Publications by authors named "Bernard Herbaux"
Background: There is little consensus on the best treatment algorithm for unstable severe slipped capital femoral epiphysis (SCFE). Subcapital osteotomy, which is one of the surgical options, is performed either anteriorly (anterior cuneiform osteotomy, CO) or laterally with trochanteric osteotomy (Dunn procedure, DP). The CO is technically easier and decreases operating time.
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- In pectus excavatum repair, minimally invasive endoscopic techniques are currently preferred for adolescents, but bar displacement remains a significant postoperative concern.
- A new transcostal technique utilizing absorbable sutures was tested in 36 patients, resulting in only one case of bar displacement (2.78%), which is quite low.
- This method shows comparable bar stability to existing literature while avoiding complications associated with traditional fixation methods involving metal components.
Article Synopsis
- The study investigates the efficacy of a microdose radiography protocol compared to a low-dose protocol for measuring lower limb alignment in children aged 6 and older.
- Results showed that microdose provided high agreement in measurements among observers and significantly reduced radiation exposure, achieving dose reductions of up to 8.5 times.
- The findings suggest that microdose biplanar radiography is a viable option for evaluating lower limb lengths and deviations in children, with a substantial decrease in radiation doses.
Article Synopsis
- Idiopathic scoliosis is a common spinal deformity in children that is usually evaluated using traditional X-rays, which may require multiple exposures.
- A new biplanar X-ray device allows for frontal and lateral images at lower radiation doses while assessing spinal deformities.
- This advanced imaging technique produces 3D images of the spine, improving visualization and assessment of idiopathic scoliosis in all three planes.
Background And Purpose: Plain radiographs may fail to reveal an ankle fracture in children because of developmental and anatomical characteristics. In this systematic review and meta- analysis, we estimated the prevalence of occult fractures in children with acute ankle injuries and clinical suspicion of fracture, and assessed the diagnostic accuracy of ultrasound (US) in the detection of occult fractures.
Methods: We searched the literature and included studies reporting the prevalence of occult fractures in children with acute ankle injuries and clinical suspicion of fracture.
Study Design: Multicenter retrospective study of 54 children.
Objective: To describe the complication rate of the French vertical expandable prosthetic titanium rib (VEPTR) series involving patients treated between August 2005 and January 2012.
Summary Of Background Data: Congenital chest wall and spine deformities in children are complex entities.
Introduction: Tissue expansion is frequently used in scalp repair in children. The short-term complications are well known and described in the literature. Impacts at a distance such as potential deformation of the skull or widening of the scar are not so often presented.
View Article and Find Full Text PDFObjective: To evaluate three-dimensional (3D) measurements of the lower extremity using a biplanar low-dose X-ray device in children and adolescents.
Methods: Firstly, 3D measurements of eight dried bones were analysed by a biplanar low-dose X-ray device (LDX) using stereoscopic software and compared with 3D computed tomography (CT). Secondly, 47 lower limbs of children and adolescents were studied using LDX two-dimensional (2D) and 3D measurements.
Article Synopsis
- Dysplasia epiphysealis hemimelica (DEH), also known as Trevor disease, is a rare bone condition in children that causes abnormal growths in the cartilage and bone at the joints, mainly in the lower limbs.
- Bilateral cases are extremely uncommon, with only four previously reported; the study presents a new case involving both taluses in a 14-year-old girl, along with an additional unusual cartilage mass in her left leg.
- The report highlights the importance of MRI and ultrasound (US) for accurately diagnosing DEH.
Purpose This study reports the results of surgical treatment of thumb duplication in the Clinique d'Orthopédie et de Chirurgie de l'Enfant de l'Hôpital Jeanne de Flandre in Lille (France). Methods Thirty patients (33 thumbs) operated on between 1995 and 2003 are clinically reviewed. Results The mean postoperative follow-up was 3 years and 11 months.
View Article and Find Full Text PDFThis is a 3-year retrospective study of 107 cases presenting with limb anomalies detected either on prenatal ultrasound scan, or after birth. These limb malformations are developmental anomalies, and can be isolated, syndromic, or associated with multiple malformations. Cases were ascertained through the prenatal diagnosis center, the pediatrics department, and the feto-pathology department.
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