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orthopaedics management of club foot orthopedics malunion of fractures malunion management of tb spine tuberculosis spinal tb spinal tuberculosis tuberculosis of the spine pott's disease tb spine blood products urology pirani ctev paediatric fractures salter harris fracture salter harris injury to the physis physeal fractures physeal injuries physeal physis rational use of blood products transfusion packed red cell hemorrhage blood and blood products blood transfusion pirani score management of ctev clubfoot