplasty, Vol. 22, No. 1Postoperative Evaluation of the Knee after Autologous Chondrocyte Implantation: What Radiologists Need to KnowRadioGraphics, Vol. 27, No. 1Bone substitution in revision hip replacement2 June 2006 | International Orthopaedics, Vol. 30, No. 6The design features of cemented femoral hip implantsT. Scheerlinck, P.-P. Casteleyn1 November 2006 | The Journal of Bone and Joint Surgery. British volume, Vol. 88-B, No. 11Surgical options for articular defects of the knee9 January 2014 | Expert Review of Medical Devices, Vol. 3, No. 5The long-term results of press-fit cemented stems in total knee prosthesesF. Langlais, N. Belot, M. Ropars, J. C. Lambotte, H. Thomazeau1 August 2006 | The Journal of Bone and Joint Surgery. British volume, Vol. 88-B, No. 8Antibiotic cements in articular prostheses: current orthopaedic conceptsInternational Journal of Antimicrobial Agents, Vol. 28, No. 2Biodegradable Elastomeric Polyurethane Membranes as Chondrocyte Carriers for Cartilage Repair8 June 2006 | Tissue Engineering, Vol. 0, No. 0Biodegradable Elastomeric Polyurethane Membranes as Chondrocyte Carriers for Cartilage RepairTissue Engineering, Vol. 12, No. 7Mesenchymal stem cells in bone and cartilage repair: current statusRegenerative Medicine, Vol. 1, No. 4Biodegradable Elastomeric Polyurethane Membranes as Chondrocyte Carriers for Cartilage Repair30 June 2006 | Tissue Engineering, Vol. 0, No. 0Biodegradable scaffolds – delivery systems for cell therapies13 April 2006 | Expert Opinion on Biological Therapy, Vol. 6, No. 5Osteochondritis Dissecans of the KneeJournal of the American Academy of Orthopaedic Surgeons, Vol. 14, No. 2CT analysis of defects of the cement mantle and alignment of the stemIN VITRO COMPARISON OF CHARNLEY-KERBOUL FEMORAL HIP IMPLANTS INSERTED LINE-TO-LINE AND UNDERSIZED IN PAIRED FEMORAT. Scheerlinck, J. de Mey, R. Deklerck, P. C. Noble1 January 2006 | The Journal of Bone and Joint Surgery. British volume, Vol. 88-B, No. 1Résultats à 10 ans de la prothèse totale de hanche cimentée autoblocante de Müller avec cupule en polyéthylène en diamètre de 28 mmRevue de Chirurgie Orthopédique et Réparatrice de l'Appareil Moteur, Vol. 92, No. 1Tumeurs malignes osseuses du fémur proximal : exérèses et reconstructionsEMC - Techniques chirurgicales - Orthopédie - Traumatologie, Vol. 1, No. 1Tumeurs malignes osseuses du genou : exérèse et reconstructionEMC - Techniques chirurgicales - Orthopédie - Traumatologie, Vol. 1, No. 1Prediction of Charnley femoral stem aseptic loosening by early post-operative radiological features5 August 2005 | International Orthopaedics, Vol. 29, No. 5Tumeurs malignes osseuses du genou : exérèse et reconstructionEMC - Rhumatologie-Orthopédie, Vol. 2, No. 4In vitro analysis of the cement mantle of femoral hip implants: Development and validation of a CT-scan based measurement tool1 January 2006 | Journal of Orthopaedic Research, Vol. 23, No. 4Prothèses totales de hanche avant 50 ans : les conclusions du symposiumRevue de Chirurgie Orthopédique et Réparatrice de l'Appareil Moteur, Vol. 91, No. 4Tumeurs malignes osseuses du fémur proximal : exérèses et reconstructionsEMC - Rhumatologie-Orthopédie, Vol. 2, No. 2Osteochondritis Dissecans of the KneeJournal of Pediatric Orthopaedics, Vol. 24, No. 4The French ParadoxEconomic Modeling and Decision Making in the Development and Clinical Application of Tissue Engineering Vol. 85-B, No. 1 Metrics History Published online 1 January 2003 Published in print 1 January 2003 InformationCopyright © 2003, The British Editorial Society of Bone and Joint Surgery: All rights reservedPDF download