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1. Introduction

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Although osteomyelitis and septic arthritis are now relatively rare in more developed parts of the world, in the developing areas they continue to cause much suffering, morbidity and disability, and may on occasion prove fatal. They are most common between birth and the end of growth, but when associated with HIV/AIDS can also create major problems in adults.

Late presenting osteomyelitis with a large sequestrum and reasonable involucrum formation. Late presenting osteomyelitis with a large sequestrum and reasonable involucrum formation.

	Bone and Joint Infections can arise spontaneously or may result from injury or surgery. They may be associated with the presence of foreign material whether this has been introduced ‘accidentally’ or at an elective surgical operation.
Internal - or was it External Fixation?

An infected Kuntschner Nail - but the fracture has united