CN108606831A - A kind of shin bone distraction reset support system - Google Patents

A kind of shin bone distraction reset support system Download PDF

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Publication number
CN108606831A
CN108606831A CN201810166812.1A CN201810166812A CN108606831A CN 108606831 A CN108606831 A CN 108606831A CN 201810166812 A CN201810166812 A CN 201810166812A CN 108606831 A CN108606831 A CN 108606831A
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China
Prior art keywords
shin bone
bottom plate
support system
foot
dilator
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Granted
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CN201810166812.1A
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Chinese (zh)
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CN108606831B (en
Inventor
银万东
陶纯全
刘长江
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Sichuan Heshun Minimally Invasive Technology Co Ltd
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Sichuan Heshun Minimally Invasive Technology Co Ltd
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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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of shin bone distractions to reset support system, including pedestal and the shin bone device for spreading for being installed on pedestal;The shin bone device for spreading includes that shin bone struts part and is installed on foot's position portion that shin bone struts part front end;It includes front end panel, dilator and the rear bearing sheet being sequentially connected from front to back that the shin bone, which struts part, is connected in a manner of it can be reversed around long axis between the dilator and front end panel and rear bearing sheet and adjusts the distance between front end panel and rear bearing sheet by dilator;Rear side is supported, draws under shin bone, avoid the notch and operative approach under dorsal position, operative approach is selected convenient for doctor, shin bone is effectively supported by rear to preceding simultaneously, part can be strutted to shin bone to be reversed to allow fracture to reach anatomical reduction, this series of actions is completed under closure, no bleeding, when fracture reaches doctor precalculated position, so that it may easily to perform the operation.

Description

A kind of shin bone distraction reset support system
Technical field
The present invention relates to the field of medical instrument technology, and in particular to a kind of shin bone distraction reset support system.
Background technology
Shin bone is one of double bones of shank, is located at the inside of shank, important function is restarted to support, is main in focile Load-bearing bone, the patient of fracture of tibia generally require the shin bone surgical operation that traction reduction is carried out to suffering limb.Present hospital uses base It is exactly to draw class tool and instrument on this, such as fixed traction needle, operation principle is to be separately fixed at bone with two fine steel needles Near the far and near section articular surface of folding, then by rotating the unidirectionally extruded movable block of intermediate nut, achieve the effect that traction, but to bone The loose patient of matter can not use.Due to being a fixation, the stability of reset is poor, can not effectively stablize the broken ends of fractured bone, when use It can be overlapped or partly overlap with cut sides, influence the next step operation of surgical doctor, increase further work difficulty, extend and perform the operation Time, while the fracture resetted with this restorer can not carry out intramedullary nail operation because the position of traction nail is in the centre of bone, The Minimally Invasive Surgery in flexible operating space is needed, can not also be completed substantially.
Also it is exactly traction table, is mainly used for bone surgery, draws and use in art, use scope is mainly within the scope of femur Fracture, disclosure satisfy that in femoral component fracture operation progress reduction of the fracture traction, can inside and outside rotation, adjust fracture, reach The position required to doctor, but hitch frame volume is too big, and weight is too heavy, can not high-temperature sterilization disinfection, when use, must first be existed Have and limbs are fixed under bacterium state, top is against pubic joint parts, and lower section is by ankle-joint(12 centimeters or so)And sole It is placed in shoe cover, it is fixed in the case where there is bacterium state with shoe cover band and bandage.Slightly traction suffering limb is hanging, and thigh and calf is maintained at one directly On line.It carries out disinfection in exposed skin area, spreads aseptic towel, sterile dry goods.Adjustment traction is wanted under aseptic conditions, because leading It is bacteria district domain to draw frame region, thus patient can only by other personnel under platform, commanded by patient the position completed patient and wanted, This work is time-consuming and laborious, patient is because will operation often be interrupted or thinking carrys out commander assistant.The problem of bigger is tibial side Fracture operation can not use this hitch frame substantially, because ankle is to have bacterium state.Knee joint can not be bent, and wait a series of ask Topic.
Invention content
For the defects in the prior art, the present invention provides a kind of shin bone distraction reset support system, is convenient for doctor Operative approach is selected, while shin bone is effectively supported by rear to preceding, part can be strutted to shin bone and is reversed to allow Fracture reaches anatomical reduction, this series of actions is completed under closure, no bleeding, when fracture reaches doctor's pre-determined bit It sets, so that it may easily to perform the operation.
A kind of shin bone distraction of the present invention resets support system, including pedestal struts dress with the shin bone for being installed on pedestal It sets;The shin bone device for spreading includes that shin bone struts part and is installed on foot's position portion that shin bone struts part front end;Institute It includes front end panel, dilator and the rear bearing sheet being sequentially connected from front to back to state shin bone and strut part, and the dilator is with before It is connected and by dilator adjustment front end panel with after in a manner of it can be reversed around long axis between support plate and rear bearing sheet The distance between support plate, a kind of shin bone distraction of the invention reset support system so that the side where used time foot is Front side, side where corresponding leg are rear side, long axis refer to along shin bone strut part grow to central shaft, shin bone struts To namely front-rear direction, shank is bundled in shin bone and struts part partial length by when use, and foot is bundled in foot's positioning Part adjusts dilator or struts part to shin bone and reverse, reaches anatomical reduction, cured when fracture reaches as needed Raw precalculated position;Shin bone struts part and shin bone, femur is raised to the support formed at popliteal nest to entire lower limb, and knee joint can be with Be bent to greatest extent, fully appear the interior, preceding, outer of shin bone, the bone surgery 90% of shin bone be all by these regions into Row, shin bone strut part below shin bone, the operative region of whole section of shin bone are facilitated and operated in doctor's art without any blocking.
Further, the dilator includes shear type frame, and the shear type frame is equipped with the spiral shell for adjusting its support distances One end of bar, screw rod is square head structure, and convenient for being rotated, shear type frame is similar to scissor-like jack structure, and self-locking performance is good, makes With conveniently, positioning is reliable.
Further, the shear type frame is two, and two shear type frames are along in tandem and connecting together;Form two-stage Structure can realize that large range of length adjustment, convenient accurate adjust arrive suffering limb length.
Further, it is connected, can be reversed by button-head hinge respectively between the dilator and front end panel and rear bearing sheet Range is larger, convenient for adjusting fracture site rotation, angulation in art.
Further, foot's position portion includes the foot supporting board being rotatably connected around horizontal axis and traction bottom Plate, the foot supporting board are connected to front end panel front end by button-head hinge, and the traction bottom plate is upturned and and foot Formed between support plate not less than 90 ° of angle, the heel of patient is placed at foot supporting board when use, sole with lead Draw bottom plate fitting, fixed in a manner of binding, the angle of traction bottom plate can be adjusted as needed, it is highly practical.
Further, foot's position portion further includes U-shaped positioning plate;The U-shaped positioning plate is fastened at traction bottom Two side plates of plate lower part and U-shaped positioning plate stretch out backward, can transversely limit patient feet position, and it is accurate fixed to ensure Position;The foot supporting board is recessed arc panel, is matched with heel, tolerance is good;The transverse direction of the traction bottom plate Both sides are equipped with engaging lug, convenient for binding foot, while preventing bandage from sliding;Two side plates of the U-shaped positioning plate are more AND DEWATERING FOR ORIFICE STRUCTURE can meet in doctor's art and beat calcaneal traction, need not deliberately remove corresponding towing pad.
Further, the pedestal includes bottom plate and support component;The support component includes front support frame, U-shaped locating rack And back support rod;The front support frame is door type frame, and the front end that door type frame is rotationally connected with bottom plate is used for foot's position portion It is supported positioning;The U-shaped locating rack and back support rod are articulated with the rear end that shin bone struts part, and back support rod is two And lateral symmetry arrangement, the lower end of two back support rods and the rear end of bottom plate are hinged;The bottom plate is equipped with for U-shaped fixed Position frame lower end carries out the card slot of engaging positioning;U-shaped locating rack and back support rod form triangular support structure, and stability is good, U-shaped Locating rack can be folded after being taken out out of card slot, and shin bone device for spreading is made to fit together with bottom plate, and occupied space is few, can be with Autoclave sterilization repeatedly, doctor can operation instrument under aseptic conditions, it is simple in structure, installation is complete, and the time is short, saves hand The art time.
Further, two columns of the door type frame, two columns of U-shaped locating rack and two back support rods be can Telescoping rod, height is adjustable, meets different limbs length.
Further, the card slot is multiple and along front and back evenly distributed;Bottom plate is equipped with the location hole communicated with card slot, And locked the lower end of U-shaped locating rack by being inserted into positioning pin in corresponding location hole, position stability is good, and it is U-shaped fixed to avoid Position frame surprisingly falls off.
Further, the both lateral sides of the bottom plate are equipped with fixed plate, are convenient for the fixed installation of bottom plate, realize entire support The fixation of system.
The beneficial effects of the invention are as follows:A kind of shin bone distraction of the present invention resets support system, with bent hip shape of going down on one's knees For femur under state as upper supporting point, front end is used as the stress supporting point of another side by ankle-joint or calcaneum, is located under shin bone Rear side is supported, draws, and avoids notch and operative approach under dorsal position, selects operative approach convenient for doctor, while right Shin bone is effectively supported by rear to preceding, when fracture has angulation or rotates out of current, can be strutted part to shin bone and be turned round Correction is transferred, fracture is allowed to reach anatomical reduction, this series of actions is completed under closure, no bleeding, when fracture arrives Up to doctor precalculated position, so that it may easily to perform the operation;It is simple in structure, installation is complete, and the time is short, save operating time, operation Personnel reduce 1-2 people, economize on resources.
Description of the drawings
It, below will be to specific in order to illustrate more clearly of the specific embodiment of the invention or technical solution in the prior art Embodiment or attached drawing needed to be used in the description of the prior art are briefly described.In the accompanying drawings, similar element or portion Divide and is generally identified by similar reference numeral.In attached drawing, each element or part might not be drawn according to actual ratio.
Fig. 1 is the structural diagram of the present invention.
Specific implementation mode
The embodiment of technical solution of the present invention is described in detail below in conjunction with attached drawing.Following embodiment is only used for Clearly illustrate technical scheme of the present invention, therefore be only used as example, and the protection model of the present invention cannot be limited with this It encloses.
[t4]
Fig. 1 is the structural diagram of the present invention, as shown in the figure:A kind of shin bone distraction of the present embodiment resets support system, Including pedestal and the shin bone device for spreading for being installed on pedestal;The shin bone device for spreading includes that shin bone struts part and is installed on shin Bone struts foot's position portion of part front end;The shin bone strut part include be sequentially connected from front to back front end panel 3, Dilator 4 and rear bearing sheet 6, between the dilator 4 and front end panel 3 and rear bearing sheet 6 with can around long axis reverse Mode connects and adjusts the distance between front end panel 3 and rear bearing sheet 6 by dilator 4, and the pedestal includes 12 He of bottom plate The both lateral sides of support component, the bottom plate 12 are equipped with fixed plate 14, are convenient for the fixed installation of bottom plate 12, realize entire support The fixation of system;The support component includes front support frame 11, U-shaped locating rack 7 and back support rod 8, and the front support frame 11 is Door type frame, door type frame are rotationally connected with the front end of bottom plate 12 for being supported positioning to foot's position portion;The door type frame Two columns, U-shaped locating rack 7 two columns and two back support rods 8 be stretchy rod, height it is adjustable, meet Different limbs length;The U-shaped locating rack 7 and back support rod 8 are articulated with the rear end that shin bone struts part, and back support rod 8 is Two and lateral symmetry arrangement, the lower end of two back support rods 8 are hinged with the rear end of bottom plate 12;The bottom plate 12, which is equipped with, to be used In the card slot 13 for carrying out engaging positioning to 7 lower end of U-shaped locating rack, the card slot 13 is multiple and along front and back evenly distributed;Bottom Plate 12 is equipped with the location hole communicated with card slot 13, and by being inserted into positioning pin 15 in corresponding location hole by U-shaped locating rack 7 Lower end it is locked, position stability is good, and U-shaped locating rack 7 is avoided surprisingly to fall off;U-shaped locating rack 7 and back support rod 8 form triangle Shape support construction, stability is good, and U-shaped locating rack 7 can be folded after being taken out out of card slot 13, make shin bone device for spreading and bottom plate 12 fit together, and occupied space is few, can autoclave sterilization repeatedly, doctor can operation instrument under aseptic conditions, knot Structure is simple, installation is complete, and the time is short, saves operating time.A kind of shin bone distraction of the present invention resets support system to use When foot where side be front side, side where corresponding leg is rear side, and long axis refers to that strut part along shin bone long To central shaft, shin bone struts the length of part to namely front-rear direction, and shank is bundled in shin bone and struts part by when use, will Foot is bundled in foot's position portion, adjusts dilator 4 as needed or struts part to shin bone and reverse, it is multiple to reach dissection Position, when fracture reaches doctor precalculated position;Shin bone, which struts part, to be raised shin bone, femur and is formed at popliteal nests under entire The support of limb, knee joint can be bent to greatest extent, fully appear the interior, preceding, outer of shin bone, the bone surgery 90% of shin bone All it is to be carried out by these regions, shin bone struts part rear under shin bone, to the operative region of whole section of shin bone, without any resistance Gear, facilitates and is operated in doctor's art.
In the present embodiment, the dilator 4 includes shear type frame, and the shear type frame is equipped with for adjusting its support distances Screw rod, the shear type frame is two, and two shear type frames are along in tandem and connecting together;Form two-layer configuration, energy Realize that large range of length adjustment, convenient accurate adjust arrive suffering limb length;One end of screw rod is square head structure, convenient for being revolved Turn, shear type frame is similar to scissor-like jack structure, and self-locking performance is good, easy to use, and positioning is reliable.
In the present embodiment, connected respectively by button-head hinge 5 between the dilator 4 and front end panel 3 and rear bearing sheet 6 Connect, can slew range it is larger, convenient for adjusting fracture site rotation, angulation in art.
In the present embodiment, foot's position portion includes the foot supporting board 10 being rotatably connected around horizontal axis and leads Draw bottom plate 1, the foot supporting board 10 is connected to 3 front end of front end panel by button-head hinge 5, and the traction bottom plate 1 is tilted upward It rises and is formed between foot supporting board 10 not less than 90 ° of angle, the heel of patient is placed on foot support when use At plate 10, sole is bonded with traction bottom plate 1, is fixed in a manner of binding, can adjust the angle of traction bottom plate 1 as needed, real Strong with property, foot's position portion further includes U-shaped positioning plate 2;The U-shaped positioning plate 2 is fastened in 1 lower part of traction bottom plate And two side plates of U-shaped positioning plate 2 stretch out backward, can transversely limit patient feet position, ensure to be accurately positioned;It is described Foot supporting board 10 is recessed arc panel, is matched with heel, tolerance is good;The both lateral sides of the traction bottom plate 1 It is equipped with engaging lug 9, convenient for binding foot, while preventing bandage from sliding;Two side plates of the U-shaped positioning plate 2 are porous Harden structure can meet in doctor's art and beat calcaneal traction, need not deliberately remove corresponding towing pad.
Finally it should be noted that:The above embodiments are only used to illustrate the technical solution of the present invention., rather than its limitations;To the greatest extent Present invention has been described in detail with reference to the aforementioned embodiments for pipe, it will be understood by those of ordinary skill in the art that:Its according to So can with technical scheme described in the above embodiments is modified, either to which part or all technical features into Row equivalent replacement;And these modifications or replacements, various embodiments of the present invention technology that it does not separate the essence of the corresponding technical solution The range of scheme should all cover in the claim of the present invention and the range of specification.

Claims (10)

1. a kind of shin bone distraction resets support system, it is characterised in that:It is strutted including pedestal and the shin bone for being installed on pedestal Device;The shin bone device for spreading includes that shin bone struts part and is installed on foot's position portion that shin bone struts part front end; It includes the front end panel, dilator and the rear bearing sheet that are sequentially connected from front to back that the shin bone, which struts part, the dilator with Between front end panel and rear bearing sheet by can around long axis reverse in a manner of connect and by dilator adjustment front end panel and The distance between rear bearing sheet.
2. a kind of shin bone distraction according to claim 1 resets support system, it is characterised in that:The dilator packet Shear type frame is included, the shear type frame is equipped with the screw rod for adjusting its support distances.
3. a kind of shin bone distraction according to claim 2 resets support system, it is characterised in that:The shear type frame It it is two, two shear type frames are along in tandem and connecting together.
4. a kind of shin bone distraction according to claim 1 resets support system, it is characterised in that:The dilator with It is connected respectively by button-head hinge between front end panel and rear bearing sheet.
5. a kind of shin bone distraction according to claim 1 resets support system, it is characterised in that:Foot's positioning Part includes the foot supporting board being rotatably connected around horizontal axis and traction bottom plate, and the foot supporting board passes through button-head hinge It is connected to front end panel front end, the traction bottom plate is upturned and forms the angle not less than 90 ° between foot supporting board.
6. a kind of shin bone distraction according to claim 5 resets support system, it is characterised in that:Foot's positioning Part further includes U-shaped positioning plate;The U-shaped positioning plate is fastened in two sides for drawing bottom plate lower part and U-shaped positioning plate Plate stretches out backward;The foot supporting board is recessed arc panel;The both lateral sides of the traction bottom plate are equipped with engaging lug;Institute Two side plates for stating U-shaped positioning plate are perforated plate construction.
7. a kind of shin bone distraction according to claim 1 resets support system, it is characterised in that:The pedestal includes Bottom plate and support component;The support component includes front support frame, U-shaped locating rack and back support rod;The front support frame is door Type frame, door type frame are rotationally connected with the front end of bottom plate for being supported positioning to foot's position portion;The U-shaped locating rack and Back support rod is articulated with the rear end that shin bone struts part, and back support rod is two and lateral symmetry arrangement, two rear supports The lower end of bar and the rear end of bottom plate are hinged;The bottom plate is equipped with the card slot for carrying out engaging positioning to U-shaped locating rack lower end.
8. a kind of shin bone distraction according to claim 7 resets support system, it is characterised in that:The door type frame Two columns, two columns of U-shaped locating rack and two back support rods are stretchy rod.
9. a kind of shin bone distraction according to claim 7 resets support system, it is characterised in that:The card slot is more It is a and along front and back evenly distributed;Bottom plate is equipped with the location hole communicated with card slot, and by being inserted into corresponding location hole Positioning pin locks the lower end of U-shaped locating rack.
10. a kind of shin bone distraction according to claim 7 resets support system, it is characterised in that:The bottom plate Both lateral sides are equipped with fixed plate.
CN201810166812.1A 2018-02-28 2018-02-28 Tibia opening traction reduction supporting system Active CN108606831B (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109199474A (en) * 2018-10-13 2019-01-15 范士洁 Reduction of the fracture dilator
CN110897694A (en) * 2019-12-12 2020-03-24 河北医科大学第三医院 Lower limb resetting device for intramedullary nail operation
CN111067603A (en) * 2019-12-31 2020-04-28 宁德市闽东医院 Fracture reduction device
CN112545736A (en) * 2020-12-30 2021-03-26 上海市同济医院 Calcaneus protection free movement rehabilitation apparatus

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CN2381307Y (en) * 1999-06-09 2000-06-07 孔凡瑛 Portable multifunctional support for lower limbs
CN2435080Y (en) * 2000-08-10 2001-06-20 熊鹰 Multi-functional lower limb traction reduction apparatus
US20070021702A1 (en) * 2005-07-21 2007-01-25 Gerald Cotton Portable splint system
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KR20130000356U (en) * 2011-07-06 2013-01-16 박인식 apparatus for manipulating legs
CN202821560U (en) * 2012-09-26 2013-03-27 管孟芹 External fixator for tibia fracture closed reduction internal fixation
CN103230299A (en) * 2013-05-07 2013-08-07 张英泽 Femoral fracture traction apparatus with good reduction fixing effect
CN204734682U (en) * 2015-04-24 2015-11-04 重庆医科大学附属永川医院 Shin bone fracture closed reduction support frame
CN105193490A (en) * 2015-08-24 2015-12-30 高延明 Multifunctional retraction repositor for lower limb fracture and use method thereof
CN105662773A (en) * 2016-03-12 2016-06-15 上海大学 Lower limb fixing mechanism for knee joint replacement

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2381307Y (en) * 1999-06-09 2000-06-07 孔凡瑛 Portable multifunctional support for lower limbs
CN2435080Y (en) * 2000-08-10 2001-06-20 熊鹰 Multi-functional lower limb traction reduction apparatus
US20070021702A1 (en) * 2005-07-21 2007-01-25 Gerald Cotton Portable splint system
US20080255491A1 (en) * 2007-04-11 2008-10-16 Scott James W Medical aid having a standalone femur traction mode and a leg support mode
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CN105662773A (en) * 2016-03-12 2016-06-15 上海大学 Lower limb fixing mechanism for knee joint replacement

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109199474A (en) * 2018-10-13 2019-01-15 范士洁 Reduction of the fracture dilator
CN109199474B (en) * 2018-10-13 2024-06-04 范士洁 Fracture reduction spreader
CN110897694A (en) * 2019-12-12 2020-03-24 河北医科大学第三医院 Lower limb resetting device for intramedullary nail operation
CN111067603A (en) * 2019-12-31 2020-04-28 宁德市闽东医院 Fracture reduction device
CN112545736A (en) * 2020-12-30 2021-03-26 上海市同济医院 Calcaneus protection free movement rehabilitation apparatus
CN112545736B (en) * 2020-12-30 2022-11-11 上海市同济医院 Calcaneus protection free movement rehabilitation apparatus

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