Low Rate of Periprosthetic Femoral Fracture in Dorr Type B and C Femurs With the Anterior Approach Using Stems Cemented According to the "French Paradox".

Pierre Laboudie, Maxime Sadoun, Charles Falkenrodt, Aurélien Hallé, Philippe Anract, Moussa Hamadouche

Abstract read

In one paragraph

Article in Arthroplasty today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Pierre LaboudieSports Clinic Bordeaux-Mérignac, Vivalto France.

Maxime SadounDepartment of Orthopaedic and Reconstructive Surgery, Clinical Orthopaedics Research Center, Hôpitaux Universitaires Paris Centre (HUPC), Site Cochin-Port Royal, Assitance Publique-Hôpitaux de Paris (AP-HP), Université de Paris, Paris, France.

Charles FalkenrodtDepartment of Orthopaedic and Reconstructive Surgery, Clinical Orthopaedics Research Center, Hôpitaux Universitaires Paris Centre (HUPC), Site Cochin-Port Royal, Assitance Publique-Hôpitaux de Paris (AP-HP), Université de Paris, Paris, France.

Aurélien HalléSports Clinic Bordeaux-Mérignac, Vivalto France.

Philippe AnractDepartment of Orthopaedic and Reconstructive Surgery, Clinical Orthopaedics Research Center, Hôpitaux Universitaires Paris Centre (HUPC), Site Cochin-Port Royal, Assitance Publique-Hôpitaux de Paris (AP-HP), Université de Paris, Paris, France.

Moussa HamadoucheDepartment of Orthopaedic and Reconstructive Surgery, Clinical Orthopaedics Research Center, Hôpitaux Universitaires Paris Centre (HUPC), Site Cochin-Port Royal, Assitance Publique-Hôpitaux de Paris (AP-HP), Université de Paris, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Periprosthetic femoral fracture (PFF) is a raising concern following hip arthroplasty in Dorr type B and C femurs. Cemented Charnley-Kerboull (CK) stems implanted according to the "French paradox" through the Hueter anterior approach may represent a reliable option in this at-risk population, but the rate of early PFF in this specific setting remains unclear. Methods: From a prospectively collected database, all hemiarthroplasties using CK stems (AmisK, Medacta) implanted consecutively from 2017 to 2023 through the Hueter anterior approach in patients with Dorr type B and C femur were included. Results: A total of 670 CK stems were included. The mean follow-up was 31.2 ± 1.1 months (1-36). The mean age was 85.5 ± 8.0 years, and the mean body mass index was 22.1 ± 4.4 kg/m Conclusions: This study demonstrated that CK stems cemented according to the "French paradox" were associated with a low rate of early PFF (1.49%) in this extremely high-risk patient population. No cases of severe bone cement implantation syndrome were reported.

Indexed as

Anterior approachCemented femoral stemCharnley-KerboullFrench paradoxHemiarthroplastyPeriprosthetic fracture

Identifiers

PMID42376633

DOI10.1016/j.artd.2026.102076

PMCPMC13311187

What OpenQuestion holds

Textmetadata

LicenceCC BY

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.