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The question
A schoolboy has had intermittent dull pain above the right ankle for four months, worse at night and eased by a course of oral antibiotics but not by NSAIDs. He is afebrile, the white cell count is normal and the ESR is mildly raised. The distal tibial radiograph, with a lucent metaphyseal cavity and no central calcified nidus, is shown. What is the most appropriate management?
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