3. Acute fractures treated non-operatively had a union rate of 76 % (pooled), whereas in fractures treated with a screw it was 96 % (pooled). All patients had healed radiographically by 11 weeks postoperatively. Fifth metatarsal bone? Coding, coverage and reimbursement information. An official website of the United States government. Does anyone have experience similar to this or know what it costs to have this type of a screw removed? Should runners change their foot strike pattern? Foot Ankle Int20: 560-563,1999. Federal government websites often end in .gov or .mil. One screw (14.29%) required removal because of irritation. Am J Sports Med. Accessibility Lateral foot pain following open reduction and internal fixation of the fracture of the fifth metatarsal tubercle: treated by arthroscopic arthrolysis and endoscopic tenolysis. HHS Vulnerability Disclosure, Help Would you like email updates of new search results? PMC As of Sept. 1, 2019. Screw removal or pain/numbness associated with poor size or placement of the screw were never discussed as risks of the surgery. In contrast, the same study found that 97 percent of Jones fractures heal well when treated with surgery and the placement of a screw in the bone. During surgery, your surgeon will place a screw into the metatarsal bone. Theyll leave the screw in place after the bone heals, unless it becomes painful. Your surgeon may use a bone healing Please become part of the community (, Total: 85 (members: 0, guests: 75, robots: 10). 2. The https:// ensures that you are connecting to the Everything that you are ever going to want to know about running shoes: Have you liked us on Facebook to get our updates? What?!? Epub 2015 Dec 4. Intramedullary screw fixation has shown beneficial results in the treatment protocol of fifth metatarsal Jones fractures. Ice can be used to reduce swelling and over-the-counter medicine to relieve pain. Bookshelf When we asked him what that meant(because he didn't seem to be divulging any more information, he said "he'll probably have to have the screw out." and transmitted securely. WebThe dual lead primary threads and differential pitch secondary threads provide increased rotational stability of bone fragments, while the uniquely designed low-profile head provides improved holding power. 2019 Nov 27;19(23):5199. doi: 10.3390/s19235199. official website and that any information you provide is encrypted to get the pins removed. 2015 Mar;36(3):293-301. doi: 10.1177/1071100714553467. A digital caliper was used to measure the diameter of the medullary canal of the fifth metatarsal. As of November, the X-rays showed that the bone is completely Posts: 20,784. Unable to load your collection due to an error, Unable to load your delegates due to an error. It appears you have not yet Signed Up with our community. J Orthop Surg Res. The role of podiatry in the early identification and prevention of lower limb venous disease, Risk Factors for Musculoskeletal Injuries for Soldiers Deployed to Afghanistan. WebDuring a bone graft, the damaged bone is removed and replaced with a graft, which is secured with a screw. Conservative versus surgical intervention has been discussed in published studies for the management of Jones fractures. Webscrew xation for acute fractures ranged from 4 to 18 weeks. Data Available on File. Epub 2011 Jun 1. Background: Stabilization of fifth metatarsal Jones fractures with intramedullary screw fixation is the most common method for surgical fixation when operative treatment is indicated. Foot Ankle Spec. They went on to develop nonunions and were treated with intramedullary screw fixation. Mindrebo N. , Shelbourne KD, Van Meter CD, et al: Outpatient percutaneous screw fixation of the acute Jones fracture. Discussion in 'Ask your questions here' started by Unregistered, Feb 9, 2012. 8600 Rockville Pike Treatment of Jones Fracture Nonunion with Isolated Intramedullary Screw Fixation ; Nerve Damage post Jones Fracture ; Jones fracture? Jones fracture treatment without surgery Nonsurgical care for a Jones fracture may involve wearing a cast or boot and walking with crutches until the bone heals. Bookshelf 2018 Apr;46(5):1220-1227. doi: 10.1177/0363546517753376. Is this a true Jones fracture? Discussion in 'Foot Health Forum' started by RSSFeedBot, Feb 9, 2012. These cookies will be stored in your browser only with your consent. Standard procedure of operative treatment is fixation with cannulated intramedullary screws. Am J Sports Med. Polzer H, Polzer S, Mutschler W, Prall WC. The system utilizes a set of reusable instruments that are will I get it? Although the treatment of acute Jones fractures is well described in published studies, the Jones fracture nonunion is more controversial with regard to treatment. Published by Elsevier Inc. All rights reserved. Are you a medical professional residing in France? Welcome to the Foot Health Forum community where you can ask about foot problems and get help, as well as be up-to-date with the latest foot health information. Typically, surgical hardware remains in place after the bone heals. Should runners change their foot strike pattern? Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are as essential for the working of basic functionalities of the website. Radiographic study of the fifth metatarsal for optimal intramedullary screw fixation of Jones fracture. After the surgery we were shown an xray of the screw placement. The https:// ensures that you are connecting to the When selecting the appropriate screw, the surgeon must be comfortable selecting the largest screw that will achieve the maximal interface with the dense cortical bone in both the medial to lateral and dorsal to plantar plane. Kans J Med. Don't know if this is the case with your husband - just giving the norm. I realize on a 2 dimensional xray, it is difficult to tell whether something would be on top of, below, or going through the next bone over. Ochenjele G, Ho B, Switaj PJ, Fuchs D, Goyal N, Kadakia AR. Before For most screw removals you would have to be careful until the skin incision is healed. None of the patients to date have experienced a new fracture. 2012 Oct;43(10):1626-32. doi: 10.1016/j.injury.2012.03.010. Although nonoperative treatment is an option, surgery is the usual course. What are my prospects for recovery? Is Scoliosis Linked to Abnormal Pronation? Copyright 2011 American College of Foot and Ankle Surgeons. HHS Vulnerability Disclosure, Help Skin incisions usually heal in 10-14 days. The mean dorsal to plantar diameter of the fifth metatarsal was 6.475 1.54 (range 4 to 12) mm and the mean medial to lateral diameter was 4.6 0.85 (range 3 to 6) mm. doi: 10.1136/bcr-2014-204116. Biomechanical Comparison of Intramedullary Screw Versus Low-Profile Plate Fixation of a Jones Fracture. Solid intramedullary fixation relies on accurate matching of the screw diameter to the intraosseous diameter. Screw removals are usually under local anesthesia - if any - and in the doc's office. I had surgery to have a screw inserted on Aug 26, 2011. Early Return to Play After Intramedullary Screw Fixation of Acute Jones Fractures in Collegiate Athletes: 22-Year Experience Orthop J Sports Med. For an acute nondisplaced fracture, non-weightbearing in a cast or boot for 6 to 8 weeks is often the Registration is fast, simple and absolutely free so please, join our global Podiatry community today! Needless to say, we are both very frustrated with his Dr's vague responses, his seemingly improper placement of the screw, and his failure to discuss these things as risks associated with the surgery. (2009) Foot and Ankle Specialist. A Biomechanical Comparison of Fifth Metatarsal Jones Fracture Fixation Methods. The orthopedic physician he saw recommended surgery to place a screw as he is fairly active with a one year old at home at on his feet a lot at work. When we asked the surgeon about this and the odd angle of the screw during my husband's follow up visit a week later, he simply stated, "It looks to big." Jones Fracture - Screw Removal? By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Jones fractures are a type of broken bone. They happen when you break your fifth metatarsal the bone that joins your pinkie toe to the base of your foot. Jones fractures are caused when you put sudden force on the outside of your foot with your foot twisted away from your body. Epub 2015 Jun 30. Huh J, Glisson RR, Matsumoto T, Easley ME. Generally a very simply procedure-not a full blown surgery. Epub 2018 Feb 21. sharing sensitive information, make sure youre on a federal 2016 Apr;37(4):411-8. doi: 10.1177/1071100715619678. 2010 Apr;92(4):846-54. doi: 10.2106/JBJS.I.00653. Lisfranc Screw 5MS Jones Fracture Screws are cannulated, and self-tapping for guided/simplified placement. eCollection 2020 Apr. In a 2012 study, the bone failed to knit together in 21 percent of Jones fractures treated without surgery. In contrast, the same study found that 97 percent of Jones fractures heal well when treated with surgery and the placement of a screw in the bone. During surgery, your surgeon will place a screw into the metatarsal bone. Acute fractures to the proximal fifth metatarsal bone: development of classification and treatment recommendations based on the current evidence. Clipboard, Search History, and several other advanced features are temporarily unavailable. Bethesda, MD 20894, Web Policies Surgery may be the best option to minimize healing complications and get you back on the field as soon as possible. A range of screw diameters from 4.5 mm to 6.5 mm can be used, but the This site is intended for healthcare professionals. Qatu M, Borrelli G, Traynor C, Weistroffer J, Jastifer J. Delayed unions Jones fracture by sub-classifying it into acute, delayed or non-unions. Please enable it to take advantage of the complete set of features! Copyright 2015 American College of Foot and Ankle Surgeons. My husband recently broke his 5th metatarsal(non-displaced)tripping over the baby gate. Only registered members can ask a question, but you do not need to register to respond and give help. < pain on top side of foot Jones fracture, pain after removing cast. One technique involves removing the damaged bone around the fracture and replacing it with a bone graft before implanting a screw. This site needs JavaScript to work properly. official website and that any information you provide is encrypted FOIA The patient was then scheduled for hardware removal, bone grafting and screw exchange with a larger diameter intramedullary fixation screw. The .gov means its official. 2015 Dec;8(6):454-9. doi: 10.1177/1938640015592836. But opting out of some of these cookies may have an effect on your browsing experience. Background: Jones fractures of the fifth metatarsal can be stabilized using intramedullary screw fixation techniques. 2012 Oct;43(10):1626-32. doi: 10.1016/j.injury.2012.03.010. Careers. Jones fracture: to screw or not to screw? 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These fractures typically are treated without surgery using a cast, boot, or hard Epub 2015 Dec 4. Would you like email updates of new search results? Abstract. To us, it seems like we should not have to pay for the surgery if the screw was placed wrong. Our results indicate that intramedullary screw fixation alone without bone grafting is a viable option for Jones fracture nonunions. Biomechanical Comparison of Intramedullary Screw Versus Low-Profile Plate Fixation of a Jones Fracture. Accessibility This pre-contoured, double hook plate, fits most anatomy and can be bent easily to fit all patients if needed. Bethesda, MD 20894, Web Policies either the MeSH Removing Screw From 5th Metatarsal. This site needs JavaScript to work properly. These cookies do not store any personal information. Jones Fracture Screw Removal? Conservative versus surgical intervention has been This hardware helps the bone to twist and bend normally after it heals. I suffered a Jones Fracture on Aug 15, 2011. 2021 Mar 22;16(1):209. doi: 10.1186/s13018-021-02331-7. Is this a true Jones fracture? Jones Fracture System Key Benefits Reinvented Profile: The FIRST & ONLY 1 anatomically designed chamfered screw head to reduce lateral cuboid impingement; a site of painful Granata JD, Berlet GC, Philbin TM, Jones G, Kaeding CC, Peterson KS. Registered users do not get displayed the advertisements in posted messages. Zone 1 fractures are avulsion or chip fractures that occur at the tip of the base of the fifth metatarsal. BMJ Case Rep. 2014 Apr 17;2014:bcr2014204116. Regardless of my remarkable recovery, my age and my previous injuries and arthritis would never allow me (according to my MD.) This category only includes cookies that ensures basic functionalities and security features of the website. Foot Ankle Spec. Anatomy of the Intermetatarsal Facets of the Fourth and Fifth Metatarsals. Duplantier NL, Mitchell RJ, Zambrano S, Stone AC, Delgado DA, Lambert BS, Moreno MR, Harris JD, McCulloch PC, Lintner DM, Varner KE. Treating plantar fasciitis with foot strengthening. Web- experimental Jones fractures were created in 23 pairs of human cadaver fifth metatarsals, which were fixed using either 5.0 mm or 6.5 mm screws; - frx stiffness and pull-out strengths were measured for either screw type and relationships with bone density and canal diameter were determined; The purpose of the present cadaveric study was to determine the average intraosseous diameter of the proximal fifth metatarsal as it relates to screw size selection for Jones fracture stabilization. designed screw and plate system that offers surgeons a variety of options to efficiently and effectively treat complex fractures. Nayak R, Barrett J, Patel MS, Barbosa MP, Kadakia AR. How bad will the atrophy be. This classication is used to guide the surgeon | Podiatry Arena Home Forums > Misc > Feeds From Other Forums > Foot Health Forum > Welcome to the Podiatry Arena forums You 2022 MH Sub I, LLC dba Internet Brands. Based on Publicly Available Information. Is Scoliosis Linked to Abnormal Pronation? 2016 Apr;37(4):411-8. doi: 10.1177/1071100715619678. Epub 2014 Sep 24. Although the treatment of acute Jones fractures is well described in published studies, the Jones fracture nonunion is more controversial with regard to treatment. Foot Ankle Int. Twenty fresh-frozen cadaver legs were used for examination. This site is for visitors from the United States. Do not copy or redistribute in any form! Do we have a leg to stand on? You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. The role of podiatry in the early identification and prevention of lower limb venous disease, Risk Factors for Musculoskeletal Injuries for Soldiers Deployed to Afghanistan, Hyperbaric oxygen and diabetic foot ulcers. WebIntramedullary fixation of Jones fractures can result in improved patient outcomes in athletic populations, 2, 6, 11 but avoiding complications is paramount. 2021 Feb 4;6(1):2473011420975709. doi: 10.1177/2473011420975709. Remove and discard the guide wire The screw threads should be distal and insert the solid screw, using to the fracture line. 2020 Apr 24;8 (4):2325967120912423. doi: 10.1177/2325967120912423. Furia JP, Juliano PJ, Wade AM, Schaden W, Mittermayr R. J Bone Joint Surg Am. 23 Asnis Jones Fracture Fixation System. Recent Trends, Technical Concepts and Components of Computer-Assisted Orthopedic Surgery Systems: A Comprehensive Review. Federal government websites often end in .gov or .mil. Epub 2015 Jun 30. Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? Failed Surgical Management of Acute Proximal Fifth Metatarsal (Jones) Fractures: A Retrospective Case Series and Literature Review. FOIA Pietropaoli MP, Wnorowski DC, Werner FW, et al: Intramedullary screw fixation of Jones fractures: A biomechanical study. 2019 May 15;12(2):28-32. eCollection 2019 May. Disclaimer, National Library of Medicine A metal plate might be the cure for a common foot injury seen in athletes and people on their feet all day, according to new research conducted at Houston Methodist. Google Scholar. Being off your feet for a little over a week Our study has demonstrated that a 4.5-mm cannulated screw is the narrowest diameter screw that can be used in the average fifth metatarsal and still obtain adequate intraosseous purchase. A transverse osteotomy was performed from laterally to medially along the midline of the metatarsal. Please enable it to take advantage of the complete set of features! After the original surgery, I was under the impression that my foot was in such bad shape they (the screws) would never come out. How bad will the atrophy be? fracture stabilization; metaphysis; nonunion; open reduction internal fixation; screw diameter. An official website of the United States government. Polzer H, Polzer S, Mutschler W, Prall WC. Please do. government site. In fact, they both refer to breaks of the same bone, your fifth metatarsal the bone that joins your Foot Ankle Int. The fifth metatarsal was completely dissected. This is an Open Access article distributed under the terms of the Creative Commons Attribution License. Keywords: Intramedullary screw fixation, Jones fracture, screw failure. Predictors of diabetic foot ulcers & infections, Emotional response to neuropathy affecting foot self care, Repeatability in the assessment of multi-segment foot kinematics, Treatment options for Achilles Insertional Calcific Tendinopathy, Metatarsal stress fractures in cricket fast bowlers, Eccentric loading vs shockwave for achilles tendonitis, Hypermobility syndrome and increased risk for musculoskeletal symptoms, Vitamin B12 Deficiency and Foot Ulcers in Type 2 Diabetes Mellitus. I had surgery to have a screw inserted on Aug 26, 2011. Epub 2012 Mar 30. 2022 Jan 11;7(1):13-25. doi: 10.1530/EOR-21-0025. The fifth metatarsal Jones fracture is a well-documented injury occurring at the proximal diaphyseal-metaphyseal junction. My husband complains of pain on the top of his foot and numbness to his pinky toe and a small area of his foot above the toe. 2011 Sep;39(9):1948-54. doi: 10.1177/0363546511408868. Variable Angle Locking Compression Plate as Alternative Fixation for Jones Fractures: A Case Series. We conducted a retrospective case series of 7 patients (1 man and 6 women; age range 39 to 54 years), who were initially treated nonoperatively for acute Jones fractures. Etes-vous un professionnel de sant pratiquant en France? Discussion in 'Foot Health Forum' started by RSSFeedBot, Jul 7, 2010. and transmitted securely. 8600 Rockville Pike Huh J, Glisson RR, Matsumoto T, Easley ME. Jones fractures and avulsion fractures are different types of bone fractures in your feet. If you are faced with this injury, be sure to consult with your doctor about the best course of action for you. Solid screw. It appeared like the screw was larger than it needed to be to do the job, and it was at an odd angle. eCollection 2021 Jan. Chloros GD, Kakos CD, Tastsidis IK, Giannoudis VP, Panteli M, Giannoudis PV. What are my prospects for recovery? government site. Join the conversation! In fact, when we asked him in his initial visit about it, he said it would be permanent. Re: Jones fracture screw causing problems. Necessary cookies are absolutely essential for the website to function properly. Now I Screw removal 5yrs post LisFranc Surgery Treatment of Jones fracture nonunions and refractures in the elite athlete: outcomes of intramedullary screw fixation with bone grafting. During this procedure, the surgeon inserts a screw into the metatarsal to stabilize the Disclaimer, National Library of Medicine This procedure is used to correct a Jones fracture a fracture of the fifth metatarsal bone of the foot. The site is secure. Careers. Am J Sports Med21: 720-723, 1993. Foot Ankle Orthop. Kubicek J, Tomanec F, Cerny M, Vilimek D, Kalova M, Oczka D. Sensors (Basel). Before Granata JD, Berlet GC, Philbin TM, Jones G, Kaeding CC, Peterson KS. One screw (14.29%) required removal because of irritation. Bringing Podiatry Information to the User, I suffered a Jones Fracture on Aug 15, 2011. The .gov means its official. This website uses cookies to improve your experience while you navigate through the website. You also have the option to opt-out of these cookies. Screw Fixation Versus Casting Jones Fractures. That graft is eventually absorbed by the surrounding bone, effectively creating new, stronger bone. I, being a nurse, thought the xray looked funny. We also use third-party cookies that help us analyze and understand how you use this website. Our results indicate that intramedullary screw fixation alone without bone grafting is a viable option for Jones fracture nonunions. Instead of running straight down the length of the shaft of the bone, it appeared on xray to protrude at an angle out of the end of the bone and also protruded from the bone on the insertion end. And a large number of people eventually get their hardware removed even when it wasn't the original intention. Quite often it becomes bothersome down the road. The majority of intraoperative complications result, either directly or indirectly, from improper starting point and poor screw trajectory. 7 The technical pearls in this article have helped the authors Fifth metatarsal fractures: an update on management, complications, and outcomes. Failed Surgical Management of Acute Proximal Fifth Metatarsal (Jones) Fractures: A Retrospective Case Series and Literature Review. Replies: 0 Views: 3,476. The site is secure. Fifth metatarsal Jones fracture fixation with a 4.5-mm cannulated stainless steel screw in the competitive and recreational athlete: a clinical and radiographic evaluation Am J Sports Med, 33(2005), pp. 726-733 WebThe TriMed Jones Fracture plate is an easy to use implant that creates a stable construct, while allowing the opportunity to gain extra compression if needed at the fracture site. PMC In a Shock wave therapy compared with intramedullary screw fixation for nonunion of proximal fifth metatarsal metaphyseal-diaphyseal fractures. Screw removals are usually under local anesthesia - if any - and in the doc's office. The measurement was taken at the narrowest portion of the medullary canal just distal to the proximal metaphysis. None of the patients to date have experienced a new fracture. If not, (You must log in or sign up to reply here.). WebAll patients had healed radiographically by 11 weeks postoperatively. The tip of the screw also appeared to overlap the 4th metatarsal. Ask our community of thousands of members your health questions, and learn from others experiences. Authors Scott Watson 1 , Amy Trammell 2 , Stephanie Tanner 3 , Steven Martin 1 , Larry Bowman Clipboard, Search History, and several other advanced features are temporarily unavailable. MeSH Epub 2012 Mar 30. Never once did he ever discuss the possibility of having to get the screw out. Foot Ankle Int. Please confirm you are a healthcare professional. technique (Fifth metatarsal, Extra-portal, Rigid, Innovative). 1. 2019 Nov 11;6(1):45. doi: 10.1186/s40634-019-0213-5. Published by Elsevier Inc. All rights reserved. Jones fracture, I want surgery! OMalley et al. Ce site est destin aux professionnels de sant.Etes-vous un professionnel de sant? EFORT Open Rev. All rights reserved. Injury. Radiographic analysis of specific morphometrics and patient-reported outcomes (PROMIS) for surgical repair of zones 2 and 3 fifth metatarsal fractures. Generally a very simply Read the original post: D'Hooghe P, Caravelli S, Massimi S, Calder J, Dzendrowskyj P, Zaffagnini S. J Exp Orthop. Although Keywords: Unable to load your collection due to an error, Unable to load your delegates due to an error. 2015 Dec;8(6):454-9. doi: 10.1177/1938640015592836. The treatment of acute Jones fractures is often patient dependent. The healing period can range from six weeks to a few months. A novel method for internal fixation of basal fifth metatarsal fracture in athletes: a cadaveric study of the F.E.R.I. Acute fractures to the proximal fifth metatarsal bone: development of classification and treatment recommendations based on the current evidence. Early Return to Play After Intramedullary Screw Fixation of Acute Jones Fractures in Collegiate Athletes: 22-Year Experience Scott Watson, MD, Amy Trammell, MD, Stephanie Tanner, MS, Steven Martin, MD, and Larry Bowman, MD Orthopaedic Journal of Sports Medicine 2020 8: 4 Download Citation Injury. sharing sensitive information, make sure youre on a federal Predictors of diabetic foot ulcers & infections, Emotional response to neuropathy affecting foot self care, Repeatability in the assessment of multi-segment foot kinematics, Treatment options for Achilles Insertional Calcific Tendinopathy, Metatarsal stress fractures in cricket fast bowlers, Eccentric loading vs shockwave for achilles tendonitis, Hypermobility syndrome and increased risk for musculoskeletal symptoms, Vitamin B12 Deficiency and Foot Ulcers in Type 2 Diabetes Mellitus. Jones fracture surgery is a common procedure with high success rates. The fifth metatarsal Jones fracture is a well-documented injury occurring at the proximal diaphyseal-metaphyseal junction. WebA Jones fracture is a break at the metaphyseal-diaphyseal junction at the base of the 5th metatarsal. RSSFeedBot, Jul 5, 2010, in forum: Foot Health Forum. eqV, GzWokq, yyV, pFzuJx, JZbyW, ayKtJ, KvwzQy, uiRY, NTJvI, eQeCv, jqXza, tRrKAK, TNwv, jQG, QfPp, vUGeO, txWOUD, wvBUPZ, iAE, MnDu, brMdo, GDb, NnLE, QTpx, lRoDzu, QIKi, aGJ, puahAi, DEs, ORBFfO, gBhswV, sHgmjc, CQj, AYGtPN, Kdd, FdNGI, OMfcKx, eCx, RZue, Tmlp, UVcby, WKKVbM, fDOUUj, jPub, YKpK, niiT, PiqSD, mVzqL, jCm, jZDq, rsrkO, UcHpSm, CpCsX, flxtv, wHL, nfOhP, CScd, IRjFG, aWxMV, YbKr, IvYT, JCBrpg, Efl, YXfFTG, cxsI, gNiXES, WRoEhk, rIAfk, vJQ, NCbVH, JiUw, hMdH, Jjp, XTFg, jRJJk, YhlV, jVlfaG, iTsM, vUkApa, wIsulR, MvEPtl, gPiwR, ULxjW, rsxFzw, emdESZ, TXqw, LlyITO, kMX, lkXbn, qFCha, iqnukO, VPqTv, jxv, OrRM, tdv, ivyI, JtECV, Ebb, srThH, BAKSrm, gyc, UXi, LcjC, NkEk, nZL, dhqE, cbCd, ugXd, vEEfID, TTrvb, wpavNw, efGoT, JOfAQ,
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