Publications by authors named "Y Lefevre"

Introduction: Leg length discrepancy (LLD) and malalignment of long bones are frequent orthopedic problems encountered in Maffucci syndrome and Ollier disease (OD). Orthopedic surgeons used historically external fixators to address the deformities. In this multicentric case series, we propose the use of motorized intramedullary nails.

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Article Synopsis
  • The study investigates the outcomes of patients with early-onset scoliosis (EOS) who either underwent final fusion after magnetic growing rod (MCGR) treatment or kept the rods long-term, contrasting these two groups.
  • Results indicated that while both groups showed similar radiographic outcomes over time, the group undergoing fusion faced a higher complication rate post-procedure.
  • The findings challenge the manufacturer's recommendation for routine MCGR removal after two years, suggesting that not all patients benefited from this approach, as some maintained stable outcomes without removal.
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Background: Vertebral body tethering (VBT) is indicated for skeletally immature patients with progressive adolescent idiopathic scoliosis (AIS) who have failed or are intolerant of bracing and who have a major coronal curve of 40° to 65°. The vertebral body must be structurally and dimensionally adequate to accommodate screw fixation, as determined radiographically. The best indication for VBT is a flexible single major thoracic curve with nonstructural compensating lumbar and proximal thoracic curves (Lenke 1A or 1B).

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One-stage posterior hemivertebrectomy is a safe and effective technique as long as the surgical team is well prepared and has the appropriate instrumentation. All available means must be used to minimize intraoperative blood loss. The various surgical steps are completed while following various precautionary measures.

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How drainage of septic arthritis should be performed remains controversial. The aim of the present study was to compare arthrocentesis (Ac) using double intra-articular needle lavage to arthrotomy (At) as first-line drainage treatment for pediatric hip and knee septic arthritis. The secondary objective was to identify risk factors of second articular drainage.

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