Publications (11)7.6 Total impact
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Article: Leg length discrepancy following femoral shaft fracture in children: clinical considerations and recommendations.
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ABSTRACT: Femoral shaft fracture in children is a frequently encountered problem. Residual leg length discrepancy persisting at skeletal maturity is the most common complication. In this study, a positive correlation was found between the amount of bone fragments overlap and the overgrowth phenomenon. When comparing final leg-length discrepancy with initial fragments overlap, 9.3 mm was found to be the maximal overlap to be tolerated in order to avoid significant leg length discrepancy.Acta orthopaedica Belgica 12/2011; 77(6):782-7. · 0.40 Impact Factor -
Article: Comparison of three surgical epiphysiodesis techniques for the treatment of lower limb length discrepancy.
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ABSTRACT: Three operative techniques for epiphysiodesis to correct lower limb length discrepancy (LLD) are compared: the Phemister technique, the percutaneous drilling-curettage technique and percutaneous epiphysiodesis using a transphyseal screw. Between 1987 and 2008, 92 patients with LLD were treated by surgical epiphysiodesis. Eighty patients were available for this retrospective study. No statistically significant difference was found between the three techniques concerning their efficiency in correction of lower limb length discrepancy. Percutaneous epiphysiodesis using a transphyseal screw appeared to be the best technique regarding mean operative time, mean hospitalisation time, postoperative pain and recovery of ambulation in the postoperative period. Complication rates were similar with the three techniques.Acta orthopaedica Belgica 04/2010; 76(2):226-32. · 0.40 Impact Factor -
Article: Three-dimensional correction of complex leg deformities using a software assisted external fixator.
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ABSTRACT: The Taylor Spatial Frame is a computer assisted hexapod system allowing simultaneous correction of every component of complex limb deformities (leg length discrepancy, angulation, translation and rotation). We report our experience with this system in six patients. The planned correction was achieved in all cases. Minor complications occured in all but one patient without consequences; there were four major complications: non union, callus fracture, plantar aponeurosis retraction and reflex sympathetic dystrophy in one case each. These complications were not in relation with the type of fixator used. In patients requiring correction of complex deformities, the Taylor Spatial Frame is a useful device that simplifies the planning procedure and allows simultaneous correction of any deformity in every plane. Another major advantage is the possibility to correct any residual deformity at the end of the planned procedure.Acta orthopaedica Belgica 01/2009; 74(6):816-22. · 0.40 Impact Factor -
Article: The use of allografts in paediatric orthopaedic surgery.
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ABSTRACT: Autograft harvesting in a growing child sometimes leads to disastrous consequences. Allograft can advantageously replace autograft in the majority of the cases. This overview presents the most frequently used allografts in paediatric orthopaedic surgery and discusses their benefits. Illustrative cases are presented to highlight specific indications.Acta orthopaedica Belgica 11/2007; 73(5):551-7. · 0.40 Impact Factor -
Article: Orthopaedic complications associated with sickle-cell disease.
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ABSTRACT: Sickle cell disease is the most frequent haemoglobinopathy in the world. It affects mostly African descent, but is also present in whites in Greece, Turkey, Italy and India. The responsible gene is autosomal co-dominant and only individuals homozygous for the gene are symptomatic. The condition is characterised by haemolytic anaemia crises and cardio-pulmonary, digestive, neurological, ocular and osteo-articular manifestations. Osteo-articular complications are frequent and may compromise harmonious growth. This retrospective study reports the osteo-articular complications associated with sickle-cell disease encountered in our institution from 1975 to 2004. Orthopaedic complications were reported in 79 patients out of 325 who were followed with sickle-cell disease.Acta orthopaedica Belgica 01/2007; 72(6):741-7. · 0.40 Impact Factor -
Article: Chronic osteomyelitis of clavicle as primary manifestation of SAPHO syndrome in adolescents: report of four cases and long-term evolution.
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ABSTRACT: Four cases of chronic osteomyelitis of clavicle as primary manifestation of synovitis, acne, pustulosis, hyperostosis, osteomyelitis (SAPHO) are reported in adolescents. In all cases a typical radiographical evolution had been observed with progressive slow migration of sclerotic area from medial to lateral side of clavicle. Long-term evolution was alternation of remission and exacerbation but none of the patients healed.Joint, bone, spine: revue du rhumatisme 01/2007; 73(6):756-9. · 2.25 Impact Factor -
Article: Focal fibrocartilaginous dysplasia of the tibia: long-term evolution.
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ABSTRACT: Focal fibrocartilaginous dysplasia of the tibia (FFCD) is a rare and benign condition associated with unilateral tibia vara in childhood. The first description was done by Bell in 1985. Since then more than sixty cases have been reported. The aetiology remains unknown. Five new cases are retrospectively reported. Four of them with tibia vara less than 30 degrees showed a spontaneous correction. One patient had a severe varus deformity (> 30 degrees) leading to physeal impairment and underwent a tibial valgus osteotomy. Biopsy is not necessary as radiographs are typical. The infantile growth plate is able to correct a tibia vara due to FFCD if less than 30 degrees. In case of spontaneous resolution, a long-term follow-up remains necessary because of a possible progressive leg length discrepancy.Acta orthopaedica Belgica 01/2006; 72(1):77-82. · 0.40 Impact Factor -
Article: Planispheric multiplanar reformatted CT: a new method for evaluation of paediatric congenital spine abnormalities.
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ABSTRACT: We describe an original reconstruction method for spine CT performed in four patients with single or multiple congenital spine abnormalities. Conventional radiographic imaging is at the forefront of diagnosis and follow-up of congenital scoliosis, but is frequently difficult to interpret. Three-dimensional CT reconstruction facilitates visualization of complex anatomic structures, but does not give a reliable assessment of failures of segmentation. Mental three-dimensional reconstruction of the information displayed by classical multiplanar reformatted CT remains difficult. Planispheric reformatted imaging allows the visualization of all deformities in a single plane.Pediatric Radiology 07/2005; 35(6):627-9. · 1.67 Impact Factor -
Article: Orthopaedic concerns in children with growth hormone therapy.
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ABSTRACT: Growth hormone (GH) therapy is widely used in children; it may have various severe orthopaedic complications. Slipped capital femoral epiphysis, Legg-Calvé-Perthes disease, scoliosis and carpal tunnel syndrome may occur with GH treatment. Before beginning GH therapy, it is important to take into account all the risk factors of the individual patient, as some conditions could contraindicate GH treatment. During GH treatment, close monitoring with both clinical and radiographic examination is mandatory. The paediatric orthopaedic surgeon will frequently be asked about the management of these complications and about the necessity for treatment arrest. The authors review the orthopaedic complications which the orthopaedic surgeon may encounter in patients treated with GH.Acta orthopaedica Belgica 09/2004; 70(4):299-305. · 0.40 Impact Factor -
Article: MRI abnormalities of the ischiopubic synchondrosis in children: a case report.
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ABSTRACT: The authors report the case of a five and a half year-old-boy with symptomatic MRI abnormalities of the ischiopubic synchondrosis. The concept of "ischiopubic osteochondritis" is reviewed in the light of modern imaging, and the importance of its differentiation from different pathological entities such as osteomyelitis, tumour, fracture or other pathologic entities is recalled.Acta orthopaedica Belgica 07/2004; 70(3):283-6. · 0.40 Impact Factor -
Article: Orthopaedic manifestations of Brachmann-de Lange syndrome: a report of 34 patients.
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ABSTRACT: Brachmann-de Lange syndrome (BDLS) is a disorder of unknown cause that is recognized on the basis of characteristic facies in association with growth retardation, mental retardation and, in many cases, upper limb anomalies. Because of its association with skeletal anomalies, patients with the syndrome are often referred to the paediatric orthopaedic surgeon. Thirty-four patients with Brachmann-de Lange syndrome were evaluated for the prevalence and pattern of musculoskeletal involvement. The average age of the patients was 10.2 years (range, 1 month to 44 years). Both sexes were affected equally. The common orthopaedic manifestation affected the hand (100%), elbow (47%), and the heel cord (26%). Severe bony anomalies included complete absence of the hand in one case, and ulna hemimelia in two cases. In two patients bilateral Legg-Perthes-like changes were noted. Scoliosis presented in four cases, all before the age of 10 years. Surgery was performed in two patients with severe bilateral equinovarus feet. Despite the constellation of musculoskeletal findings, most of the patients did not have surgical intervention for their deformities.Journal of Pediatric Orthopaedics B 04/2004; 13(2):118-22. · 0.47 Impact Factor
Top co-authors
Top Journals
Institutions
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2004–2009
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Cliniques Universitaires Saint-Luc
Brussels, BRU, Belgium
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2007
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Université Catholique de Louvain
Louvain-la-Neuve, WAL, Belgium
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