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begins when bacteria reach the metaphyseal vascular arcades, whereas the intervertebral disc is destroyed by the release of bacterial proteolytic enzymes, a process similar to cartilage destruction in septic arthritis. On the other hand, TB infection
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Major Trauma Centre, Leeds Teaching Hospitals NHS Trust, University of Leeds, United Kingdom
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, this strategy could be delivered using a proximal plate/screw construct and simultaneous retrograde femoral nail. However, the presence of a contaminated open wound at the diaphysis and the increased risk of septic knee arthritis led the surgeon to