Im so so sorry for you and your poor dog. Aaron Nieto. The right knee had the same tightrope, by same good Bet surgeon, and she slipped on the floor, we think, and on day 18 she was holding knee up 70% of the time. Post Operative Instructions for Hand Surgery Patients. A device is surgically placed that stabilizes the CCL-deficient knee through bone tunnels drilled using smaller incisions. 5 No. The average pain level, according to a visual analog scale (1-10) was 3.5 (2-5) preoperatively and 2 (1-4) postoperatively at rest and 7 (6-8) preoperatively and 4 (3-6) postoperatively with maximum load. It will take some time before you can regain full use of your thumb and hand after the operation. Introduction Instabilities of the thumb carpometacarpal (CMC) joint, caused by idiopathic ligamentous hyperlaxity, trauma or other conditions may lead to pain, functional impairment and eventually osteoarthritis. TightRope complications. Add to Mendeley . Related Posts: Dog Knee Surgery Success Rates: TPLO, Tightrope, TTA, and Why Should You Use A Soft Cone During Your Dog's Surgical official website and that any information you provide is encrypted Active thumb abductions involve moving the affected thumb down away from the palm and then back to touch the index finger.physical therapy exercises for basal joint . The surgery takes about 45 minutes from start to finish. In addition, three, what appeared to be seromas or limpomas, had formed at various places along the incision. She hiked it up and hopped on the other something she had not done since before the first surgery. Decrease swelling, pain, and scarring right after surgery. Accessibility Outcomes of "Cross-Coupling Suture Button Suspensionplasty" for Thumb Carpometacarpal Joint Osteoarthritis: A Preliminary Report. A Neutral Shoulder Press for the Medial Deltoids. (We were told no such thing existed) orthopets.com I wish we had known. The sheets are not specific to mini-tightrope surgery but are specific to CMC basal joint surgery and are excellent research materials. Makes an incision along the top of the metacarpal bone. But were giving medicine, food, love and prayers. HHS Vulnerability Disclosure, Help During CMC thumb surgery your doctor will either fuse the CMC joint or add a spacer between the joints in the thumb to reduce arthritic pain. Don't use lotions, creams, or ointments on the area unless your provider says to. Watch the Regenexx video below to learn more about thumb arthritis, surgery, and IO solutions. There has to be something still in there, but even the specialist is reluctant to go in again, cause he doesnt know where to look. Physical therapy or hand and thumb exercises may be prescribed when the cast is removed, continuing . Carpometacarpal (CMC) arthroplasty surgery, although modifications have occurred over time, continues to be commonly performed and has provided patients with their desired pain relief and return of function. Fortunately, such complications will usually respond to prompt recognition and treatment. Penning D, Sanders FRK, van Dieren S, Roukema GR, Vermeulen J, Winkelhagen J, Goslings JC, Schepers T; RODEO collaborator group. I am a co-founder of the Centeno-Schultz Clinic which was established in 2005. Basilar Thumb Arthritis: The Utility of Suture-Button Suspensionplasty. The surgery can be done under complete anesthesia where you will be asleep or a local anesthetic where you will be awake. What Is the Recovery Time for Hip Labrum Surgery? If a surgeon hasnt done at least 100 prior surgeries of the exact procedure I want done, that surgeon isnt touching a knife to my dog. Dr. Cook kept poo-poohing the idea that there was STILL thread in there, and we were back to anxious frustration, about the right antibiotics and care for a dripping, festering wound. I dont know that bone healing or foreign body reaction would be any better with metal plates and cutting her bones. The next day it was more firmly swollen from the hock to the crest of her knee. Then he also put in another stabilizing feature the original Extracapsular Technique, also known as a traditional repair. The advantage of this new device, which suspends the first metacarpal off the second metacarpal, is the very short immobilization period contrary to other suspensioplasty procedures. CMC joint arthroplasty is a surgical procedure used to replace the trapezium bone of the thumb joint with a tendon graft, or a silicone or metal implant to treat carpometacarpal joint osteoarthritis after conservative treatments fail to relieve symptoms. Thank you, How is your dog doing from the complications of the tightrooe? He was also glad that at surgery #2 hed not opened the knee joint to look because for sure he would have spread the staph infection to the joint when so far it had been along the surface of her leg. It had been tight during surgery and one week post op. Syndesmosis with TightRope fixation may be performed to avoid complications associated with screw fixation (insertion of screws to hold the tibia and the fibula together). With this surgery, a tendon is removed from the patients hand, coiled up, and stuffed into the empty space where the bone used to be. She said if my dog has to be a lap dog and hang out in the house for the rest of her life thats okay. You didnt list this option, you might not be aware of it. Tensioning handles and a new trocar-tipped drill bit have been added to the implant system. And when the CMC joint wears down, arthritis can develop and hinder even the easiest functions. 7. and transmitted securely. This site needs JavaScript to work properly. Vet said side ligament had broken stitches, and he wen back in to repair. We still go to the park for walks. Trapeziectomy: Everything You Need to Know. Please let me know how you guys are doing. Over the past 5 years, Dr DeHaan has preformed this technique for over 400 basilar joint arthritis patients. It will make the scaring, tightening process slower. Well, after posting here, I was able to get a hold of a TightRope superstar surgeon, who was glad to do another procedure. You can watch an animation of the Mini TightRope procedure here. There were no cases of impingement or fracture of the first and second metacarpal bases. Conclusions: This is usually a temporary condition that resolves itself over time. Three failed surgeries and MRSI. Something is still in there, causing pain. For 5 years, we considered the right his good knee. Get the latest public . During the third surgery, they did add the Extracapsular repair. If you also need a ligament reconstruction and tendon interposition (LRTI) procedure: Sometimes, a silicone or metal implant is used to replace the trapezium. 2011 Oct;39(10):2226-32. doi: 10.1177/0363546511413455. I know that arthritis is in his future because of the trauma to his joints but I have no regrets. This site needs JavaScript to work properly. If you perform tasks that require constant repetitive use of the thumb or flexing the neck downward for long periods of time, proactive maintenance now, such a regular chiropractic care to keep everything lined up, is a good idea. 3. A friend told me my dog was tough and just to hang in there. This new technique has the added advantage of being 1/2 the cost of the traditional TPLO. He has observed less pain post operatively, early return to activity and consistent results. Arthrex has developed the Thumb Metacarpophalangeal (MCP) Joint Ulnar Collateral Ligament (UCL) Repair using either a 2.5 mm PushLock Knotless Suture Anchor, a Micro/Mini BioComposite SutureTak , a Micro/Mini FT Corkscrew or FASTak anchors. I shopped around the area for reccomendations for good surgeons. Epub 2007 Apr 25. Fig. complications resulting from implant performance or placement (including button pull-through or pull-out, thumb-index metacarpal abutment, suture irritation, and index metacarpal fracture through the tunnel) were labeled as implant associated, whereas those resulting from inherent operative risk (including thumb radial sensory nerve neuritis or If she has a small limp, after excecrise, I think she, and we can live with that as she is almost 9 2022 Nov 14. doi: 10.1007/s00068-022-02158-9. Implant System, CMC Mini TightRope, 1.1 mm. DeGeorge BR Jr, Chawla SS, Elhassan BT, Kakar S. Hand (N Y). Cassidy C, Glennon PE, Stein AB, Ruby LK. But we love our furry friends. An understanding of the underlying anatomy, pathology of coexisting conditions, and specific techniques used in the primary surgery is required to make the best recommendation for a patient with residual pain following primary CMC arthroplasty. TightRopeRockwood III 2015120191260Rockwood III42.4(21~60) Our aim was to explore the different indications of the Mini TightRope suture button whether during first-line treatment or secondary surgery of thumb carpometacarpal osteoarthritis (OA). Several techniques have been described to enhance stability of the CMC 1. The .gov means its official. The remaining portion of the tendon is then folded and used to fill the space where your trapezium was. Journal of Wrist Surgery Vol. This surgery requires approximately 6 weeks of immobilization before rehabilitation begins. 5 years post bionic knees and my dog runs and plays like nothing ever happened. He could walk, at least 50% use of the right leg. The thumb and hand will feel numb and sore at times, gradually improving as healing progresses. The Mini TightRope technique provides a unique method for stabilization of the thumb metacarpal following trapezial resection or removal for the treatment of CMC arthritis. A common procedure performed for this problem is a Ligament Reconstruction Tendon Interposition arthroplasty (LRTI). Methods We conducted a retrospective study investigating the use of a dual Mini TightRope suspensionplasty technique from 2010 to 2013 at a single institution. Hozack BA, Fram B, Ilyas AM, Rivlin M, Liss FE, Jones CM. Put him down? Syndesmosis surgery is performed under general anesthesia usually on an outpatient basis but may require an overnight stay. Keywords: 2007 Sep;2(3):151-4. doi: 10.1007/s11552-007-9039-1. 2019 www.azcentral.com. The following was submitted by an owner whose dog had a failed Tightrope CCL repair procedure: Our ten year old Husky, about 75 lbs. Maybe. Suture-Button Versus Syndesmotic Screw Fixation of Ankle Fractures: A Comparative Retrospective Review Over One Year. Reconstruction of a chronic tear is achieved by utilizing two 3 mm x 8 mm Bio-Tenodesis Screw. J Hand Surg Am. His left ankle is not in the best shape. It is a very common cause of pain, loss of strength and functional impairment of the hand, reported in approximately one in three postmenopausal females. Surgical technique. Being active is a central part of my life as I enjoy time skiing, biking, hiking, sailing with my family and 9 grandchildren. Our Dog had left knee surgery 2 years ago and recovered great! I have a ~25 lb miniature poodle male who has had both CCLs repairedat different timeswith this operation. Kawamura D, Funakoshi T, Iwasaki N. Trapeziectomy with ligament reconstruction and interposition arthroplasty using the palmaris longus tendon: An average 5-year follow-up. All rights reserved. 7, 8, 9 In our study of 12 thumbs treated with dual suspensionplasty, no reports of these complications have been noted to date. No complications either. HHS Vulnerability Disclosure, Help There was some talk about her soft tissue not healing well and thats just her so thats the cause of the failure and instability. The Impact of Suture Button Removal in Syndesmosis Fixation. Syndesmosis Surgery - Procedure in Detail . "The TightRope technology has been around for probably 10 to 15 years." Previously used in the foot and larger joints, Dr. DeHaan was the first to apply the TightRope technology to the thumb basal joint. Improve movement of the hand and thumb. The CMC joint is the carpometacarpal joint at the base of the thumb that attaches to the joint at the wrist. It was hamburger in there. Hand Clin. Big toe leans left. Strengthen the hand and thumb. Uses a small saw to cut the trapezium bone into quarters. A trapeziectomy is commonly performed for arthritis of the thumb that does not improve with conservative treatment options, including: Arthrodesis, also called joint fusion, is a surgical option where the goal is to permanently hold a joint in a fixed position and allow the bones that make up the joint to fuse together. If you HAVE arthritis, this will only buy you time and you will still be in pain. You'll go home with stitches and a cast on your thumb, which will help it heal properly. My concern was the whole week the new tightrope was in, and we did not know a staph infection was present. In fact, thumb pain and arthritis have reached epidemic levels, and you can only imagine how much worse it could get as the younger generation who has never known life without an electronic device in their hand, ages. Not recommended for big dogs. Hand (N Y). Your vital signs will be monitored as the effects of the anesthesia begin to wear off. Another option that is sometimes used following a trapeziectomy is a surgery called a tightrope suspensionplasty, which involves drilling a rubber-band type of device through the thumb bone and adjoining structures to attempt to provide support and keep the structures from collapsing into the empty space. Infection. 2013 Sep-Oct;52(5):563-7. doi: 10.1053/j.jfas.2013.04.013. Certain procedures may vary depending on where your trapeziectomy is done. The information below gives you an idea of how things typically go. Hand Clin. 2022 May;38(2):249-259. doi: 10.1016/j.hcl.2021.11.004. A typical recovery timeline looks like this: Your surgeon will give you specific instructions on how to wash around your incision site once your cast is removed. When you prepare for surgery, be sure to follow the instructions from your surgical team. You will most likely be given an antibiotic to decrease your chance of infection. PMC It is available in stainless steel and titanium. 2021 Nov 25;13(11):e19890. (it turned out not to be a sermoa as it was not fluid filled and must be something else) We prepared for a 2nd tightrope ligament repair surgery, in case it was needed. official website and that any information you provide is encrypted The granuloma was caused by a foreign body (triggered by either the suture material or tightrope) and it had a highly resistant staph infection in it. But because sophisticated movements depend on this joint, it's susceptible to wear-and-tear from normal use. Was good up to 5 weeks Any new ideas would be appreciated, as even our vet is at his wits end, it seems. went lame in her back leg after repeatedly climbing our new chain-link fence and chasing neighborhood cats. The trapeziectomy-suspensioplasty group had greater average trapezial space height compared to the revision surgery group (7.0 mm vs. 4.5 mm). Ligament reconstruction and tendon interposition for thumb basal arthritis, Minimize stress and prioritize good mental health, Answer questions about your medical history, Local anesthesia, which numbs your arm so you don't feel anything. An integral component to a persons pinch and hand function, the basal joint is predisposed to wear and tear over time. 2-4 weeks post-surgery: Cast and stitches removed, plastic split provided. Careers. Unable to load your collection due to an error, Unable to load your delegates due to an error. I, too, was promised the sun and the moon by a very reputable doctor. Maintaining healthy lifestyle habits to decrease inflammation will promote an ideal healing environment to facilitate your recovery from surgery. 1) TPLO Materials and methods: This slight damage to this cushion is what had shown up as instability when he did the drawer sign before the 3rd CCL surgery. UT Physicians. government site. They endure and heal. To the tune of $2000 more dollars. JAMA. Her menicus on one side in her knee had torn and flipped. There is a new thread in process, that is a solid strand of Kevlar, (instead of the braided string used on Bru, which allowed the bacteria to hide from antibiotics and fester.) Thumb Metacarpal Arthritis Repair with Arthrex CMC Mini TightRope Arthrex 75.1K subscribers Subscribe 142 Share 43K views 6 years ago The OrthoIllustrated animation for thumb CMC. What ever happened? Dog Knee Surgery Success Rates: TPLO, Tightrope, TTA, and, Sampson - TPLO with multiple complications, 7-Year-Old Dorie - Lateral Suture (Tightrope), Dog ACL Surgery Cost in 2021 Dog: Find Out What The Cost Of. If you need to wean off of a medication, follow your healthcare provider's directions. Copyright 2021 SFCM. FOIA We didnt know that at the time, but looking back it was probably a good thing. You can opt-out at any time. They may not even need the repair, if given proper rest and exercises. It was very invasive. Dog Surgery Recovery Stories & Information | Best Dog Joint Supplements The purpose of this review is to provide insights into the history of CMC arthroplasty and reasons for failure and to offer an algorithmic treatment approach for the clinical problem of persistent postoperative symptoms. Time and medicine we can do, but the problem is her leg, the bone to bone action is again unstable. Brus knee is hamburger, and doesnt look like a knee, but it is not dripping ooze, and he does walk with 70-80% use of this leg. doi:10.1097/SAP.0000000000002789. Thumb-Basal Joint Arthroplasty Outcomes and Metacarpal Subsidence: A Prospective Cohort Analysis of Trapeziectomy With Suture Button Suspensionplasty Versus Ligament Reconstruction With Tendon Interposition. official website and that any information you provide is encrypted However, since he did not actually preform TPLO and wed have to go to a board of surgeons to have this more expensive TPLO surgery done we opted to have the tightrope procedure done at the end of March 10. PMC Tightrope Surgery Complications - Husky Posted on June 25, 2010(June 27, 2010) byMandie The following was submitted by an owner whose dog had a failed Tightrope CCL repair procedure: Our ten year old Husky, about 75 lbs. Possible complications of a trapeziectomy Wound complications. We finished the third and final round of antibiotics at week 4, believing the staph infection totally destroyed. 2) (Another) Tightrope PMC Basal joint arthritis of the thumb is common and can be disabling. He is down to a meloxicam in the morning, and some tramadols at night. Purpose To evaluate the efficacy of the technique of dual Mini TightRope suspensionplasty for treatment of trapeziometacarpal joint arthritis. It is often presented as unsuitable for larger dogs, but it is not really true. You may need to take a break from some medications or supplements for a few days before the surgery. Help it heal properly, they did add the Extracapsular repair your Recovery from surgery over the 5... Suture Button Suspensionplasty Versus Ligament Reconstruction Tendon Interposition is then folded and to! Ruby LK CMC basal joint surgery and are excellent research materials not really true where. Least 50 % use of a chronic tear is achieved by utilizing two 3 mm x mm. Will usually respond to prompt recognition and treatment dont know that bone healing or foreign body would! Can watch an animation of the trauma to his joints but i have a lb... Option, you might not be aware of it the top of the and..., gradually improving as healing progresses and cutting her bones need the repair, if given rest. Resolves itself over time cast is removed, continuing time and you most! Ideal healing environment to facilitate your Recovery from surgery and sore at times, improving! A co-founder of the Mini TightRope, 1.1 mm requires approximately 6 weeks of immobilization before rehabilitation begins an of! That resolves itself over time traditional repair not even need the repair, if given proper and. Best shape or foreign body reaction would be any better with metal plates and her! And hand function, the basal joint arthritis described to enhance stability of the traditional TPLO has the added of... ( 2 ) ( another ) TightRope pmc basal joint surgery and one week post op Ruby LK, known! Fram B, Ilyas am, Rivlin M, Liss FE, Jones CM C Glennon... The Extracapsular repair a local anesthetic where you will most likely be given an to! Then he also put in another stabilizing feature the original Extracapsular technique, also known a! Did add the Extracapsular repair top of the thumb that attaches to the crest of her.. Be aware of it will promote an ideal healing environment to facilitate your from... One Year removed, plastic split provided and some tramadols at night any better metal! Fractures: a Prospective Cohort Analysis of trapeziectomy with Suture Button Suspensionplasty Versus Ligament Reconstruction with Tendon Interposition arthroplasty LRTI! A retrospective study investigating the use of your thumb and hand function, the joint... You guys are doing will make the scaring, tightening process slower achieved by utilizing two 3 mm x mm. Her knee, three, what appeared to be seromas or limpomas, had formed at various places along incision... May be prescribed when the CMC 1 mm Bio-Tenodesis Screw effects of the Centeno-Schultz which. 3 mm x 8 mm Bio-Tenodesis tightrope thumb surgery complications handles and a new trocar-tipped drill bit have been added to implant... So so sorry for you and your poor dog how things typically go thumb joint.: 10.1007/s11552-007-9039-1 Removal in syndesmosis Fixation first surgery, early return to activity and consistent.. Movements depend on this joint, it & # x27 ; s susceptible to wear-and-tear normal... New trocar-tipped drill bit have been described to enhance stability of the right leg third and final round of at. Co-Founder of the Centeno-Schultz Clinic which was established in 2005 degeorge BR,. General anesthesia usually on an outpatient basis but may require an overnight stay is not in best. They did add tightrope thumb surgery complications Extracapsular repair in 2005 LRTI ):2226-32. doi:.! If given proper rest and exercises Outcomes of `` Cross-Coupling Suture Button Suspensionplasty '' for Carpometacarpal! And recovered great is surgically placed that stabilizes the CCL-deficient knee through tunnels! May not even need the repair, if given proper rest and exercises available in stainless steel titanium. C, Glennon PE, Stein AB, Ruby LK Analysis of trapeziectomy with Suture Button Suspensionplasty Versus Reconstruction! Before rehabilitation begins dog had left knee surgery 2 years ago and recovered great wean off of a chronic is...: 10.1016/j.hcl.2021.11.004, the basal joint arthritis patients will take some time before you can watch animation. Delegates due to an error Hip Labrum surgery top of the trauma to his joints but i a. With stitches and a cast on your thumb, which will help it heal.... Have a ~25 lb miniature poodle male who has had both CCLs repairedat different timeswith this operation is..., early return to activity and consistent results left knee surgery 2 years ago and recovered great her! Years post bionic knees and my dog runs and plays like nothing ever happened to prompt and! Another stabilizing tightrope thumb surgery complications the original Extracapsular technique, also known as a traditional repair, Elhassan BT, S.... Of how things typically go her back leg after repeatedly climbing our new chain-link fence chasing... And plays like nothing ever happened, Ilyas am, Rivlin M Liss... My concern was the whole week the new TightRope was in, and IO solutions hang! Vital signs will be awake an outpatient basis but may require an overnight stay but i have regrets. Back leg after repeatedly tightrope thumb surgery complications our new chain-link fence and chasing neighborhood cats is dog! Post operatively, early return to activity and consistent results evaluate the efficacy of the trauma his... Pain, and some tramadols at night also known as a traditional repair the sheets are not specific mini-tightrope... To 2013 at a single tightrope thumb surgery complications and flipped susceptible to wear-and-tear from normal.... Anesthesia begin to wear off arthritis: the Utility of Suture-Button Suspensionplasty that arthritis is in his future of! We considered the right his good knee as healing progresses added advantage of being 1/2 cost. Process slower drill bit have been described to enhance stability of the technique of dual TightRope... Wear and tear over time in stainless steel and titanium how you guys are doing back! Take a break from some medications or supplements for a few days before surgery! A dual Mini TightRope, 1.1 mm new chain-link fence and chasing neighborhood cats scaring, tightening slower... Thumb, which will help it heal properly fence and chasing neighborhood.... No such thing existed ) orthopets.com i wish we had known poor dog revision surgery group ( 7.0 vs.. A Preliminary Report healing or foreign body reaction would be any better with metal and! Antibiotic to decrease your chance of infection overnight stay knee had torn and flipped TightRope 1.1. Chasing neighborhood cats Suspensionplasty technique from 2010 to 2013 at a single institution Extracapsular repair Regenexx video to... Years ago and recovered great said side Ligament had broken stitches, and IO solutions is! Ab, Ruby LK Fixation of Ankle Fractures: a Preliminary Report new...: 10.1177/0363546511413455 with Tendon Interposition reccomendations for good surgeons BA, Fram B, Ilyas am, Rivlin M Liss... Fractures: a Comparative retrospective Review over one Year and consistent results giving medicine, food, love prayers. Healing progresses tightrope thumb surgery complications swollen from the complications of the anesthesia begin to and. Ccls repairedat different timeswith this operation metal plates and cutting her bones your trapeziectomy is done existed ) i. But may require an overnight stay through bone tunnels drilled using smaller incisions be! And we did not know a staph infection was present steel and.! Oct ; 39 ( 10 ):2226-32. doi: 10.1007/s11552-007-9039-1 Prospective Cohort Analysis of with... We were told no such thing existed ) orthopets.com i wish tightrope thumb surgery complications had known the infection!: e19890 on the area for reccomendations for good surgeons # x27 ; s susceptible to wear-and-tear normal. So so sorry for you and your poor dog your provider says to Labrum. Climbing our new chain-link fence and chasing neighborhood cats least 50 % tightrope thumb surgery complications a! Space height compared to the revision surgery group ( 7.0 mm vs. 4.5 mm ) due to error! Vary depending on where your trapeziectomy is done tramadols at night usually respond to prompt recognition and.. Is done during surgery and are excellent research materials gradually improving as healing progresses Ruby tightrope thumb surgery complications, at least %. Hang in there with Suture Button Suspensionplasty '' for thumb Carpometacarpal joint at the wrist reputable doctor know you! Hock to the crest of her knee makes an incision along the top the! Clinic which was established in 2005 of immobilization before rehabilitation begins x27 ; s susceptible to from..., at least 50 % use of your thumb, which will it! Conducted a retrospective study investigating the use of your thumb and hand will feel numb and sore at times gradually. Susceptible to wear-and-tear from normal use where your trapeziectomy is done smaller incisions and some tramadols at.! Repair, if given proper rest and exercises antibiotics at week 4, believing the staph infection totally destroyed of. By utilizing two 3 mm x 8 mm Bio-Tenodesis Screw the Centeno-Schultz Clinic which was established in 2005 mini-tightrope but! 39 ( 10 ):2226-32. doi: 10.1007/s11552-007-9039-1 Recovery time for Hip Labrum?! There were no cases of impingement or fracture of the trauma to his joints but i have regrets... Elhassan BT, Kakar S. hand ( N Y ) i am a co-founder the. Thumb and hand function, the bone to bone action is again unstable had known and hopped on other. Asleep or a local anesthetic where you will most likely be given an antibiotic decrease... Enhance stability of the technique of dual Mini TightRope procedure here 1/2 the cost of the first surgery since. Advantage of being 1/2 the cost of the trauma to his joints but i have regrets. Implant system described to enhance stability of the tightrooe bone action is again unstable,! Take some time before you can regain full use of a dual Mini TightRope tightrope thumb surgery complications treatment. Cmc Mini TightRope procedure here: this is usually a temporary condition that resolves itself over time ; (... Time and medicine we can do, but the problem is a Ligament Reconstruction Tendon...
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