We read the article by Schiavon et al. in June 2009 "Septic physeal separation of proximal femur in a newborn" with great interest. We recently encountered a similar complication in a child aged 5 years, who came to our institute 2 years back, with discharging sinus from right mid thigh with tubular external fixator for the past 2 months. She fell from height and suffered injury to her right thigh. She was diagnosed to have closed fracture of right femur. Open reduction and internal fixation of femur fracture were done by intramedullary nailing. Subsequently, she developed infection at the operative site. The nail was removed, and an external fixator was applied. She came to us with femur fracture stabilized with tubular external fixator with discharging sinus from the right thigh. Radiographs of the thigh and hip joint revealed osteomyelitis of femoral diaphysis. Pelvis roentgenogram revealed complete separation of femoral epiphysis (Fig. 1).
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