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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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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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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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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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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