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Anne J. Spaans Department of Orthopaedic Surgery, Sint Maartenskliniek Nijmegen/Boxmeer, the Netherlands

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C.M. (Lilian) Donders Department of Orthopaedic Surgery, Meander Medical Center Amersfoort, the Netherlands

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J.H.J.M. (Gert) Bessems Department of Children’s Orthopaedics, Erasmus MC- Sophia Children’s Hospital, University Medical Center Rotterdam, the Netherlands
Department of Orthopaedic Surgery, Amphia Hospital Breda, The Netherlands

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Christiaan J.A. van Bergen Department of Orthopaedic Surgery, Amphia Hospital Breda, The Netherlands

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Introduction Septic arthritis is an acute infection of the joint that occurs most commonly in young children. The infection is mainly monoarticular, and is frequently localized in the knee and hip joints, while it is less frequent in the

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Tamer El-Sobky Division of Paediatric Orthopaedics, Department of Orthopaedic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

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Shady Mahmoud Division of Paediatric Orthopaedics, Department of Orthopaedic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

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Septic arthritis and acute haematogenous osteomyelitis are frequently encountered among otherwise healthy children and adolescents. Misdiagnosis may increase the likelihood of bone and joint complications. The slightest delay in appropriate

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Keith Tucker Orthopaedic Data Evaluation Panel (ODEP), Norwich, UK

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Klaus-Peter Günther University Centre of Orthopedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden, Germany

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Per Kjaersgaard-Andersen Department of Orthopaedics, Vejle Hospital, South Danish University, Vejle, Denmark

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Jörg Lützner University Centre of Orthopedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden, Germany

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Jan Philippe Kretzer Laboratory of Biomechanics and Implant Research, Clinic for Orthopedics and Trauma Surgery, Heidelberg University Hospital, Heidelberg, Germany

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Rob G.H.H. Nelissen Department of Orthopaedics, Leiden University Medical Center, Leiden, Netherlands

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Toni Lange Center for Evidence-based Healthcare, University Hospital Carl Gustav Carus and Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Germany

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Luigi Zagra IRCCS Istituto Ortopedico Galeazzi, Hip Department, Milan, Italy

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be dealt with in a separate section). Off-label use of instruments, and particularly implants, has been practiced for years. The original indications for THA as well as TKA were mainly aimed at the elderly and the infirm with crippling arthritis but

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