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n with social deprivation. The major difference between the previous (2016) and current (2017) study was the apparent seasonal peaks spring (2016), and autumn (2017). This difference does not negate the 'antecedent infection' hypothesis, but any aetiological proposal should be capable of accounting for this discrepancy. Additionally, our studies highlight that the majority of these patients can be managed in the ED alone.The trauma and orthopaedic speciality continues to advance as surgery becomes more accessible and safe. However, the
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