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Alexios D. Iliadis Centre for Orthopaedics, The Royal London and Barts and The London Children’s Hospitals, Barts Health NHS Trust, London, UK

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Manoj Ramachandran Centre for Orthopaedics, The Royal London and Barts and The London Children’s Hospitals, Barts Health NHS Trust, London, UK

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of acute paediatric bone and joint infections affect previously healthy individuals. 15 There are certain subgroups of children that are more susceptible and should be approached with a high index of suspicion: immunocompromised children

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Ilkka J. Helenius Department of Pediatric Orthopedic Surgery, University of Turku and Turku University Hospital, Turku, Finland

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using a combined anteroposterior approach, but currently most centres prefer a posterolateral approach. 33 , 34 The posterior approach results in a shorter operative time and less blood loss, but neural element manipulation and related transient

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Stéphane Armand Willy Taillard Laboratory of Kinesiology, Geneva University Hospitals and Geneva University, Switzerland

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Geraldo Decoulon Pediatric Orthopaedic Service, Department of Child and Adolescent, Geneva University Hospitals and Geneva University, Geneva, Switzerland

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Alice Bonnefoy-Mazure Willy Taillard Laboratory of Kinesiology, Geneva University Hospitals and Geneva University, Switzerland

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the effect of treatments of impairments (e.g. increase length of a muscle, correction of bony deformity). 21 Currently, the major clinical limitations of this approach are the validation of the models used and the time needed to build an accurate

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Pierre-Louis Docquier Cliniques universitaires Saint-Luc, Brussels, Belgium

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Laurent Paul 3D Side, Belgium

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Khanh TranDuy 3D Side, Belgium

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obtained (according to the pre-operative planning). Surgical technique During the surgery, the patient is positioned in the supine position with the arm placed on an arm board with a tourniquet. A 4 cm to 5 cm lateral approach is used. After

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Carol C. Hasler University Children’s Hospital, Basel, Switzerland

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Daniel Studer University Children’s Hospital, Basel, Switzerland

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so in neglected cases. Conservative treatment is therefore not a valid option. Early surgery includes vastus lateralis releases combined with medial shortening and patellar tendon re-routing. In cases where the vastus approach does not provide

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