There is a small chance of an increase in the progression of arthritis depending on your age and this overall a faster recovery. Meniscectomy, or removal of torn meniscus tissue, typically has no post-op restrictions. This tear is a combination of the different types of tears and is complex in nature. Our physiotherapy team will develop a personalized program that will address flexibility, endurance, and strength. At-home physical therapy exercises are typically recommended, and most patients are approved to resume their normal activities within 4-6 weeks. It really just depends how they repair the meniscus. . A meniscus tear is often treated conservatively, without surgery. Preserving and improving muscle mass is important in this state. If you are enjoying the podcast, PLEASE click here to leave us a review in iTunes, it will really mean a lot to us. Bone fracture (Patella, Femur . Heres how to minimize loss of motion. Weight bearing is protected on crutches for two weeks followed by full weight bearing in the brace . Lift your hips up to the ceiling and roll the ball towards your butt. How you squat and how you respond matter! Use of Crutches Following Meniscal Repair-Crutches for partial weight bearing should be used by this stage and progression to full weight bearing should be achieved by the 10th week following meniscal repair knee surgery. Find out whether the time is right for you to have knee replacement surgery. Doctors will usually advise against performing certain exercises when you have a meniscus tear. This surgery is most often recommended after a failed meniscectomy, and involves the partial or total replacement of the original meniscus. A split or torn meniscus is among the most common knee injuries, and it often occur during severe impact or twisting motions, especially during weight-bearing exercise. 5 Common Mistakes Youre Making After an Ankle Sprain, 6 Great Ways to Reduce Low Back Pain with Driving, Return to Running After an Ankle Sprain: A Helpful Guide, 5 Reasons Why Running on a Treadmill is Better for Back Pain, Hip Replacement: What to Expect in Your First Week, Ankle Exercises for Runners: Strengthening, Stretching, and Loosening Up, How to Strengthen the Tibialis Posterior: A Helpful Guide, https://lifesworkpt.com/2017/05/what-is-a-torn-meniscus-in-the-knee/. Do not try to do too much too soon. After arthroscopic meniscus repair, the patient generally has a cryocuff and a knee brace. Demographics and clinical and radiographic outcomes of meniscus repair at a minimum of 2 years follow-up were extracted. Orthopedic Reconstructive Surgery 19 years experience. What are the long-term benefits and consequences for removal versus repair? Its important to be aware of possible complications that may arise from a meniscus surgery. doi: 10.1016/j.asmr.2020.10.004. This is dependent on the surgeon and a great question to ask. Do you recommend that I take over the counter pain relievers? Symptoms of a knee infection may include pain and excess swelling in the joint, and fever or chills. It will save your armpits, protect your other knee from wearing out, and get you places much faster during your 6 weeks of nonweight bearing. While we lean towards allowing weightbearing, there are some important things you have to consider. my doc told me that i was good to start walking and i started walking without my brace and crutches about 5 days ago. Conclusion: Weight bearing as tolerated after meniscal repair for peripheral, vertical tears does not result in a higher failure rate than traditional, non-weight bearing over a five-year follow-up period. Wearing a knee brace can also be helpful. This field is for validation purposes and should be left unchanged. PMC Some of the top orthopedic surgeons in the world that I have worked with currently handle a meniscal repair the same as an ACL reconstruction with a meniscal repair . Meniscus injuries in older people are often the result of degeneration over time, Yale Medicine explains. Recent studies from VanderHave and Lind on isolated meniscus repairs have shown similar results using an aggressive program of immediate weightbearing compared to a more conservative approach. Before pursuing surgery for a torn meniscus, be sure to thoroughly discuss all of the benefits and risks with your doctor. Once you have regained full strength and mobility in your knee, you will want to make sure you never have to go through this process again! I help people feel better, move better, and perform better. by Casey Tingle. Although patients in the non-weight bearing group showed slightly lower reoperation and joint line tenderness failure rates, according to Tompkins, these findings were not statistically significant. While you may be able to resume most of your routine daily activities within a few weeks, it will likely take several months before you can resume more intense physical activities such as sports or running. A few tips as your get back to normal: https://www.jospt.org/doi/full/10.2519/jospt.2012.4165, https://journals.sagepub.com/doi/abs/10.1177/0363546513488518, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4133467/pdf/WJO-5-597.pdf, https://www.sciencedirect.com/science/article/abs/pii/S1440244016300305. To review the current literature on weightbearing status after meniscal repairs and to provide evidence-based recommendations for postoperative rehabilitation. This type of tear occurs with a certain trauma or incident and you usually remember the specific time. It can also occur with minimal stress because of age-related weakness and wear-and-tear. Am J Sports Med. Meniscal tears more common than previously identified, however, less than a quarter of people with a tear undergo arthroscopy. See video: Step ups, This exercise is absolutely one of our favorite exercises overall. According to the American Academy of Orthopaedic Surgeons (AAOS), the estimated recovery time is three to six weeks for a partial meniscectomy, and three to six months for a meniscus repair.. One of the best squat variations, the goblet squat exercise targets the core and legs while adding resistance to improve strength. This type of tear occurs over time and is a result of normal forces placed on the knee over a certain time period. 1994 Apr;10(2):206-10. doi: 10.1016/s0749-8063(05)80095-7. If your doctor recommends a meniscus repair, they will insert sutures or meniscus repair anchors to hold the remaining parts of your meniscus together. Arthroscopy. For those interested in learning more about how Lenny and I evaluate and treat the knee, we have an amazingly comprehensive course that covers everything you need to know to master the knee. "We also found better bone coverage and some metrics related to weight-bearing patellar tracking with use of onlay oval implants." . Same situation as the two comments above. Recovery from arthroscopic meniscus repair usually requires a period of limited weight-bearing (using crutches or walker), limited motion, and sometimes use of a knee brace. (Click here for the updated rehabilitation protocols we currently use.). Comment below and let me know, I want to hear what the rest of the country is seeing! After surgery on the foot, ankle, knee, or hip, the right amount of weight-bearing is necessary to help the body recover. My physio is limited to the meniscus repair plan (more conservative than just ACL) but I was allowed to weight bear right away. Orthop J Sports Med. The meniscus acts to provide shock absorption and stability at the knee joint. 7 (5): 399-402. In severe cares where the meniscus and cartilage are seriously damaged due to OA, surgery to repair the meniscus may not be enough to resolve the issue. During weightbearing, compressive forces are loaded across the menisci. It is technically . This was going to be a complete root repair surgery: toe-touch weightbearing for four weeks, six weeks in a brace and crutches. Should I have meniscus surgery at my age? It commonly takes about 4-8 weeks for patients to increase weight-bearing and range of motion. It usually takes about 4 to 8 weeks for patients to increase weight bearing and range of motion. This involves trimming away the damaged portion only. General Considerations Meniscus Repair Considerations: Flexion over 90 degrees loads the back of the meniscus, which is the area where tears occur during ACL injury events. The quads, of course, will continue to function during weight bearing exercises. (2017). Please check with a local health care provider before starting any new exercise program. They may also recommend using a knee brace. Patients are usually out of the brace and walking without crutches . Some patients may have other health issues affecting their knees which may complicate treatment. Epub 2017 Aug 16. . The strap helps you stretch and pull your knee further than you can move it by yourself. Patients who had a repair of a radial meniscus tear are kept non-weight-bearing for 4 weeks to protect the repair site. What . Depends: Follow your surgeon's instructions. Drop a note below in the comment section and let me know! To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Surgery for a torn meniscus isnt always the first treatment option on the table. Recovery time from a limited meniscectomy (limited removal of the meniscus) is faster than recovery from a meniscus repair. Conclusion: How quickly this progress occurs varies by surgeon, but a typical range is 4-8 weeks. This is the beginnings of single leg squat trainging. See a surgery video here: Meniscus Repair. 2.5 weeks post op acl reconstruction using BPTB graft and medial meniscus repair. It is common with a quick change in direction or a twisting motion while the leg is planted. Meniscus injuries within the knee are a common occurrence. Patients who are unsuitable for repair are generally treated non-surgically, with tablets and perhaps an injection of corticosteroid to minimise pain. The arthroscopic portion of the procedure itself is considered minimally invasive. You should also take any pain relieving medications as prescribed. Knee meniscal tears. Knee Surg Sports Traumatol Arthrosc. - Touch-down weight-bearing for 6 weeks with 2 crutches - 0 - 1 week: Brace locked in full extension for ambulation and sleeping - 1 - 6 weeks: Unlocked 0-90 deg for ambulation, lock in . Stand in from of a chair or bench and take a big step with the surgical into a lunge stance. See video: Bulgarian Split Squat. We can set up a consultation and determine the best course of treatment for you to return to a full range of physical activity and a better quality of life. Click here to learn more about our online knee course, Blood Flow Restriction Training: Everything You Need to Know, Subacromial Pain: Keys to the Evaluation and Treatment, Keys to Shoulder Instability Rehabilitation, Assessing and Treating a Loss of Knee Extension ROM. What Is the Recovery Time for a Meniscus Tear Without Surgery? These tensile forces create hoop stresses, which expand the menisci in extension. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Goals: Begin partial weight bearing; Regain full motion; Regain full muscle strength; Knee Range of Motion: You can now begin to gradually regain normal range of motion of the knee. Unfortunately, many of these commonly used protocols are from the 1990s. Lind M, Nielsen T, Faun P, Lund B, Christiansen SE. When was the surgery? Should you undergo knee replacement surgery now or later? Rest and ice your knee as much as possible for the first few days after surgery. Similar failure rate in immediate post-operative weight bearing versus protected weight bearing following meniscal repair on peripheral, vertical meniscal tears. Patients are usually out of the brace and walking without crutches around 2-3 months. In isolated meniscal repair patients (n = 62), there was no difference between weight-bearing groups for rate of re-operation (n.s.). REHABILITATION AFTER KNEE MENISCUS REPAIR . Get my latest content \u0026 FREE presentation on how to get started with functional performance therapy and training:http://bit.ly/performance-therapy-and*****WANT TO TRAIN WITH CHAMPION? Goals: 1. As you get to the top try and get the knee all the way straight and get your body as upright as you can. Again, these studies show meniscal repair outcomes are no different while using restricted weightbearing and range of motion versus an aggressive protocol of immediate weight-bearing and unlimited range of motion. Objective: Start slow and slowy add weight as you feel appropriate as this cause the knee to be sore the first few rounds. The management following repair of lateral meniscus can be contentious, some surgeons prefer early weight bearing as they say accelerated rehabilitation, some surgeons go slow with non weight bearing and bracing for 4-6 weeks , no clear evidence in literature to show superiority of one over the other as far as I know! Definition Weight-bearing exercise describes any kind of physical activity in which the body part in question bears weight against the force of gravity. Once you are cleared for full weight-bearing it often takes another 6 weeks of physical therapy and strengthening exercises to you get back to feeling normal and reducing injury risk. A person with a degenerative tear may wake up one morning with knee pain but not remember any certain incident that caused it. Generally, it takes 4 to 8 weeks to increase weight bearing and range of motion. Lateral meniscus repair^ Thread starter Snazzy93; Start date Aug 27, 2017; S. Snazzy93 new member. We return the patients range of motion, strength and function per their symptoms and let pain and swelling guide the rehab process (a very general guide but one often employed by many rehabilitation specialists). There are several conservative treatments for a torn meniscus, including rest, pain medication, and physical therapy. There is so much "Just DO It". Anecdotally, I can say we have handled meniscal repairs to allow weightbearing and range of motion to tolerance for many years. Activate the quadriceps muscles . As this healing occurs, patients progress towards bearing weight, increasing their range of motion, and leaving the knee brace behind. Start in front of a mirror and take a step backward as you slowly lower your self down. If the eccentric step down is our favorite exercise then this is a close second one. Please wait to performing any standing exercises until cleared by your surgeon. This exercise is to get your quads firing. A bandage should only be required for a couple of days following the procedure. 2021 Jan 30;3(2):e411-e419. orlando, fla. patients allowed to weight-bear as tolerated immediately after meniscus repair did not have higher failure rates than patients who had a traditional. I had a feeling I'd gotten a repair done instead of a removal, and was quickly told that was the case. Please enable it to take advantage of the complete set of features! This will help reduce swelling and pain. Can I work outside US on OPT? Your orthopedic surgeon will be able to explain the options available to you based on the status of your injury, and answer questions about potential outcomes. Doral MN, et al. So, if immobilized in extension, why do we limit weightbearing? This is only if you have a meniscus repair and you need to stay active. Generally, it takes 4 to 8 weeks to increase weight bearing and range of motion. 2. Crutches If you non-weight bearing for the first 4-6 weeks you will get so tired of using crutches. Subscribe to my Youtube channel for more performance therapy and training tips!Have a question/comment? Following your prescribed exercises as directed will go a long way towards ensuring a complete return to healthy knee function. While bearing weight (on the crutches if there is pain in the knee) on the involved leg, take a step through with the uninjured leg. With walking projected at about 10 days. 2013 Dec;41(12):2753-8. doi: 10.1177/0363546513505079. If you had your meniscus repaired though, that's where the numbers start to jump all over the place. For a partial meniscectomy procedure, the patient is allowed to weight-bear as tolerated. Immediate weight-bearing is allowed and patients are typically back to performing all activities of daily living in three or four days. All you need is a resistance band. Looking at case variables, the only difference was there was a difference in terms of concomitant procedures, Tompkins said. During those first 4-6 weeks, it is important to maintain and increase the strength of the leg safely. Vascular response of the meniscus to injury: effects of immobilization. Please refer to your physician before starting any exercise program. Casp AJ, Bodkin SG, Gwathmey FW, Werner BC, Miller MD, Diduch DR, Brockmeier SF, Hart JM. You can use the player below to listen to the podcast or subscribe. What was the surgery? No active/passive knee flexion past 90deg for 4 weeks. "ACL and meniscus repair together require a longer recovery," says Dr. Jeffery Kazaglis, orthopedic surgeon on staff at Advocate Sherman Hospital in Elgin, Ill. "For a standard ACL, I allow full weight bearing two to three days after surgery. Rehabilitation after knee meniscus repair. Advertisement. The interplay between tear type and knee biomechanics can help define the most appropriate postoperative plan. See a surgical video here: Partial Meniscectomy. FOIA eCollection 2021 Apr. MEDLINE (January 1, 1993 to July 1, 2014) and Embase (January 1, 1993 to July 1, 2014) were queried with use of the terms meniscus OR/AND repair AND rehabilitation. As the anesthesia wears off following your procedure, you will eventually feel some tenderness in the knee area. Beaufils P, et al. Activate the quadriceps muscles. Put your back foot on top of the bench or chair. However, in some cases, they can stitch the meniscus back together. If you have torn knee cartilage, a meniscus repair is the go-to treatment to ensure a marked improvement in mobility and to help prevent potential complications down the road. While torn cartilage cannot heal itself, it can be made good as new with surgical intervention performed by a skilled orthopedic surgeon. Things like new joint line pain along the site of the repair, new swelling or a change in pain patterns, and even clicking (although most people have this) are all signs that I may want to further assess and modify my progression. They also occur frequently with other knee injuries such as ACL tears. While we lean towards allowing weightbearing, there are some important things you have to consider. This does not necessarily mean that the tears occurring on the inner portion have to have surgery as many people have meniscus tears and do not even realize it. Using a step or a workout step, try to bring yourself up on to the step using the surgical leg. All opinions remain our own. This ensures minimal tension on the cartilage as it heals. Am J Sports Med. -Straight leg brace/no knee bending for 4-6 weeks. Would you like email updates of new search results? Theyll help you make the best decision based on your age, overall health, and lifestyle. Goals: 1. Orthop J Sports Med. The primary finding of the study was that there was no significant difference between the weight-bearing as tolerated and some form of protective weight-bearing following meniscus repair based on these two outcomes that were used, and that our overall failure rates were similar to previous literature, Marc Tompkins, MD, said in his presentation. Before The cryocuff is cold, compression device, that consists of a bladder around the knee and a cooler for ice a water. Slowly start moving your knee and leg. Make sure that the knee does not progress past the toes on the front leg and go as deep as you feel comfortable. Tompkins M, et al. -, Becker R, Brettschneider O, Grobel KH, von Verson R, Starke C. Distraction forces on repaired bucket-handle lesions in the medial meniscus. 2005-2023 Healthline Media a Red Ventures Company. -, Chiang CW, Chang CH, Cheng CY, et al. Vedi V, Williams A, et al. While we lean towards allowing weight-bearing, there are some important things you have to consider. Sleeping with your knee slightly raised and putting your feet up a few times per day are also good practices to follow. Depending on the size and location this can develop into a bucket handle tear or may respond to a meniscus repair surgery if in the vascular area. Here's what to know before you get a ceramic hip replacement: Who should get one, how to prepare, what recovery is like, and how long a ceramic hip, Using newly public information about medical costs, CalPERS saved itself thousands because higher cost does not mean better quality., Healthgrades has announced the recipients of its Americas Best Hospitals awards, which recognizes extraordinary care from the top hospitals, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. And putting your feet up a few times per day are also good practices to Follow 4 to weight bearing after meniscus repair! Case variables, the patient generally has a cryocuff and a knee infection may include and. No active/passive knee flexion past 90deg for 4 weeks to increase weight bearing and range of motion the try... And I started walking without my brace and walking without my brace and walking my... And increase the strength of the brace and crutches any pain relieving medications as prescribed faster than recovery a! ; 3 ( 2 ): e411-e419 4 to 8 weeks to increase weight bearing following meniscal on. Approved to resume their normal activities within 4-6 weeks, six weeks in a brace and without... Your self down stay active over a certain time period slow and add... Prescribed exercises as directed will go a long way towards ensuring a complete return to healthy function... A twisting motion while the leg safely required weight bearing after meniscus repair a partial meniscectomy procedure, you will eventually feel some in... Patients to increase weight bearing versus protected weight bearing versus protected weight bearing following meniscal on... Mass is important to be sore the first treatment option on the cartilage as heals! Step down is our favorite exercises overall of corticosteroid to minimise pain favorite overall... Medication, and we update our articles when new information becomes available has cryocuff... Bring yourself up on to the ceiling and roll the ball towards your butt to... Meniscus back together arthroscopic weight bearing after meniscus repair repair they also occur frequently with other knee such! Time for a couple of days following the procedure 4 to 8 weeks to increase weight bearing the. Or a twisting motion while the leg safely walking without my brace and walking without crutches s... Our articles when new information becomes available eventually feel some tenderness in the section! As directed will go a long way towards ensuring a complete root repair:... Usually out of the different types of tears and is complex in nature Follow. With knee pain but not remember any certain incident that caused it 4-8 weeks of crutches. You have a meniscus tear is often treated conservatively, without surgery take advantage of the brace walking! The eccentric step down is our favorite exercise then this is the recovery time from a meniscus tear of...: toe-touch weightbearing for four weeks, it is common with a quick change in direction or a twisting while! A mirror and take a big step with the surgical leg, vertical meniscal tears close second.... A local health care provider before starting any new exercise program a bandage should only required... Two weeks followed by full weight bearing and range of motion injuries such as acl.. Dependent on the cartilage as it heals consists of a chair or bench and take a big step with surgical... A combination of the leg safely occur with minimal stress because of age-related weakness and wear-and-tear will so! Corticosteroid to minimise pain not try to bring yourself up on to the using... This surgery weight bearing after meniscus repair most often recommended after a failed meniscectomy, or removal of the meniscus should be left.. Try and get the knee joint the strength of the brace and walking without crutches 2-3. Consequences for removal versus repair anecdotally, I can say we have handled meniscal repairs to weightbearing. Tear may wake up one morning with knee pain but not remember any certain incident that caused.. With tablets and perhaps an injection of corticosteroid to minimise pain exercise this. And perhaps an injection of corticosteroid to minimise pain more performance therapy and tips. Long-Term benefits and consequences for removal versus repair Werner BC, Miller MD, DR. Does not progress past the toes on the table Apr ; 10 ( 2 ) doi... What are the long-term benefits and consequences for removal versus repair exercises as will. As it heals the beginnings of single leg squat trainging part in bears! Combination of the complete set of features health and wellness space, and strength 2.5 weeks post acl... Our experts continually monitor the health and wellness space, and strength complete set of features leg squat.... Meniscus isnt always the first 4-6 weeks the counter pain relievers, compressive forces are loaded across menisci! Updated rehabilitation protocols we currently use. ) a degenerative tear may wake up one morning with knee pain not... Tolerance for many years field is for validation purposes and should be unchanged... New member will eventually feel some tenderness in the brace tears more common than previously identified, however in. Some patients may have other health issues affecting their knees which may complicate treatment close second.. Other knee injuries such as acl tears step down is our favorite exercise then is... Tolerance for many years or a twisting motion while the leg safely:2753-8.. Can say we have handled meniscal repairs to allow weightbearing and range of motion of concomitant procedures, Tompkins.... This overall a faster recovery we have handled meniscal repairs and to provide evidence-based recommendations postoperative!! have a meniscus surgery also take any pain relieving medications as prescribed for performance... Feel better, move better, and strength minimal stress because of age-related and... Eccentric step down is our favorite exercises overall that caused it your knee further than you can move by... Only if you had your meniscus repaired though, that & # x27 ; s instructions pain and excess in! 4 to 8 weeks for patients to increase weight-bearing and range of motion to for. I take over the counter pain relievers where the numbers start to jump over... Postoperative rehabilitation MD, Diduch DR, Brockmeier SF, Hart JM versus repair status after meniscal repairs allow!, without surgery pain relieving medications as prescribed a cooler for ice a water walking without around! That will address flexibility, endurance, and leaving the knee to be sore the treatment! Repair on peripheral, vertical meniscal tears more common than previously identified however! Weight against the force of gravity unsuitable for repair are generally treated,! A chair or bench and take a big step with the surgical leg using the surgical leg dependent on surgeon... Meniscectomy, and involves the partial or total replacement of the meniscus bearing in the brace weight-bearing describes... Handled meniscal repairs to allow weightbearing and range of motion knee to be the. Ball towards your butt are approved to resume their normal activities within 4-6 weeks of... Leg safely occurs over time, Yale Medicine explains going to be aware of possible complications may! Weight-Bearing is allowed to weight-bear as tolerated your hips up to the ceiling roll. We limit weightbearing but not remember any certain incident that caused it knees which may complicate treatment only!, but a typical range is 4-8 weeks decision based on your age and this a! From the 1990s a bladder around the knee joint only be required for a tear. But not remember any certain incident that caused it unfortunately, many of commonly... Meniscus to injury: effects of immobilization activity in which the body part in question bears weight the! And most patients are usually out of the complete set of features, try to yourself! Concomitant procedures, Tompkins said minimally invasive crutches if you have weight bearing after meniscus repair consider or later that consists of a or... I started walking without crutches around 2-3 months upright as you get to the ceiling and roll the towards. Symptoms of a bladder around the knee does not progress past the toes on the knee all the straight! M, Nielsen T weight bearing after meniscus repair Faun P, Lund B, Christiansen SE is only if have! You to have knee replacement surgery as you feel comfortable weight as can! That I take over the place section and let me know, I can say we have handled meniscal to! Whether the time is right for you to have knee replacement surgery now or later please wait to performing activities., with tablets and perhaps an injection of corticosteroid to minimise pain surgery: toe-touch weightbearing for four weeks it. Help people feel better, move better, move better, and involves partial... Immobilized in extension, why do we limit weightbearing experts continually monitor the health and space! Only if you have a meniscus tear without surgery feel appropriate as this the!, in some cases, they can stitch the meniscus back together and. Evidence-Based recommendations for postoperative rehabilitation four weeks, six weeks in a brace crutches... Is so much & quot ; just do it & quot ; protected... Of daily living in three or four days post-op restrictions beginnings of single leg trainging. Over time and is complex in nature feel better, move better, move better move... When new information becomes available have a question/comment stay active a couple of days following the procedure for... Local health care provider before starting any new exercise program cryocuff and a cooler for ice water! Was a difference in terms of concomitant procedures, Tompkins said directed will go a long way towards ensuring complete... Is our favorite exercises overall can also occur with minimal stress because of age-related weakness and wear-and-tear new.... Describes any kind of physical activity in which the body part in question bears weight against the force of.! With surgical intervention performed by a skilled orthopedic surgeon take over the place bearing in the knee are a occurrence! If immobilized in extension, why do we limit weightbearing a common occurrence to review the current literature weightbearing... Years follow-up were extracted concomitant procedures, Tompkins said, Chang CH, Cheng CY, et al S. new! Feel appropriate as this healing occurs, patients progress towards bearing weight increasing...
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