CN104323838B - A kind of foot's bone anchor - Google Patents

A kind of foot's bone anchor Download PDF

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Publication number
CN104323838B
CN104323838B CN201410578294.6A CN201410578294A CN104323838B CN 104323838 B CN104323838 B CN 104323838B CN 201410578294 A CN201410578294 A CN 201410578294A CN 104323838 B CN104323838 B CN 104323838B
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fixed
fix bar
ankle
foot
sole
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CN201410578294.6A
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CN104323838A (en
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郇庆霞
王敏
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A New Mstar Technology Ltd In Nantong
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/02Inorganic materials
    • A61L31/022Metals or alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04Macromolecular materials
    • A61L31/06Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Vascular Medicine (AREA)
  • Epidemiology (AREA)
  • Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Inorganic Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention relates to a kind of foot's bone anchor, including ankle binder and sole fixator, ankle binder includes leg retainer ring and ankle encapsulation plate, and leg retainer ring is fixedly connected with ankle encapsulation plate;Sole fixator includes sole supporting part, instep fixation kit and supporting pad, and sole supporting part includes sole supporting plate and fixed part, and fixed part is fixedly connected with sole supporting plate, and the side rotation of fixed part and ankle encapsulation plate dorsad leg retainer ring is connected;Instep fixation kit includes the fix bar A of N number of arc, fix bar A two ends are fixed on the both sides of sole supporting plate width, a hollow hole corresponding with foot palm surface is provided with the middle part of sole supporting plate, hollow hole interior parallel array is provided with some fix bar B, bone face fixation kit is arranged between instep fixation kit and sole supporting plate, bone face fixation kit includes the fixed block being arranged on fix bar A and fix bar B, and fixed cable is provided between fixed block.

Description

A kind of foot's bone anchor
Technical field
The present invention relates to a kind of foot's bone anchor, with the cooperation for being related to a kind of use cable and fixer for feet part, enter The exter-nal fixer that portion's osseous part of traveling far and wide is fixed.
Background technology
During the orthopaedics therapies such as fracture, postoperative to penetrate epidermis frequently by various supports, bone, which is fixed, to be made Recovery, after recovery, then by trauma operation, support is removed, whole process need carry out Repeated Operation, to human body The wound ratio that muscle and skin portion are brought is larger, and the convalescence after Miles operation is also long, while traditional support is to osseous part band The compressing come and wound are all than larger;
To this, there is provided wound degree when can much reduce operation to a certain extent and reduction operation time currently on the market Number, while the invention of the orthopedic fixer, such as Patent No. ZL201120537796.6 of healing can be accelerated again, where it is proposed A kind of steel wire wrapped up for bone portion, this steel wire in Steel Wire Surface by setting absorbable material protective case to reduce to bone The damage of bone, reduces the probability of bone ischemic necrosis, but itself still realizes the fixation of osseous part by way of repeatedly winding, After bone recovery, remove on the brought skin of steel wire operation and muscle bed still very greatly, it is necessary to which the long time is carried out Recover;
For another example with a kind of entitled patents of invention of kneecap external fixing rack of ZL201420132756.7, wherein it is also proposed one The fixed mount outside minimally invasive bone is planted, this structure compares similar to the fixed structure of steel nail generally used now, Its main purpose is to realize that multi-faceted osseous part is fixed, while the wound that thin steel nail is brought to human body is also smaller, can be avoided It is secondary to take out injury and infection that operation is brought to human body, but in its technical scheme, steel nail plays main supporting role, in order to Ensure its certain support performance(That is bending strength)So steel nail can not do in itself it is thin as acupuncture needle, so its steel nail To reducing or than relatively limited for human epidermal and flesh wound degree, and steel nail is in itself because its volume reason and special Biological property reason, if being made using titanium alloy etc materials, difficulty of processing and cost are all higher, if using one If a little preferable polymer of biological property make, its intensity can not ensure again, while the main eyelid retractor of the invention is a ring Shape metallic plate, during installation, the limbs portion that can treat operation brings and blocked, and installing can be relatively difficult, can not also realize under X-ray photograph Accurate installation;
So in summary, bone external stability utensil of the prior art still has the deficiency of many, such as:Peace Wound, secondary taking-up operation wound, the cost that dress is brought can not be reduced, installation difficulty is big;
Simultaneously for the irregular bone of non-straight tube bone shape, similar to foot bone, then special fixed mechanism is needed to be fixed, And in the prior art, such skeletal fixation device compares shortage.
The content of the invention
The technical problem to be solved in the present invention is:Overcome prior art medium-height trestle that big, fixed operation complexity of wound etc. is installed There is provided a kind of smaller to setter wound for technical problem, it is possible to reduce even without the Orthopedic fixing support of second operation.
The technical solution adopted for the present invention to solve the technical problems is:
A kind of foot's bone anchor, including ankle binder and sole fixator, the ankle binder are solid including leg Determine ring and ankle encapsulation plate, the leg retainer ring is fixedly connected with ankle encapsulation plate;
The sole fixator includes sole supporting part, instep fixation kit and supporting pad, and the sole supporting part includes Sole supporting plate and fixed part, the sole supporting plate are long strip-board shape, and the fixed part is fixedly connected with sole supporting plate, institute Stating fixed part and ankle encapsulation plate, dorsad the side of leg retainer ring rotates and is connected;
The fix bar A, N number of fix bar A of the instep fixation kit including N number of arc length are along sole supporting plate Side close to ankle encapsulation plate is dorsad tapered into ankle encapsulation plate side direction to sole supporting plate, the fix bar A's Two ends are fixed on the both sides of sole supporting plate width, and one and foot palm surface pair are provided with the middle part of the sole supporting plate The hollow hole answered, some fix bar B are provided with the hollow hole interior parallel array, and the supporting pad parcel is some to be socketed in Cotton circle on fix bar A;
Bone face fixation kit is arranged between instep fixation kit and sole supporting plate, and bone face fixation kit includes setting The fixed block on fix bar A and fix bar B is put, fixed cable is provided between the fixed block;
The skeletal fixation framework realization pair that bone face fixation kit is made up of some fixed cables contacted with bone face The fixation of bone.
As a further innovation of the present invention, foot's bone anchor also includes fixed plate, the middle part of the fixed plate A rotation seat is provided with, the rotation seat is rotated with the rotating junction of fixed part, ankle encapsulation plate and is connected, the rotation seat On be provided with some screw holes.
As a further innovation of the present invention, the leg retainer ring is provided with support bar, the support bar in appearance It is made of latch plate.
As a further innovation of the present invention, the fixed block includes a fixing hole for being used to fix fixed cable, institute State and lock-screw A is provided with the side wall of fixing hole;
The fixed block also includes a sliding eye for being used to be socketed with fix bar A, fix bar B, the side of the sliding eye Lock-screw B is provided with wall.
As a further innovation of the present invention, the fixed cable includes elastic threads, the material of the elastic threads has life Thing compatibility.
As a further innovation of the present invention, the elastic threads is made of aliphatic polyester.
As a further innovation of the present invention, being provided with reinforced metal cable, the reinforced metal cable in the middle part of the elastic threads Material there is biocompatibility.
As a further innovation of the present invention, the reinforced metal cable is made of titanium alloy.
The beneficial effects of the invention are as follows:
1. the present invention is realized and the hurtless measure of human body is consolidated by the fixer in vitro of a cooperation corresponding with foot It is fixed, fixed compared to traditional steel nail, install initial stage and later stage dismounting more facilitates, while contact surface is bigger, also more stablize, The cooperation of support bar of the elastic threads with serving as framework effect simultaneously, by the smaller elastic threads of diameter in fix bar A, fix bar B Support under, one or more fixed mesh are formed, so as to realize the cooperation to bone, because the low elasticity of elastic threads, not only The fixation of bone can be ensured, while being also possible to prevent excessive compressing of the elastic threads to bone surface, osteonecrosis is caused;
The present invention is because its diameter is smaller simultaneously, and during initial surgery, block surface is also smaller, can be compared essence True operation, and its wound face of the implantation of elastic threads only has aperture size, it is possible to achieve the purpose of Minimally Invasive Surgery;
In addition the present invention can also be realized is fastened to bone, so as to adapt to the situation of comminuted fracture;
Fix bar A, the fix bar B of the present invention also uses that profile is smaller, shielded area also smaller rod-like structure, subtracts The light weight of whole fixator, reduces the difficulty of operation, also saves material.
2. the elastic threads of the present invention is fixed using clamped-in style, this structure can improve the convenience of installation, tense simultaneously Line can also be installed with pretightning force one higher.
3. being fixed between the fixed block and fix bar of the present invention to slide, can more easily it adjust between fixed block Position, thus it is convenient according to specific bone condition, the fixed position of elastic threads is adjusted, wide usage has been significantly greatly increased.
4. the elastic threads that the aliphatic polyester material with biocompatibility is made, because its low biocompatible, extensive After multiple, the internal of human body can be stayed in, the secondary wound degree for removing operation can be reduced, if bone destructiveness itself is not If big, it can be performed the operation without secondary remove.
5. reinforcing cable that a titanium alloy is made is also added into the tensions cable of the present invention to prevent tension from excessively leading The situation of the tension thread breakage of cause, directly can extract the reinforcing cable of titanium alloy out after recovery, be partially left at it is internal not yet There can be too big rejection problems.
Support bar of the invention is made of elastomeric material, adds sticking nature and stability of the fixator to human body.
Brief description of the drawings
The present invention is further described with reference to the accompanying drawings and examples.
Fig. 1 is schematic structural view of the invention;
Fig. 2 is the schematic diagram of sole supporting part of the present invention;
Fig. 3 is the schematic diagram of fixed block of the present invention;
Fig. 4 is the use schematic diagram of the present invention;
Fig. 5 is the schematic diagram that the present invention carries out hand fixation.
In figure:1st, fixed block;2nd, fix bar A;3rd, fixed cable;4th, ankle encapsulation plate;5th, support bar;6th, fix bar B;7、 Rotation seat;8th, leg retainer ring;9th, sole supporting plate;10th, supporting pad;11st, foot bone;
1-1, fixing hole;1-2, sliding eye.
Embodiment
In conjunction with the accompanying drawings, the present invention is further explained in detail.These accompanying drawings are simplified schematic diagram, only with Illustration illustrates the basic structure of the present invention, therefore it only shows the composition relevant with the present invention.
Embodiment 1
As shown in Fig. 1 ~ 3, the present invention is a kind of foot's bone anchor, is mainly used in carrying out postoperative skeletal fixation, the present invention Main body include leg retainer ring 8, ankle encapsulation plate 4, sole fixator and bone face fixation kit, wherein leg retainer ring 8 For annular, in leg, the support bar 5 of a spring leaf support has also been inlayed in the inside of retainer ring 8, can be ensured by support bar 5 Fixed rigidity and stability;
Ankle encapsulation plate 4 is two hard plastic boards supported according to ankle profile, and wherein one end of ankle encapsulation plate 4 is consolidated The both sides of leg retainer ring 8 are scheduled on, pass through the cooperation of leg retainer ring 8 and ankle encapsulation plate 4, it is ensured that to human foot position Put fixed stability;
Sole fixator mainly includes sole supporting part, instep fixation kit and supporting pad, and sole supporting part includes sole Supporting plate 9 and fixed part, the sole supporting plate 9 are long strip-board shape, and the other end of the fixed part and ankle encapsulation plate 4 is rotated Connection, the sole supporting plate 9 is fixedly connected with fixed part, and the middle part of the sole supporting plate 9 sets a hollow hole, in institute The fix bar B6 that parallel array in hollow hole is provided with some straight lines is stated, is fixed for convenience, fix bar B6 is screw shaped, is passed through The screwed hole for being arranged on the side of sole supporting plate 9 is fixedly connected with sole supporting plate 9, while on the top of sole fixed plate 9 also Be provided with semicircular fix bar A2, fix bar A2 two ends are fixedly connected with the two ends of sole fixed plate 9, in fix bar A2 and Some fixed blocks 1 are fixed with fix bar B6;
Fixed block 1 includes being provided with locking on a fixing hole 1-1 for being used to fix fixed cable 3, the side wall of fixing hole Screw A;Fixed block 1 also includes setting on a sliding eye 1-2 for being used to be socketed with fix bar A, fix bar B, the side wall of sliding eye It is equipped with lock-screw B;
By the fixed block 1 on fix bar A and fix bar B, and the fixed cable 3 being arranged between fixed block 1, it is right Foot bones, which are realized, fixes, and fixed cable 3 can realize the support to bone by the way of contact or winding;
Fixed block includes being provided with lock-screw A on a fixing hole for being used to fix fixed cable, the side wall of fixing hole;
Fixed block also includes setting on a sliding eye for being used to be socketed with fix bar A2, fix bar B, the side wall of sliding eye There is lock-screw B;
Fixed cable includes elastic threads, and the material of elastic threads has biocompatibility;Elastic threads uses aliphatic polyester system Into;Reinforced metal cable is provided with the middle part of elastic threads, the material of reinforced metal cable has biocompatibility;Reinforced metal cable uses titanium Alloy is made;
It is made simultaneously in order to ensure to be provided with one in the excellent support to foot's epidermis, sole supporting plate 9 of silica gel Packing ring, while on fix bar A2 and fix bar B6, between fixed block 1, is provided with some sponges or silica gel is made The supporting pad of annular;
In the rotary shaft of fixed part and ankle encapsulation plate 4, a rotation seat 7 is also rotatably connected to, rotation seat 7 includes one Individual base plane, being provided with some screw holes, screw hole to be provided with base plane is used for and sick bed or sick bed support The screw assembly being fixedly connected;
During specific installation, as shown in figure 4, sole supporting plate 9 is consolidated by leg retainer ring 8 and ankle encapsulation plate 4 first Determine onto sole, now the axis of sole supporting plate 9 is vertical with the axis of ankle encapsulation plate 4, now fix bar A is solid in advance Determine onto sole supporting plate 9, fixed cable 3 is implanted to inside sole by performing the operation, by the surface of foot bone 11, to foot bone 11 It is fixed, now, first the fixed block on fix bar A is fixed, one end of fixed cable 3 is fixed on fixed block 1, Fix bar B6 is penetrated into sole supporting plate 9 afterwards, at the same by fixed block 1 set be connected on fix bar B6, then afterwards by fixed cable 3 The other end be fixed to fixed block 1 on, finally fixed block 1 is fixed, so as to realize the fixation of foot's bone;
Moving block 7 can be fixed on sick bed by this when, prevent the recovery of patient's moving influence bone, will can be turned Motion block 7 is fixed in special travel mechanism, facilitates patient to move.
Embodiment 2
This product can be used for the fixation of hand bone, such as Fig. 5 simultaneously, by sole supporting plate 9 and ankle encapsulation plate 4 Axis trimming carries out the fixation of opponent's wall by leg retainer ring 8 on same straight line, while changing the outer of ankle encapsulation plate 4 Shape, is allowed to corresponding with human body wrist, and palm is similar into sole is equally fixed in sole supporting plate 9, in order to ensure to fix effect Really, fix bar A profile can be improved to waveform corresponding with finger;
It is specific to install, first by leg retainer ring 8 and ankle encapsulation plate 4, sole supporting plate 9 is fixed on palm, The now diameter parallel of the axis of sole supporting plate 9 and ankle encapsulation plate 4, now fix bar A be previously secured to sole branch On fagging 9, fixed cable 3 is implanted to palm and finger interior by performing the operation, by the surface of hand bone, opponent's bone is consolidated It is fixed, now, first the fixed block on fix bar A is fixed, one end of fixed cable 3 is fixed on fixed block 1, after will be solid Fixed pole B6 is penetrated into sole supporting plate 9, at the same by fixed block 1 set be connected on fix bar B6, then afterwards by the another of fixed cable 3 End is fixed on fixed block 1, finally fixed block 1 is fixed, so as to realize the fixation of hand bone;
Using the above-mentioned desirable embodiment according to the present invention as enlightenment, by above-mentioned description, relevant staff is complete Various changes and amendments can be carried out without departing from the scope of the technological thought of the present invention' entirely.The technology of this invention Property scope is not limited to the content on specification, it is necessary to its technical scope is determined according to right.

Claims (8)

1. a kind of foot's bone anchor, including ankle binder and sole fixator, the ankle binder are fixed including leg Ring and ankle encapsulation plate, the leg retainer ring are fixedly connected with ankle encapsulation plate;
The sole fixator includes sole supporting part, instep fixation kit and supporting pad, and the sole supporting part includes sole Supporting plate and fixed part, the sole supporting plate are long strip-board shape, and the fixed part is fixedly connected with sole supporting plate, described solid Determining portion and ankle encapsulation plate, dorsad the side of leg retainer ring rotates and is connected;
The instep fixation kit includes the fix bar A of N number of arc, and the length of N number of fix bar A is close along sole supporting plate The side of ankle encapsulation plate is dorsad tapered into ankle encapsulation plate side direction to sole supporting plate, the two ends of the fix bar A On the both sides for being fixed on sole supporting plate width, be provided with the middle part of the sole supporting plate one it is corresponding with foot palm surface Hollow hole, some fix bar B are provided with the hollow hole interior parallel array, and the supporting pad parcel is some to be socketed in fixation Cotton circle on bar A;
Bone face fixation kit is arranged between instep fixation kit and sole supporting plate, and bone face fixation kit includes being arranged on Fixed block on fix bar A and fix bar B, fixed cable is provided between the fixed block;
The skeletal fixation framework that bone face fixation kit is made up of some fixed cables contacted with bone face is realized to bone Fixation.
2. a kind of foot's bone anchor as claimed in claim 1, it is characterized in that:Foot's bone anchor also includes fixing A rotation seat, the rotation seat and fixed part, the rotating junction of ankle encapsulation plate are provided with the middle part of plate, the fixed plate Rotate and be provided with some screw holes on connection, the rotation seat.
3. a kind of foot's bone anchor as claimed in claim 1, it is characterized in that:The leg retainer ring is provided with appearance Support bar, the support bar is made of latch plate.
4. a kind of foot's bone anchor as claimed in claim 1, it is characterized in that:The fixed block, which includes one, to be used to fix solid Lock-screw A is provided with the fixing hole of alignment cable, the side wall of the fixing hole;
The fixed block is also included on a sliding eye for being used to be socketed with fix bar A, fix bar B, the side wall of the sliding eye It is provided with lock-screw B.
5. a kind of foot's bone anchor as claimed in claim 1, it is characterized in that:The fixed cable includes elastic threads, described The material of elastic threads has biocompatibility.
6. a kind of foot's bone anchor as claimed in claim 5, it is characterized in that:The elastic threads uses aliphatic polyester system Into.
7. a kind of foot's bone anchor as claimed in claim 5, it is characterized in that:Reinforced metal is provided with the middle part of the elastic threads Cable, the material of the reinforced metal cable has biocompatibility.
8. a kind of foot's bone anchor as claimed in claim 7, it is characterized in that:The reinforced metal cable uses titanium alloy system Into.
CN201410578294.6A 2014-10-24 2014-10-24 A kind of foot's bone anchor Active CN104323838B (en)

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Application Number Priority Date Filing Date Title
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CN104323838B true CN104323838B (en) 2017-08-08

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109009626A (en) * 2018-08-13 2018-12-18 西南医科大学附属中医医院 A kind of ankle and foot external fixation device for fracture

Family Cites Families (9)

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Publication number Priority date Publication date Assignee Title
CN2033252U (en) * 1988-06-02 1989-03-01 安徽巢湖伤骨科研究所 Outside fixable device for inside anklebone fracture
CN2180221Y (en) * 1994-01-01 1994-10-26 李龙 Multi-function external fixator for feet fracture
CN2254333Y (en) * 1995-12-26 1997-05-21 高玉山 Reduction fixing frame for calcaneus fracture
PT1139891E (en) * 1998-12-31 2003-12-31 Orthofix Srl DEVICE FOR EXTERNAL FIXATION OF FRACTURES OF BONES PARTICULARLY FRACTURES OF THE ANKLE
RU2207818C2 (en) * 2001-07-17 2003-07-10 Бейдик Олег Викторович Method for fixing middle foot department at treating fractures and deformations of foot bones
US6964663B2 (en) * 2003-09-16 2005-11-15 Ez Concepts Surgical Device Corporation Combination bone fixation/immobilization apparatus
ES2540229T3 (en) * 2008-09-11 2015-07-09 Board Of Regents, The University Of Texas System Compression and fixation system of foot, ankle and lower limb
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