{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T07:05:59Z","timestamp":1768979159070,"version":"3.49.0"},"reference-count":25,"publisher":"EDP Sciences","license":[{"start":{"date-parts":[[2019,11,1]],"date-time":"2019-11-01T00:00:00Z","timestamp":1572566400000},"content-version":"vor","delay-in-days":304,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SICOT-J"],"accepted":{"date-parts":[[2019,9,27]]},"published-print":{"date-parts":[[2019]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>: In 1979, in his first book dealing with low-friction arthroplasty (LFA), Charnley highlighted the use of a cement restrictor. Breusch and Malchau described in 2005 the \u201csecond-generation cementing technique.\u201d<\/jats:p>\n<jats:p>The main objective of this study was to report on the clinical survival of 100 cases of Charnley femoral component implanted in 2007 and 2008 using a permeable and resorbable cement restrictor and a low-viscosity antibiotic-loaded cement.<\/jats:p>\n<jats:p>The secondary objectives were to analyze the complications and side effects and the accuracy of the device positioning.<\/jats:p>\n<jats:p><jats:italic>Material and methods<\/jats:italic>: This was a monocentric retrospective review of a prospectively compiled database.<\/jats:p>\n<jats:p>Diaphyseal restrictor was biodegradable and permeable to gas, blood, and fluids to avoid intramedullary over pression during cementation. The cement was a low-viscosity antibiotic-loaded cement.<\/jats:p>\n<jats:p>Among 3555 patients, we selected the first continuous 100 cases of patients where we implanted the device.<\/jats:p>\n<jats:p>Survival probability was computed according to Kaplan\u2013Meier method.<\/jats:p>\n<jats:p><jats:italic>Results<\/jats:italic>: Mean follow-up was 6.55\u00a0\u00b1\u00a02.6 (range 1\u201311).<\/jats:p>\n<jats:p>Considering femoral component revision as the endpoint, survival rate was 100%.<\/jats:p>\n<jats:p>No patients died intraoperatively, none in the first month and the first year after surgery.<\/jats:p>\n<jats:p>No early periprosthetic fractures have been reported.<\/jats:p>\n<jats:p><jats:italic>Discussion:<\/jats:italic> As described initially by Charnley, the use of a cement restrictor was highly recommended through the different generations of cementing techniques.<\/jats:p>\n<jats:p>Hypotensive episodes and cardiac arrest have been reported during cement insertion.<\/jats:p>\n<jats:p>In our series, we did not deplore any adverse effect related to the cementation.<\/jats:p>\n<jats:p><jats:italic>Conclusion<\/jats:italic>: Our study demonstrates a 100% survival rate of a cemented femoral component without adverse effects when using routinely a resorbable and permeable cement restrictor and a low-viscosity cement. Bone cement is still a fantastic ally for the surgeon and the patients.<\/jats:p>","DOI":"10.1051\/sicotj\/2019034","type":"journal-article","created":{"date-parts":[[2019,11,1]],"date-time":"2019-11-01T09:01:40Z","timestamp":1572598900000},"page":"39","source":"Crossref","is-referenced-by-count":3,"title":["Charnley femoral cemented stem with a permeable and resorbable cement restrictor and low-viscosity cement"],"prefix":"10.1051","volume":"5","author":[{"given":"Jean-Louis","family":"Prudhon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacques H.","family":"Caton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thierry","family":"Aslanian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"250","published-online":{"date-parts":[[2019,11,1]]},"reference":[{"key":"R1","unstructured":"Charnley J (1979) Low Friction Arthroplasty of the Hip Theory and Practice. 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