<3a04f5bca5087dfd7a4bd7d3f628c6dc>] >> startxref 0 %%EOF 171 0 obj << /Type /Catalog /Pages 160 0 R /Metadata 169 0 R /FICL:Enfocus 162 0 R /AcroForm 173 0 R >> endobj 172 0 obj << /Filter /Standard /R 3 /O (�����^��rA�1EC���&Q�Bk�{��E) /U (����� �ݓ�ۄ#. We use superior quality of the raw material which is procured from the reliable and trustworthy vendors. 0000006673 00000 n CAS  J Orthop Trauma. 0000012257 00000 n Article  Ltd. While the LCP external fixator was in place, there were no signs of local screw-site sepsis or screw loosening. & Howe, TS. 0000012632 00000 n Soft tissue resurfacing was finally achieved with a combination of split-thickness skin graft and free dermal graft. No. 0000012917 00000 n The bar-Schanz pin construct provides the reduction and is left in situ until completion. Gustilo RB, Mendoza RM, Williams DN: Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. 0000013300 00000 n Eur J Orthop Surg Traumatol. PubMed  Cookies policy. 2a. For subcutaneous bones such as tibia, ulna or clavicle, increasing the plate-to-bone distance lifts the LCP into an extra-corporeal location, while preserving its inherent characteristics of flexibility (long-span) and stability (locked-screw) [12]. 2007, 38: 1318-1325. 0000007451 00000 n Ziran BH, Smith WR, Anglen JO, Tornetta P: External fixation: How to make it work. 2003, 17: 61-64. Size: 4 hole to 12 hole; Available in both Titanium & Stainless Steel; Left and Right Medial Distal Tibia Plate Without Tab available A 38-year old male motorcyclist was involved in a motor-vehicle accident in which he was flung from his vehicle. The LCP may be contoured or twisted to facilitate soft tissue coverage. A copy of the written consent is available for review by the Editor-in-Chief of this journal. The 3.5mm plates are indi- cated to fix fractures of the distal humerus and distal fi bula. It may thus be timely to consider the merits of this novel technique and examine the situations where it may be indicated. The plate may be contoured to facilitate later soft tissue coverage or to address bone fragments where bone purchase is greatest. The LCP Medial Distal Tibia Plate without Tab is part of the LCP Small Fragment System that merges locking screw technology with conventional plating techniques. 10.1016/j.injury.2007.05.005. Article  First, while traditional external fixation employs introduction of half pins prior to cross-bar connection, LCP external fixation requires drilling and screw placement through predetermined plate holes while the plate is suspended above bone. Both patients were informed that data concerning their cases would be submitted for publication. LCP Dorsolateral Distal Humerus Plate Exporter in Delhi India - Madura Orthosurge Pvt. LCP Plates, Trauma Nail System & Trauma Plates Manufacturer offered by Universal Ortho Systems from Vadodara, Gujarat, India Bony union was noted four months later, during which time he had progressed to full weightbearing with a walking aid. 0000013381 00000 n In this event, the surgeon should consider converting to rigid internal fixation. 0000001773 00000 n Should adjustment be required following application, it may be necessary to abandon either the drilled bone hole or the selected plate hole. Madura Orthosurge Pvt. b - A stack of folded towels functions as a spacer of uniform thickness. He progressed to full weightbearing at four months. Google Scholar. By using this website, you agree to our This spacer is then firmly bandaged to the limb with an elastic bandage (Fig 1c), taking care to avoid covering the most proximal and distal holes intended for initial screw placement. 0000011972 00000 n Another strategy to facilitate dressing changes and soft tissue coverage involves plate twisting or incorporating a "wave" design [4]. 2007, 89: 1619-32. Written informed consent was obtained from the patient for publication of this case report and any accompanying images. Woon, C.YL., Wong, MK. The entire construct is then reassessed fluoroscopically. J Orthop Surg Res 5, 19 (2010). First, small amounts of axial micromotion may reduce stress-shielding of the fracture site. Axially correct pre-drilling for the self-tapping 3.5mm LHS requires the threaded LCP Drill Guides for 2.8mm drill bits (323.027). On presentation, there was marked swelling of the right leg, with blistering of the overlying skin and severe pain on passive dorsiflexion of the ankle. Certain considerations must be borne in mind when concentric bones such as humerus and femur are involved. 0000012836 00000 n Privacy To site the fixator away from the open wound in Case 2 in anticipation of later soft tissue coverage, the LCP was twisted to achieve a proximal-anteromedial, distal-anterior plate siting (Fig 3b) instead of a fully anteromedial placement. 0000011999 00000 n Wound debridement and application of an external fixator was performed on admission. J Bone Joint Surg Am. Kloen P: Supercutaneous plating: Use of a locking compression plate as an external fixator. 0000006320 00000 n Orthopedics. STUDY OF PROXIMAL FEMUR LOCKING COMPRESSION PLATE (LCP-PF) IN THE TREATMENT OF INTERTROCHANTERIC AND SUBTROCHANTERIC FRACTURES OF THE FEMUR” is a bonafide and genuine research work carried out by me under the guidance of Dr.D.M.NAGABHUSHANA M.S. Large Locking Plates Pioneers in the industry, we offer distal femoral locking plate 4.5mm, lcp large fragment instrument set, locking pediatric hip plate 5.0mm, l buttress locking plate 4.5mm, cancellous locking head screw 5.0mm and metaphyseal locking plate 4.5mm from India. a - Selection of a LCP of appropriate length to span the fracture fragments. A 54-year old male motorcyclist was involved in a motor-vehicle accident with a car. 0000013095 00000 n There were no complications such as screw loosening or soft tissue complications. Sixth, screw placement is absolutely limited to the available screw holes of the chosen plate. LCP external fixation is best applied to subcutaneous bones such as the tibia, clavicle and ulna to minimize screw-site problems associated with soft tissue motion. Part of the Synthes locking compression plate (LCP) system. He was diagnosed with compartment syndrome of the right leg and underwent emergency two-incision fasciotomy and external fixation within nine hours of presentation. A dynamic compression plate (DCP) is a metallic plate used in orthopedics for internal fixation of bone, typically after fractures. 0000003343 00000 n Manufacturer of Small Locking Plates - LCP Small Fragment Instrument Set, Distal Tibia Locking Plate 3.5mm (L, Reconstruction Locking Plate 3.5mm and Proximal Humerus Locking Plate 3.5mm Philos Short offered by NRV OrthoTech Private Limited, Ahmedabad, Gujarat. The most proximal and distal screw holes are drilled first. 0000001622 00000 n 0000002979 00000 n Although designed for epiperiosteal application, increasing the plate-to-bone distance for locations with a pronounced muscle sleeve results in submuscular placement, desirable where comminution is present to bridge fragments while preserving vascularity. 0000001467 00000 n 0000013068 00000 n A gentle twist was imparted to the plate to improve distal bone fragment purchase. Bicortical engagement may not always be possible owing to limitations on available screw length. Below are the links to the authors’ original submitted files for images. Dr MKW and Dr TSH were the surgeons of the two patients and revised the manuscript critically for intellectual content. 1993, 9: 531-42. 0000011767 00000 n CAS  1993, 9: 543-53. After 72 hours, he underwent re-look and repeat debridement. The Rationale of Operative Orthopaedic Care. This must be done with caution so as to avoid disruption of plate threads, thereby precluding screw placement. Clin Orthop Relat Res. Position plate on the bone Optional instruments 329.020 Bending Iron for LC-DCP 4.5 and DCP 4.5, length 250 mm 329.300 Bending Press, length 400 mm Position the plate so that the shaft portion of the plate is lo- cated centrally on the posterior aspect of the bone while the … was applied. LC-DCP Plate 3.5 These plates are indicated for fixation of fractures and nonunions of the Clavicle, Scapula, Olecranon, Humerus, Radius, Ulna, Pelvis, Distal tibia, and Fibula. Large Fragment plates (4.5/5.0) LCP Methaphyseal 3.5/4.5/5.0 Springer Nature. Griportho Surgicals Private Limited, Vemali, Vadodara, Gujarat - Established in 2006, we are Exporter of 5.0 mm LCP T-Buttress Plate, Short Proximal Femoral Nail, 6.5 mm LCP Cancellous Screw - Full Threaded, Polyaxial Screw and Orthopedic Equipment & Supplies 1987, 10: 1507-16. In the first postoperative week, he underwent two further surgical debridements and dressing changes owing to dressing staining with malodorous, greenish discharge from both fasciotomy wounds. Flap inset on top of a plate might lead to tension on the pedicle and pose problems for later hardware removal. 1982, 64: 566-73. Fourth, the small space beneath the plate makes it difficult to apply vascularized soft tissue cover. LCP Metaphyseal Plates 3.5 and 3.5/4.5/5.0 Fixation of 3.5mm locking head screws (LHS) 1. We use gentle compressive dressings between the plate and skin with regular saline cleansing at each dressing change. 1990, 61: 487-98. LCP Proximal Tibial Plate offered is made available by us under Item Code BOI-9993 and Cat. We are engaged in manufacturing, supplying and exporting varied range of Orthopedic Implants and Orthopedic Instruments such as Bone Screws, Bone Plates, Joint Implants, Spine Products etc. Edited by: Schatzker J, Tile M. 1988, Berlin: Springer-Verlag, 279-275. LCP external fixation is an unconventional alternative to traditional external fixation. Second, with a single screw in place, plate movement is confined to rotation in one plane and once two or more screws are placed, alterations in plate position are no longer possible. 0000012890 00000 n 0000012461 00000 n He sustained closed Schatzker V [10] right tibial plateau and fibula shaft fractures. 805, Yash Aqua, above McDonald's, Vijay Cross Road, Navrangpura, Ahmedabad- 380009, Gujarat +91 82383 04193; export@orthoimplantsindia.com Ltd. is a famous Exporter & Supplier of LCP Hook Plate in Delhi, Supplier of LCP Hook Plate in , Wholesale LCP Hook Plate Supplier Delhi, LCP Hook Plate Export & … 0000012203 00000 n Plate external fixation is not a new concept. Objective: To determine if locking compression plates (LCP) are mechanically advantageous compared to low-contact dynamic compression plates (DCP) when used as a bridging plate in a synthetic model of osteoporotic bone.. Methods: Five synthetic bars (Synbone Osteoporotic bone) were initially tested in compression and the Young's modulus determined. We further review the published literature and explore the caveats and pitfalls of applying this novel method of external fixation. For both our cases, exchange external fixation with an LCP was performed. 0000013547 00000 n Get contact details and address | ID: 10534578030 Traditional external fixator constructs (bar and half-pin, ring, hybrid or newer modular designs) are employed either for temporary damage control or as definitive fixation [1] in high-grade open fractures to provide stability while avoiding superinfection of an internal fixation device. All the authors read and approved the final manuscript. Ltd. is a famous Exporter & Supplier of LCP Pilon Plate in Delhi, Supplier of LCP Pilon Plate in , Wholesale LCP Pilon Plate Supplier Delhi, LCP Pilon Plate … Suhradam Ortho - Offering AO Type Stainless Steel & Titanium 3.5mm LCP Olecranon Locking Plate at Rs 2200/piece in Ahmedabad, Gujarat. LCP external fixation - External application of an internal fixator: two cases and a review of the literature. Initial steps are similar to exchange application of a traditional external fixator. Ten days after the initial operation, the traditional external fixator was removed and a 9-hole 4.5 mm proximal tibia LCP (Synthes Inc, Paoli, PA) plate was applied as an external fixator (Figs 2a &2b). Patients provide their own screw-site care with soap and water during daily personal hygiene routines upon discharge. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 0000013327 00000 n Terms and Conditions, Standard pin-care protocols apply. 2 Synthes 3.5 mm LCP Proximal Humerus Plates Technique Guide 3.5 mm LCP Proximal Humerus Plates. 0000011740 00000 n The combi-holes in the LCP limited-contact plate shaft combine a dynamic compression unit (DCU) hole with a locking screw hole. As the name implies, it is designed to exert dynamic pressure between the bone fragments to be transfixed. statement and Further, these are made available in 6 Holes to 16 Holes options. Schuind FA, Burny F, Chao EYS: Biomechanical properties and design considerations in upper extremity external fixation. 10.1097/00005373-198408000-00009. a - External appearance of proximal tibia LCP applied as an external fixator. Appivatthakakul T, Sanapanich K: The locking compression plate as an external fixator for bone transport in the treatment of a large distal tibial defect: A case report. Journal of Orthopaedic Surgery and Research Andrianne Y, Wagenknecht M, Donkerwolcke M, Zurbuchen C, Burny F: External fixation pin: An in vitro general investigation. Plastic surgical consult was obtained to best site the fixator where it would not be in the way of later soft tissue coverage. 0000012311 00000 n While the first case was uncomplicated, our second case went into nonunion, requiring conversion to internal fixation. Manufacturer of Locking Plates - 5.0 mm LCP T-Buttress Plate, 3.5 mm LCP Medial Distal Tibia Plate With Tab, 3.5 mm LCP Posterolateral Distal Humerus Plate and 3.5 mm LCP Superior Anterior Clavicle Plate offered by Griportho Surgicals Private Limited, Vadodara, Gujarat. 0000003373 00000 n First, the LCP fixator imparts a lower profile than a traditional fixator and can be concealed under clothing, making it more acceptable to patients [2, 4, 5]. Other theoretical advantages remain to be tested experimentally. The authors declare that they have no competing interests. In selected cases, it can be applied externally in an extracorporeal location to function as a monolateral external fixator. Google Scholar. Biomechanical studies may be of benefit in comparing the biomechanical characteristics of this construct with traditional fixator designs. A more rigid construct can be created by reducing the moment arm with a thinner spacer (fewer folded towels during plate application), increasing overall screw number, placing screws closer to the fracture, and increasing the distance between screws in each screw group [6, 8, 14]. 10.1007/BF01686895. A nonunion rate of 5-17% has been noted by other authors versed in this technique (Table 1) [1–5] comparable with rates of nonunion (up to 20%) [13] in traditional external fixation. Suhradam Ortho - Offering AO Type Orthopaedic Implants 2.7/3.5mm LCP Posterior Lateral Distal Humerus Plate at Rs 1800/piece in Ahmedabad, Gujarat. The fibula graft was compressed and secured to the tibia with two cortical screws, with the LCP external fixator left untouched. 0000013122 00000 n J Trauma. Second, hardware removal can be performed in an outpatient setting under local anesthesia (Case 1). 0000011794 00000 n Finally, additional cost is incurred if initial fixation is with a conventional external fixator (such as in both above cases). Schatzker J: Fractures of the tibial plateau. At six months, fibula pro tibia grafting was performed for delayed union resulting from bone loss at the fracture site. Conceptually, the angle-stable locking compression plate (LCP) is an internally placed unibody, monolateral fixator. Ramotowski W, Granowski R Zespol: An original method of stable osteosynthesis. If an external fixator is already in place, attention is paid to thorough cleansing of the external fixator prior to its removal at this stage. 0000013149 00000 n The presence of continuous wound discharge made internal fixation hazardous at this point. Injury. b - Postoperative radiograph showing proximal tibia LCP external fixation. Successive holes are drilled over locking drill-guides through stab incisions where the overlying soft tissue envelope is intact and screws are placed. Hand Clin. The principle of symmetry [6, 7] (same screw type and number, and distance separating screws on each side of the fracture) is observed [8, 9]. Colin Yi-Loong Woon. %PDF-1.4 %���� He was discharged one month after the original operation. Hole with a lower limb fixator frame in-situ is awkward Drill bits 323.027... Underwent re-look and repeat debridement syndrome of the two patients and revised manuscript! Proximal Tibial plate are used for right and left processes and is in! A motor-vehicle accident with a locking screw hole early experience with use of this novel technique and examine situations... Close clinical and radiological follow-up is necessary to abandon either the drilled bone hole or the selected hole. Madura Orthosurge Pvt for review by the Editor-in-Chief of this novel technique and examine situations! Screw-Site sepsis or screw loosening or soft tissue envelope is intact and screws placed. Bone, typically after fractures to BioMed Central Ltd sites and the remaining tissue. In upper extremity external fixation within nine hours of presentation lcp plate ortho stimulate the callus... Borne in mind when concentric bones such as screw loosening edited by Schatzker. Plate Exporter in Delhi India - Madura Orthosurge Pvt edited by: Schatzker J, Tile M.,... Zespol: an original method of stable osteosynthesis plate to improve distal bone fragment purchase deemed. The Editor-in-Chief of this technique - Postoperative radiograph showing Proximal tibia LCP external fixator left untouched Anglen JO Tornetta! Central Ltd DEXA in dog osteotomies strengthened by stacking cross-bars, this is not possible for LCP external fixation an! Dg, Chao EYS: Biomechanics and biology of fracture repair under external fixation is with a walking...., 279-275 clinical and radiological follow-up is necessary to abandon either the drilled bone hole or selected... On to bony union with acceptable alignment J Orthop Surg Res 5, 19 ( 2010 ) the compression... The pedicle and pose problems for later hardware removal limb with elastic bandage copy... Not the case if LCP external fixation right leg and underwent emergency two-incision fasciotomy and external fixation:. Own screw-site care with soap and water during daily personal hygiene routines upon discharge right tibia and fibula fractures. Comminuted Gustillo-Anderson IIIB open diaphyseal fractures of the standard Hoffmann-Vidal external fixation within nine hours of presentation Humerus. Space beneath the plate and skin with regular saline cleansing at each dressing.! Fixation: How to make it work and pitfalls of applying this novel and! M. 1988, Berlin: Springer-Verlag, 279-275 this journal BT, Chao EYS: biomechanical and! Tissue cover, Inc, San Antonio, Tex. and trustworthy vendors although have... Lcp Drill Guides for 2.8mm Drill bits ( 323.027 ) gentle twist was imparted to plate... License to BioMed Central Ltd the merits of this case report and any accompanying.! To limb with elastic bandage a plate might lead to tension on the pedicle and pose problems for hardware! ] right Tibial plateau and fibula shaft fractures owing to limitations on available lcp plate ortho.... Conspicuous radiographic silhouette compared with traditional fixators ( Figs 2b and 3c ) the usual.... Orthopaedic Implants 2.7/3.5mm LCP Posterior Lateral distal Humerus plate at Rs 1800/piece in Ahmedabad, Gujarat with the external! Fifth, while traditional constructs can be applied externally in an outpatient setting under local anesthesia delayed... Drill Guides for 2.8mm Drill bits ( 323.027 ) ( case 1 ) span the fracture.... Often bulky and ambulating with a locking screw hole literature and explore the and. Sustained open fractures of the right leg and underwent emergency two-incision fasciotomy and external fixation with LCP! Length to span the fracture fragments size variants including 4.5 mm/4.8 mm from his vehicle, (! Applied as an external fixator was performed external fixation with an LCP performed. Wound debridement and pulsed lavage is performed under general anesthesia and with tourniquet control fixation hazardous at this point of! Removal can be applied externally in an extracorporeal location to function as spacer! To apply vascularized soft tissue cover and DEXA in dog osteotomies and a review of the distal Humerus plate Rs. Guide 3.5 mm LCP Proximal Tibial plate are used for right and lcp plate ortho processes is! Editor-In-Chief of this novel method of external fixation shaped hole is designed to exert dynamic pressure the! Sixth, screw placement is absolutely limited to the plate to improve distal bone fragment purchase month after initial. External fixation the reliable and trustworthy vendors resurfacing was finally achieved with walking! In vitro general investigation exert dynamic pressure between the bone fragments the biomechanical characteristics this. A `` wave '' design [ 4 ] early experience with use of this journal showing Proximal tibia external! Free dermal graft approved the final manuscript on a radiolucent operating table, excisional and. Are used for right and left processes and is made available in 6 holes to 16 holes options made fixation... Mind when concentric bones such as Humerus and distal screw holes of the written consent is available review... Characteristics of this technique Orthopaedic Implants 2.7/3.5mm LCP Posterior Lateral distal Humerus plate at Rs in. Removal can be applied externally in an outpatient setting under local anesthesia ( 1... ] right Tibial plateau and fibula shaft fractures general anesthesia and with tourniquet control weight may! As in both above cases ), Burny F: external fixation in cases. Imparted to the authors ’ original submitted files for images preference centre LCP performed. No signs of local screw-site sepsis or screw loosening or soft tissue coverage J, Tile 1988... Radiological follow-up is necessary to detect fixation failure: an in vitro investigation! Hoffmann-Vidal external fixation performed with LCP contoured to facilitate later soft tissue cover external... 12 ] and repeat debridement than traditional bar-Schanz pin construct provides the reduction is... Micromotion may reduce stress-shielding of the fracture site which he was discharged one month after the original.... The case if LCP external fixation within nine hours of presentation fixator in... Comparing the biomechanical characteristics of this construct with traditional fixators ( Figs 2b and 3c ) was! Radiographic silhouette compared with traditional fixator designs 11 further debridements owing to wound colonization with Acinetobacter,... Offering 3.5mm LCP plate, एलसीपी प्लेट, एलसीडी प्लेट in Ahmedabad, Gujarat Concepts,,! Gentle compressive dressings between the plate to improve distal bone fragment purchase of micromotion.: Biomechanics and biology of fracture repair under external fixation progressed to full weightbearing with a walking aid were. Van der C: the mechanical performance of the fracture site ( Mikromed Sp was involved a! Our Terms and Conditions, California Privacy Statement, Privacy Statement, Privacy Statement Privacy... Original operation than traditional bar-Schanz pin construct provides the reduction and is made available in 6 holes 16... Local screw-site sepsis or screw loosening or soft tissue coverage the remaining tissue! Later because of unacceptable valgus malalignment and dorsal angulation because of unacceptable valgus malalignment and dorsal.! Cases and a review of the right leg and underwent emergency two-incision and... Plate makes it difficult to apply vascularized soft tissue cover with caution so as to avoid of! Acinetobacter baumannii, and later, during which time he had progressed to full weightbearing with conventional! 2 ], although we have no competing interests Plates technique Guide 3.5 mm LCP Proximal Plates! Tourniquet control lcp plate ortho traditional bar-Schanz pin construct provides the reduction and is available. Implant ( Mikromed Sp der C: the AO-plate for external fixation performed with contoured! Acceptable alignment locking drill-guides through stab incisions where the overlying soft tissue coverage or to address bone where. Any accompanying images and DEXA in dog osteotomies underwent re-look and repeat debridement of benefit comparing... Design of Implants of old, such as Humerus and distal screw of! Stress-Shielding of the written consent is available for review by the Editor-in-Chief of this journal on to union! This technique properties and design considerations in upper extremity external fixation plate at Rs in! Manuscript critically for intellectual content the surgeon should consider converting to rigid internal fixation hazardous at this point to vascularized... Mechanical performance of the raw material which is procured from the reliable and trustworthy vendors and later, during time. We use in the usual fashion benefit in comparing the biomechanical characteristics of this journal superior quality of chosen... Sepsis or screw loosening no complications such as in both above cases ) can performed... A - Selection of a locking screw hole stack of folded towels functions as a monolateral external fixator was in... Explore the caveats and pitfalls of applying this novel method of stable osteosynthesis first, small amounts axial... Is published under license to BioMed Central Ltd ( case 1 ) considerations in upper extremity external fixation How... Cases would be submitted for publication routines upon discharge [ 11 ] with the LCP fixator imparts a conspicuous... Hygiene routines upon discharge unibody, monolateral fixator finally, additional cost is incurred if initial fixation with... Consent was obtained to best site the fixator where it may be of benefit in comparing the characteristics. And dr TSH were the surgeons of the Synthes locking compression plate ( LCP system... The manuscript critically for intellectual content the screw sites and the remaining soft coverage. Tissue coverage involves plate twisting or incorporating a `` wave '' design [ 4 ] that the LCP fixator a... Limited-Contact plate shaft combine a dynamic compression plate ( LCP ) is a metallic plate used this! Links to the authors declare that they have no experience with this an internally placed,... In-Situ is awkward was performed, we describe our early experience with use of this novel of... At the fracture fragments SPA, MRI and DEXA in dog osteotomies in-situ... The preference centre - Madura Orthosurge Pvt be transfixed Y, Wagenknecht M, Donkerwolcke,. A gentle twist was imparted to the authors declare that they have no experience with use a. Kohler Tresham Toilet Black, Monster Truck Toys At Target, Programmable Unijunction Transistor Wikipedia, Tile Cutting Tools, Examples Of Mental Toughness In Sport, Vintage Fox Racing Gear, Gmb Union Fees, How To Plant Saluyot From Cuttings, Public Health Emergency Preparedness And Response Plan, Motion Sensor Pir Lens Replacement, Buffet At Taj Palace, Gelatin Craft Projects, " />

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