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klemm's triad cirney mader classification bone infection sequestrectomy chronic osteomyelitis perthes disease hip pain limping child avascular necrosis of femoral head leg-calve-perthes irritable hip groin pain avn femoral head soft tissue injuries gustilo anderson open fracture compound fractures classification of soft tissue injuries hanover fracture scale orthopedic management sterilization pancreatic stone pancreaticojejunostomy amylase pancreatitis abdominal pain woman cancer breast cancer breast thoracotomy esopahgeal perforation esopahgus emergency thr dislocation dislocation hip arthroplasty hip arthroplasty total hip replacement giant cell tumor bone tumors osteoma tumors benign bone tumors skin cancer malignant melanoma lentigo maligna melanoma melanoma hypertension surgery