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Marco Gupton MountainView Regional Medical Center, Orthopaedic Surgery Residency, Las Cruces, New Mexico, USA

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Jessica Burns Department of Orthopaedic Surgery, Phoenix Children’s Hospital, Phoenix, Arizona, USA

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Introduction Infectious disease has been and continues to be one of the world's leading causes of morbidity and mortality ( 1 , 2 ). Osteoarticular infections (OAI) in pediatrics are relatively common, with an incidence of 1–20 per 10

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Marta Salom Department of Pediatric Orthopedic, La Fe University and Polytechnique Hospital, Valencia, Spain

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Inês Balacó Department of Pediatric Orthopedic, Hospital Pediátrico de Coimbra, Unidade Local de Saúde de Coimbra, Portugal

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presentation is not indicative of benignity or malignancy ( 7 , 8 ). The DD with an infection is mandatory in children, as this is far more common than sarcoma in all paediatric ages ( 9 ). Trauma is also very common in paediatric ages, so previous traumatic

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Valeria Pintar St George’s Hospital, London, UK

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Charlotte Brookes St George’s Hospital, London, UK

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Alex Trompeter St George’s Hospital, London, UK
St George’s University of London, UK

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Anna Bridgens St George’s Hospital, London, UK

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Caroline Hing St George’s Hospital, London, UK
St George’s University of London, UK

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Yael Gelfer St George’s Hospital, London, UK
St George’s University of London, UK

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, blood vessels, nerves, and skin ( 2 , 12 , 13 , 14 , 15 ). Tourniquet use has also been associated with increased post-operative pain ( 16 , 17 , 18 ), longer length of hospital stay ( 16 , 19 ), increased risk of wound infection and wound

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Matías Sepúlveda Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland

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Cecilia Téllez Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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Víctor Villablanca Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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Estefanía Birrer Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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malunion, delayed union, refracture, and infection ( 28 ). Figure 14 (A) Radiographic images of the knee of a 10-year-old boy, with a pathologic bone distal femoral fracture (non-osteogenic fibroma). (B) One-week postoperative radiographic image

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Thomas J. Holme St George’s University Hospitals NHS Foundation Trust, London, UK

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Marta Karbowiak St George’s, University of London, London, UK

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Magnus Arnander St George’s University Hospitals NHS Foundation Trust, London, UK
St George’s, University of London, London, UK

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Yael Gelfer St George’s University Hospitals NHS Foundation Trust, London, UK
St George’s, University of London, London, UK

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poor < 16). The Graves and Canale system 21 was developed in a paediatric population describing a satisfactory outcome as having loss of elbow flexion/extension/pronation/supination of < 15 degrees and no pain with motion or infection. The Quick

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