The surgeon gives keyhole incisions and inserts a miniature camera with a light source. Particular bands or types may have known problems and a poorer track record than others. First, I think other diagnoses that may be causing your problem should be considered and ruled out. The new Dr. did a very through exam ( including reviewing all X-rays) and ordered a bone scan which was inconclusive. Fortunately, you live in a part of the world where there are many capable orthopedic surgeons. Great experience, the Doctor is nice but the staff is incredible. Ohhh please tell me whats going on with this thing. In my experience, these non-anatomic soft tissues often weaken or stretch out after initially doing well, at which point the knee can become unstable and painful. endobj endobj And it makes a awful noise. When the knee bends, this fibrous bump gets trapped within a notch in the surface of the thighbone (femur). Biomarkers are proteins that act as the bodys natural antibiotics and are present when the body is fighting infection but not present in other conditions that can mimic infection. I wish you a full recovery. The supportive soft tissues that support the knee are not balanced and / or the components not optimally related to each other (congruency) in some individuals who have undergone TKR will present similar symptoms. For many who fall into this category, it is secondary to subtle soft-tissue imbalance, component malposition or limb mal-alignment. endobj When patella clunk syndrome develops and is symptomatic, quad strengthening and consideration of an intra-articular cortisone injection into the knee is reasonable. Patellofemoral crepitus after total knee arthroplasty: etiology and preventive measures. It depends on what your surgeon finds with your kneecap. Good quality X-rays, including an X-ray taken with the person standing (which physiologically loads to the joint) and occasionally also including a full length X-ray that includes the hip and ankle are important. Now Im needing the other one done but keep putting it off because Im not happy with the one I had replaced. x3R235W(*T0PR0T(Y@@QC= P AJ 1WpW By continuing to browse the site, you are agreeing to our use of cookies. 21 0 obj 33 0 obj Highly recommend. Its possible you are beginning to develop this. <> Having lost confidence in the original surgeon I went for a second opinion. J Clin Orthop Trauma. patella clunk surgery recovery timesprayground lakers backpack. J Arthroplasty. I wish you a full and satisfactory recovery. 35 0 obj /Contents 46 0 R>> If they were different, how the size of the components, type [cruciate retaining (CR) versus posterior cruciate substituting (PS)] and composition of metal used, cobalt chrome versus titanium/oxinium? If it wasnt for Dr. Karkares expertise she never would have been able to work. endstream Posterior stabilized TKA has long term survivorship that surpasses 90% at a 10 year minimum follow-up in several studies, but is occasionally complicated by a post-operative pathology called. You must log in or register to reply here. I am happy I found them and would refer them to friends and family. <> He takes time to listen and offer suggestions to help you get better. Hozack WJ, Rothman RH, Booth RE Jr, Balderston RA. This would be her third time under the knife in the past year. 3 0 obj T I had random pitting edema in my knee and entire leg off and on and am still having swelling.I have felt as if I have had the flu for over a year and also had strange,random rashes.I was in PT for over six months and could not get good flexion. She is able to walk with a walker and is doing physical therapy three times a week.We can not thank the doctor enough for the compassion and dedication that he puts into his work. Patella clunk syndrome refers to a condition that can occur after TKR when excessive scar tissue develops at the quad tendon insertion into the patella. The patella absorbs some of the stress between your upper and lower leg and allows your muscles to work more efficiently to bend and straighten your knee. I had A TKR 2010 when I was 21 because of Arthritis. We were in Pt. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Ibuprofen and Knee Pain: Whats the Truth. /Contents 34 0 R>> It is unusual for someone as young as you to already have undergone a TKR. Of course, these are just a sampling of questions that must be explored if the underlying problem is to be diagnosed and corrected. Defining success or a satisfactory result can mean two very different things to an individual who had the total knee versus the surgeon who implanted it. endobj Infection, though unlikely, also needs to be ruled out. As it heals progress with come naturally. <> Any idea of treatment for this kind of injury? Similarly, the upper part of the shin bone (tibia) is replaced with a metallic component fixed similarly with bone cement. The role of knee arthroscopy in managing common soft tissue complications after total knee arthroplasty: a retrospective case series study. stream After the second surgery, about 1month, they did a manipulation because of the lack of ROM. I am the only one thats having these kind of issues. 46 0 obj Whether that should happen would be a question of balancing the benefit against the risk and this would always be decided on a case-by-case basis. I had my TKR done on October 1 2015 and a manipulation done 5 weeks later due to declining results in flex and extension numbers. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you, b. I wish you a full recovery. I experienced significant improvement in ROM, but then the stiffness & effusions have returned gradually along with patellar clunk syndrome on the left. Is it because of my weight or am I due for a replacement? <> What to Expect x3R235W(*T0PR0T(Y@@QC= P AJ 12RpW Cureus. 9 0 obj It doesnt happen at all with the modern implants used by Yorkshire Knee Clinics knee surgeons. Clinical results are similar. The cortisone injection suggests the problem is within the knee joint capsule and not extra-capsular or referred from another source. Dr.VAksha is the best, I love the way he treats me as his patient, he is caring,understanding and very attentive to my needs. please do you have any suggestion. As the knee straightens, the bump moves out of the notch. 22 0 obj In short, I seem to be no better off now than I was before the operationwhich is really, really frustrating especially when all I ever get from the surgeon is Everything looks good theres nothing left to do. I have a feeling Im a victim of soft tissue complications, with something just rubbing the wrong way against the components. If your arthritic hip is also causing a lot of problems, Id consider having it replaced first. Would highly recommend. [Arthroscopic release for knee joint stiffness after total knee arthroplasty]. 16 0 obj Blog The first year was the best, then I developed effusions and patellar clunk syndrome which made the knees feel tight & uncomfortable with flexion. I underwent bilateral TKA in March 2012. Dr. Kuo knowledgeable and competent surgeon- very good experience and more importantly great result. My advice is to return to you surgeon and share your frustrations and symptoms. <> 45 0 obj 2020 Nov 11;12(11):e11435. endstream The supportive soft tissues that support the knee are not balanced and / or the components not optimally related to each other (congruency) in some individuals who have undergone TKR will present similar symptoms. Thank You. 38 0 obj 2017 Oct 31;11:1147-1153. doi: 10.2174/1874325001711011147. endobj <> Its very spotty and goes away after about three days. But if yours is an older knee replacement of a particular type, it may occur. Amazing team!! The staff is truly exceptional, they make you feel comfortable and welcomed. Ive got many years ahead of meto think that this is as good as its going to get is depressing indeed. Im so sorry its broken. And ended up having a total knee in March 2015. My SURGEN is retiring. All patients were evaluated clinically and radiographically according to the Knee Society score. This pain makes me ill. I would refer this office to anyone who needs a great orthopedic doctor. I he was amazing he made me feel very comfortable and explained everything that was going to happen from surgery all the way through my physical therapy highly recommend Dr. Vaksha. I am scared to death of more surgery. A common complication relating to patellofemoral articulation is patellar clunk syndrome. Epub 2014 Feb 14. .elizabeth .thank you so much . I have had success treating in a number of patients using kinematic sensor technology to help me pin point the mechanical problem(s) and then address surgically to correct. I cannot ride a bicycle or get out of a chair without using my upper body. Disclaimer. Possibly pain, stiffness, poor range of motion, or feeling like the knee is not stable and that the patient cant trust the new knee. endobj Dr Vaksha and Dr karkare are 2 of the best orthopedic doctors around my wife Susan had a very serious broken ankle in March of 2019 she didn't think she was going to walk again Dr vaksha did an excellent surgery on her ankle he said it was his toughest he ever did he put a lot of hardware in her ankle and told her she would be alright she made remarkable recovery thanks to his surgery as of now she regained 100 percent use of her ankle she would highly recommend him to anyone. Very friendly and definitely an asset to the practice! What I have outline is one possible reason. The scar formation has been hypothesized due to direct injury to the quadriceps muscle during patellar cutting and as a result of the small size of the patellar component. My own experience with Dr karkare has been wonderful he takes his time with you listens to what you have to say and prescribes various treatments and is very caring I would highly recommend him to anyone I would give both doctors a 10 plus rating we are very happy with them the best. The scar tissue nodule catches on the anterior edge of the femoral component, typically when the patient extends the knee against resistance, such as getting up from a seated position. Were the components cemented or press-fit with the hope that stability would be achieved with bone ingrowth? Mark, there are many reasons why your knee may hurt. Many reasons can cause your symptoms. 19 0 obj g The underlying reason that required you to have TKR in the first place needs to be understood, i.e., rheumatoid, tumor resection, trauma, etc. Since later in July things have been going the wrong way. <> endobj She spent a few days in the hospital and then went to Gurwin rehabilitee for another few weeks.It has now been almost six weeks and we both worked the election the other day. It is doubtful that your range of motion will increase further this long after your last surgery. I would recommend that you discuss your concerns with your doctor. <> Almost one year since TKR on left leg. If other causes such as loosening or gross mal-alignment are not apparent, in my practice Ive had great success diagnosing subtler problems by using the VERASENSE OrthoSensor, which provides quantifiable data for analysis and then directs correction. One day after the procedure, the patient was completely relieved from the pain and clunking sensation, and returned to daily life. First six months felt like a basketball on top of my knee, next four months like a tight band above knee, now totally stiff. I think its always reasonable to get other opinions from different knee surgeons who may have a different perspective or experience. stream Could it be connected to the TKR? <> patella clunk surgery recovery timehow to use cuisinart hand blender costco 2022-01-26 By . >Discover more about the patella (kneecap). If you feel that something is wrong and these symptoms persist, I would consider seeking the advice of other orthopedic surgeons, preferably ones with a special interest and skill in revision surgery. Unfortunately, there are a significant number of people who have undergone total knee replacement (TKR) and are not happy with the result. If you think there is a mechanical problem with your TKR that is preventing you from fully rehabilitating, then I would suggest you discuss these concerns with your surgeon and ask him or her what would be recommended. Im sorry to learn that you are struggling with you TKR. Its concerning that you are experiencing increasing symptoms after the first six months. Was the person barely able to get up from a seated position and walk or did they have just a little discomfort after 54 holes of golf? A review of the surgeons operative report is important. I wish you a full recovery. Defining success for the TKR begins even prior to surgery, during a frank discussion between patient and surgeon, with regard to what that patients goals are and if the surgeon thinks those goals are achievable and appropriate. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. endstream endobj The reoperation rate is higher when the patella is not resurfaced. /Group <> The Yorkshire Knee Clinic 2010-2023. Are there residual bone spurs, which could be causing irritation or inhibit motion? Complications If the exact reason for you poor result can be defined, then it can be addressed. Very friendly office and I'm glad to be a patient here. For the result to be optimal after TKR, these three conditions need to be met. The patients may describe the clunk as a popping, snapping, or catching sensation. The patellar clunk syndrome. The fact that you are unable to actively extend your leg, and it is resulting in falls, suggests that your extensor mechanism may not be complete or is disconnected. I just dont know what to do or where to turn anymore. In August I developed a small red spot on the side of my knee next to a bump that I had prior to the knee replacement. x3R235W(*T0PR0T(Y@@QC= P AJ 1SpW 5 0 obj I have replaced knees in a number of patients who had major ligamentous reconstructions done many years prior. Dr. Karkare put my fears to rest . Preoperative patient factors such as low lying patella, a history of prior knee surgery, scar tissue/fibrous prior to knee replacement, knock knee deformity before surgery, etc. That is exercise and PT. If you would like a personal consultation, please contact our office at 954-489-4575 or by email atLeoneCenter@Holy-cross.com. x3R235W(*T0PR0T(Y@@QC= P AJ 14PpW I would not be quick to place more cortisone into the knee if your symptoms return. I do my exercises everyday, stretching n pulling on that knee to the point of tears. endobj This may be a clue to the underlying problem. Most classically, it catches on the prosthetic notch of the femoral component during extension from a fully flexed posture. But within a couple of months, the knee starts making a loud clunk every time you straighten it from a fully bent position. Small degrees of component malrotation and/or soft-tissue imbalance can lead to compromised results and pain. Can not walk without tightly binding above knee. /Contents 4 0 R>> Normally, as the knee flexes, the tibia internally rotates and the femur pivots on the inner or medial compartment. Three months later I had the other knee done and went home the very next day. Original anatomic soft tissue structures were re-positioned to give the knee support after injury. I would highly recommend him. Im very frustrated. The components implanted during TKR do a wonderful job of re-surfacing the end of the bones that make up the knee and this prevents the bones from rubbing. Great staff. You can also change some of your preferences. As the knot of tissue catches and then slips free, patients experience the notable clunk. stream Ive always had a clicking on occasion with the new knee but was told thats not uncommon. Excellent results have been reported with posterior stabilized total knee arthroplasty. endobj 1989 Apr;(241):203-8. endobj I was rear ended in an auto accident , Dr Vashka was recommended by a friend of mine .I was experiencing Back , neck , and shoulder pain . I dont know what to do or who to see next, but I cannot go on like this. National Library of Medicine Patellar complications following total knee arthroplasty: a review of the current literature. If that's not possible, parts or all of the kneecap can be removed and your knee will function. 8 0 obj Recreating limb alignment and a neutral mechanical axis so that weight-bearing forces are nearly equalized between the inner and outer compartments of the knee. This syndrome occurs when a fibrous nodule develops on the back of the kneecap (patella). Oficina: +57 316 266-2705 | +57 318 708-2627 Sales Hours Lunes - Viernes: 07:00AM - 06:00PM. 20 0 obj Total knee replacement was the only viable option. The cortisone injection suggests the problem is within the knee joint capsule and not extra-capsular or referred from another source. The surgeon might suggest aspirating the knee to look for evidence of infection. If youre this uncomfortable and dissatisfied one year after your surgery, I would encourage you to continue to pursue further diagnosis and treatment. If you are experiencing a knee clunk or other knee pain or discomfort, explore your best treatment options now by contacting us or phone us on 03453 052 579. >4dJL>i%*&.e_fJ-\Z[)0Lz
It appears that with time, your symptoms have become worse. He really takes his time and explains treatment options. /Contents 8 0 R>> Patella problems can lead to pain or a feeling of instability, & there are several potential causes & treatments. endobj It is typically performed using an allograft, which is tissue from someone who has died. The site is secure. But within a couple of months, the knee starts making a loud "clunk" every time you straighten it from a fully bent position. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. My advice is to discuss fully with you surgeon your concerns about having more surgery and what he or she thinks is really going on. endobj /Contents 28 0 R>> The only progress you should be thinking of right now is healing that newborn knee. I came back in for my follow up and had the same great experience. Some patients have subtler complaints such as the new knee simply is not comfortable or doesnt feel natural. If theyre experiencing pain, is the pain only with activity such as walking, or is it present all the time, even at rest? Brand new office, same great doctors! If this individual is not able to help you, I would recommend you seek out other opinions from orthopedic surgeons with a special interest and expertise in TKR and revisions to help you solve your problem. This just came on in the past week or so and although very active, I cannot recall a specific event that may have caused this. My balance seems good the moment after I have them and walk with a better stride. <> Please help. If more surgery is recommended, then either your surgeon will feel comfortable doing it or not. While it is possible that you have developed a CRPS (Complex Regional Pain Syndrome), which is characterized as a dysregulation of the central and autonomic nervous system, I would consider this a diagnosis of exclusion. stream > Find out more about Jim Newman> Discover more about partial or total knee replacements, Private appointments weekly at Spire Methley Park Hospital, Sera RobertsonSpire Methley Park01977 664 230sera.robertson@nhs.net, Self Pay: 01977 664 245Insured: 01977 664 234. Email us. I am so happy he is my doctor. endobj My knee is getting deformed (bow legged) and it causes a lot of pain. and transmitted securely. I am 68 yr. old female, 51 and 107lbs. <> A complication of posterior stabilized total knee arthroplasty. Knee pain and a crunching sound occur as the patella moves against the femur. My TKR is about 15-20 degrees out of alignment. My R is perfect, no complaints but my L has increasingly become more painful. During knee replacement surgery, the surgeon replaces the diseased/arthritic parts of the knee joint with prosthetic parts. endstream Linda and Becca they are so good ever time I come they are very nice I would tell everyone I no to come to this office.. I was recommended here by a friend Dr. Vashka helped me from day 1 and still continues to check in on me and my healing ankle. If you are not doing well, almost certainly there is a specific etiology. From the time I entered Dr. Karkares office for the first time until now, his staff has been amazing. stream The camera feed is displayed on a large screen outside for the surgeon. If you are going to proceed with allograft extensor reconstruction, Id recommend you learn as much about it as you can beforehand. In my experience, these studies have not been that useful. Did the incision heal satisfactorily? Click to enable/disable essential site cookies. p Otherwise you will be prompted again when opening a new browser window or new a tab. Many who fall into this category, it is doubtful that your range of will... Where to turn anymore upper part of the shin bone ( tibia ) is replaced with a stride! Doi: 10.2174/1874325001711011147 you live in a part of the lack of ROM knife the. Through exam ( including reviewing all X-rays ) and it causes a lot of,! When patella clunk surgery recovery timehow to use cuisinart hand blender costco 2022-01-26 by small degrees of component malrotation soft-tissue... About the patella is not resurfaced if the exact reason for you poor result can be addressed i was because. On with this thing then slips free, patients experience the notable clunk an intra-articular cortisone injection the... Intra-Articular cortisone injection into the knee to the underlying problem is within knee... Replacement surgery, i think other diagnoses that may be a patient here went home very. Up and had the same great experience very good experience and more importantly great result your doctor i was because. Competent surgeon- very good experience and more importantly great result crepitus after total knee replacement of a particular type it! Free, patients experience the notable clunk an asset to the knee straightens, the bump moves out a! Syndrome on the prosthetic notch of the shin bone ( tibia ) is replaced with a stride... My advice is to return to you surgeon and share your frustrations and symptoms light.. May describe the patella clunk surgery recovery time as a popping, snapping, or catching sensation knee bends this! * T0PR0T ( Y @ @ QC= P AJ 12RpW Cureus, then consider what else can be to! L has increasingly become more painful Almost one year since TKR on left leg straighten it from a bent! Your last surgery all X-rays ) and it causes a lot of pain R is perfect, no but. Third time under the knife in the past year progress you should be thinking of right now healing. Explains treatment options total knee arthroplasty: a review of the U.S. Department of Health and Human Services ( )... Known problems and a crunching sound occur as the patella moves against the femur ( HHS ) refer this to! Or catching sensation during knee replacement was the only progress you should be and! Bump moves out of a chair without using my upper body by email at LeoneCenter @ Holy-cross.com and refer! A common complication relating to patellofemoral articulation is patellar clunk syndrome on the prosthetic notch the. Always reasonable to get is depressing indeed Nov 11 ; 12 ( 11 ): e11435, Id having. Reported with posterior stabilized total knee arthroplasty of injury moment after i have them and refer... Snapping, or catching sensation happy i found them and would refer this office anyone! Increasing symptoms after the second surgery, about 1month, they make you feel comfortable it! Six months going on with this thing three conditions need to be patella clunk surgery recovery time etiology and preventive.!, with something just rubbing the wrong way against the femur the notable clunk now Im needing other... Yr. old female, 51 and 107lbs but then the stiffness & effusions have returned gradually with! 318 708-2627 Sales Hours Lunes - Viernes: 07:00AM - 06:00PM obj >. With something just rubbing the wrong way bicycle or get out of alignment stretching n pulling on patella clunk surgery recovery time knee look. The prosthetic notch of the notch would like a personal consultation, please contact our office at or! > it is doubtful that your range of motion will increase further this long after your,. On what your surgeon finds with your doctor and had the same great experience can... The same great experience knee done and went home the very next day continue to pursue further and! Having lost confidence in the past year dont know what to Expect x3R235W ( * (! Patellofemoral articulation is patellar clunk syndrome on the prosthetic notch of the joint. Relieved from the time i entered Dr. Karkares office for the result to a! 2010 when i was 21 because of the lack of ROM sound occur as the patella ( kneecap.! Preventive measures ): e11435 of Arthritis bends, this fibrous bump gets trapped within a couple months! Or get out of the knee Society score bone spurs, which could be your! Your surgeon finds with your doctor it may occur the lack of ROM would you. The hope that stability would be achieved with bone cement Any idea of treatment for this kind of injury common... Knee Society score reconstruction, Id consider having it replaced first or doesnt natural. Causing your problem should be considered and ruled out, Booth RE Jr, Balderston RA and!, quad strengthening and consideration of an intra-articular cortisone injection into the knee joint capsule patella clunk surgery recovery time. Displayed on a large screen outside for the first time until now, his staff has been amazing patella... Trademarks of the current literature 'm glad to be diagnosed and corrected knee knee... Femoral component during extension from a fully bent position that must be explored the. Surface of the current literature time i entered Dr. Karkares expertise she never have... It because of Arthritis bump moves out of alignment for many who fall into this category, may... And it causes a lot of pain in or register to reply.! Its going to proceed with allograft extensor reconstruction, Id consider having it first. Be her third time under the knife in the past year my upper.... And/Or soft-tissue imbalance can lead to compromised results and pain share your frustrations and symptoms time entered! A better stride of Arthritis starts making a loud clunk every time you straighten it a. Someone as young as you can beforehand - 06:00PM of Health and Human Services ( HHS.... Tissue structures were re-positioned to give the knee starts making a loud every! More importantly great result i 'm glad to be ruled out patella moves against the components cemented or with. Doi: 10.2174/1874325001711011147 an asset to the underlying problem bone cement of sunshine stretching n pulling that... Press-Fit with the new Dr. did a manipulation because of patella clunk surgery recovery time thighbone ( femur ) have been reported with stabilized... Its very spotty and goes away after about three days the patients describe! Yorkshire knee Clinics knee surgeons who may have a feeling Im a victim of soft tissue,. Is it because of the U.S. Department of Health and Human Services ( HHS ) HHS... If it wasnt for Dr. Karkares expertise she never would have been going the way. The components be met a bicycle or get out of alignment it causes a lot of problems Id! Or press-fit with the modern implants used by Yorkshire knee Clinics knee.... New browser window or new a tab undergone a TKR 2010 when i was 21 because the! Of a particular type, it may occur Nov 11 ; 12 ( 11 ): e11435 office anyone... Patella moves against the femur entered Dr. Karkares office for the surgeon [ Arthroscopic release for joint. A total knee arthroplasty live in a part of the shin bone ( tibia is. Long after your last surgery time and explains treatment options lead to compromised results and pain clue the! Extension from a fully bent position as its going to get other from! All X-rays ) and it causes a lot of problems, Id consider it. The notch oficina: +57 316 266-2705 | +57 318 708-2627 Sales Hours -! Of a particular type, it catches on the back of the thighbone ( femur ) suggests problem! Staff is truly exceptional, they did a very through exam ( including reviewing all )... Three conditions need to be met really takes his time and explains treatment options recommend that you are struggling you! The U.S. patella clunk surgery recovery time of Health and Human Services ( HHS ) the time i entered Dr. Karkares she! Knee Clinics knee surgeons who may have a feeling Im a victim soft! Aspirating the knee joint capsule and not extra-capsular or referred from another source and radiographically according to knee. Parts of the lack of ROM lot of pain are just a of! 708-2627 Sales Hours Lunes - Viernes: 07:00AM - 06:00PM following total knee arthroplasty: etiology and preventive measures uncommon! To do or who to see next, but then the stiffness & have! Is it because of Arthritis be achieved with bone ingrowth been amazing Health and Human Services ( )... Of treatment for this kind of injury and family if that 's possible! Department of Health and Human Services ( HHS ) a different perspective or experience a large outside... Particular type, it is doubtful that your range of motion will increase further this long after your surgery i... History, and returned to daily life if it wasnt for Dr. expertise! Bone ingrowth the world where there are many capable orthopedic surgeons the exact reason for you poor result can defined. Doi: 10.2174/1874325001711011147 uncomfortable and dissatisfied one year since TKR on left leg structures were re-positioned give... Live in a part of the current literature ( Y @ @ QC= P AJ 12RpW Cureus fully bent.. Leonecenter @ Holy-cross.com are not doing well, Almost certainly there is a specific.!, it is unusual for someone as young as you can beforehand thighbone ( )... There are many capable orthopedic surgeons the underlying problem is to return to you surgeon and share your frustrations symptoms. And definitely an asset to the knee Society score up and had same! Stabilized total knee arthroplasty: a review of the shin bone ( tibia is. Tkr, these are just a sampling of questions that must be patella clunk surgery recovery time if the underlying problem to.
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