CN109662811A - A kind of artificial knee joint prosthesis - Google Patents

A kind of artificial knee joint prosthesis Download PDF

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Publication number
CN109662811A
CN109662811A CN201910154430.1A CN201910154430A CN109662811A CN 109662811 A CN109662811 A CN 109662811A CN 201910154430 A CN201910154430 A CN 201910154430A CN 109662811 A CN109662811 A CN 109662811A
Authority
CN
China
Prior art keywords
potsherd
prosthesis
lateral femoral
femoral condyle
supporting mass
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201910154430.1A
Other languages
Chinese (zh)
Inventor
韦山
王凡
杨德玉
汪正宇
钟相强
何慧娟
周鹏飞
刘启元
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Anhui Polytechnic University
Original Assignee
Anhui Polytechnic University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Anhui Polytechnic University filed Critical Anhui Polytechnic University
Priority to CN201910154430.1A priority Critical patent/CN109662811A/en
Publication of CN109662811A publication Critical patent/CN109662811A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/38Joints for elbows or knees
    • A61F2/3859Femoral components
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/38Joints for elbows or knees
    • A61F2/389Tibial components
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00179Ceramics or ceramic-like structures

Abstract

The invention discloses a kind of artificial knee joint prosthesis, including lateral femoral condyle prosthesis, liner, tibial plateau support, the liner is located in tibial plateau support, it further include potsherd and supporting mass, the potsherd is one group of potsherd, one group of potsherd is distributed across on supporting mass, and the outer surface of lateral femoral condyle prosthesis is equipped with the groove for accommodating supporting mass, and it is secondary that the convex outward of potsherd contacts composition friction with the upper surface of liner.Several potsherds are distributed on lateral femoral condyle prosthesis in the knee-joint prosthesis, lateral femoral condyle prosthesis and shin bone liner are separated, lateral femoral condyle prosthesis and shin bone pad wear amount are reduced;Friction between metal and macromolecule polymer material is changed into the friction of metal and ceramics, reduce metal ion caused by metal and macromolecule friction to be precipitated, potsherd dispersed placement keeps potsherd not easily broken, mitigate kneed quality, keep patient motion lighter and handier, and there is certain impact resistance and Noise Reduction.

Description

A kind of artificial knee joint prosthesis
Technical field
The present invention relates to biomedical engineering orthopaedics implant prosthese technical fields, close more particularly, to a kind of artificial knee Save prosthese.
Background technique
Total knee replacement is that a kind of effective clinic of injury of knee joint caused by treating because of wound or disease is controlled Treatment method.Artificial knee joint system is made of lateral femoral condyle prosthesis, shin bone liner, tibial plateau support.It is closed as artificial knee is applied to The biomaterial of section prosthese will not only reach good repair, mitigate patient's slight illness, restore outside knee joint function, more important Be cannot have an adverse effect to the tissue around human body knee joint.
Common knee-joint prosthesis is made of metal lateral femoral condyle prosthesis, polyethylene shin bone liner and metal tibial platform support. Lateral femoral condyle prosthesis and shin bone liner constitute friction pair.The artificial knee joint type clinically used at present is metal condyle of femur Prosthese and macromolecule shin bone liner are with pair.With the secondary friction pair formed in long-term process of friction and wear, there are toxic for this Metal ion is precipitated, and accumulation will lead to chronic disease to a certain concentration in human body, while wear debris can induce Periprosthetic Bone tissue generate bone dissolution;This is very high with the wear rate that the secondary friction pair formed pads macromolecule shin bone, most common height Molecular material is ultra-high molecular weight polyethylene, and a year abrasion loss is about 0.1-0.2mm, in long-term friction process, be will lead to The thickness of macromolecular lining is constantly reduced, and then influences the intensity of shin bone liner.In addition, there is also the artificial knees of another type to close Save prosthese: ceramic lateral femoral condyle prosthesis and macromolecule shin bone liner are with pair, this has good wearability with secondary tool, and abrasion loss is very Small, also there is no metal ions to be precipitated, and has good development prospect, but due to ceramic fragility inherently, causes Ceramic lateral femoral condyle prosthesis is easy to break, and at present also in the laboratory research stage, there is no clinical applications.
Therefore, the friction for reducing lateral femoral condyle prosthesis and shin bone liner, reduces the abrasion loss of shin bone liner, improves it and uses the longevity Life is the necessity for improving Quality of Life of Patients.
Summary of the invention
In view of the shortcomings of the prior art, technical problem to be solved by the invention is to provide a kind of artificial knee joint prosthesis, with Reach and reduce the abrasion of lateral femoral condyle prosthesis and liner, reduce ceramic fragmentation risk, reduces Metal ion release, it is false to extend knee joint The purpose of body service life.
In order to solve the above-mentioned technical problem, the technical scheme adopted by the invention is as follows:
The artificial knee joint prosthesis, including lateral femoral condyle prosthesis, liner, tibial plateau support, the liner are located at tibial plateau It further include potsherd and supporting mass in support, the potsherd is one group of potsherd, and one group of potsherd is distributed across supporting mass On, the outer surface of lateral femoral condyle prosthesis is equipped with the groove for accommodating supporting mass, the convex outward of potsherd and the upper surface of liner It is secondary that contact constitutes friction.
Preferably, the outer peripheral surface of the potsherd and supporting mass connected component is equipped with groove or protrusion;The pottery Groove on tile is helicla flute.
Preferably, the potsherd has convex outward and inner sunken face, convex outward protrudes from the outer of supporting mass Surface or with the outer surface of supporting mass in same curved surface.
Preferably, the convex outward of the potsherd protrudes from outer surface or and the lateral femoral condyle prosthesis of lateral femoral condyle prosthesis Outer surface in same curved surface.
Preferably, the curvature of the potsherd convex outward is consistent with the outer surface curvature of lateral femoral condyle prosthesis.
Preferably, the lateral femoral condyle prosthesis has two condyle outer surfaces, it is equipped on two condyle outer surfaces for accommodating branch The groove of body is held, groove curvature is consistent with the outer surface curvature of lateral femoral condyle prosthesis.
Preferably, the shape of the potsherd is cylinder and/or prism.
Preferably, the supporting mass and liner be high molecular polymer or its compound or surface-modified, it is described Lateral femoral condyle prosthesis is titanium and its alloy or tantalum and its alloy or medical stainless steel or cochrome.
Preferably, the inner surface of the lateral femoral condyle prosthesis and the lower surface of tibial plateau support are equipped with and are suitable for human body Tissue growth connects, one group of hole of the clinical long-term connection effect of enhancing convenient for biology.
Preferably, the supporting mass and ceramics are whole manufacture, then the bearing being connected as one after whole manufacture Body and ceramics are assemblied in inside the groove of lateral femoral condyle prosthesis.
Compared with prior art, the present invention having the advantage that
Several potsherds are distributed on lateral femoral condyle prosthesis in the present invention, it, will be golden instead of traditional metal lateral femoral condyle prosthesis Belong to and high molecular polymer liner between friction be changed into ceramics and high molecular polymer pad between friction, while potsherd it Between have gap, accommodate lubricating fluid, thus reduce lateral femoral condyle prosthesis and shin bone liner coefficient of friction, reduce abrasion loss, subtract Metal ion precipitation is lacked;The fragmentation risk of ceramic condyle of femur type prosthese can also be reduced simultaneously;Mitigate kneed quality, Keep patient motion lighter and handier;The supporting mass and liner of high molecular polymer have certain impact resistance and Noise Reduction;Pottery Tile only needs to finish the face with gasket contacts, other faces without processing, reduce processing technology step, reduce manufacture at This.
Detailed description of the invention
Content expressed by each width attached drawing of this specification and the label in figure are briefly described below:
Fig. 1 is a kind of structural schematic diagram of knee-joint prosthesis of the present invention.
Fig. 2 is a kind of structural schematic diagram of potsherd on lateral femoral condyle prosthesis in Fig. 1.
Fig. 3 is potsherd another kind structural schematic diagram on lateral femoral condyle prosthesis in Fig. 1.
Fig. 4 is knee-joint prosthesis another kind structural schematic diagram of the present invention.
Fig. 5 is that shin bone pads a kind of upper structural schematic diagram of potsherd in Fig. 4.
Fig. 6 is that shin bone pads upper potsherd another kind structural schematic diagram in Fig. 4.
In figure: 1. lateral femoral condyle prosthesis, 201. potsherds I, 202. potsherds II, 3. shin bones liner, 4. tibial plateau supports, 5. Supporting mass.
Specific embodiment
Below against attached drawing, by the description of the embodiment, making to a specific embodiment of the invention further details of Explanation.
Artificial knee joint prosthesis, including lateral femoral condyle prosthesis, shin bone liner, tibial plateau support, it is flat that shin bone liner is located at shin bone In platform support, lateral femoral condyle prosthesis outer surface is corresponding with shin bone liner upper surface, and lateral femoral condyle prosthesis outer surface or shin bone pad upper table Face is equipped with for reducing the potsherd to rub between the two, and potsherd is one group, one group of potsherd discrete type distribution, concretely It is evenly or unevenly spaced arrangement.Non-uniform spacing arrangement can increase contact area, to reduce contact stress.
Wherein, the lower surface of the inner surface of lateral femoral condyle prosthesis and tibial plateau support be equipped be suitable for tissue growth, Convenient for biology connection, one group of hole of the clinical long-term connection effect of enhancing, one group of Kong Weiyi group micropore;Micropore can make bone tissue long To the inside, reinforce the connection in joint and human body host bone, the reliability that prosthese is fixed in human body can be improved, guarantees using effect Fruit.
The present invention is illustrated below by specific embodiment, specific as follows:
As shown in Figure 1 to Figure 3, the artificial knee joint prosthesis, including lateral femoral condyle prosthesis 1, potsherd II 202, shin bone liner 3, tibial plateau support 4 and supporting mass 5, wherein supporting mass and liner be high molecular polymer or its compound or surface-modified, Lateral femoral condyle prosthesis is titanium and its alloy or tantalum and its alloy or medical stainless steel or cochrome.
Potsherd II is one group of potsherd, and one group of potsherd is distributed across on supporting mass, the outer surface of lateral femoral condyle prosthesis Equipped with the groove for accommodating supporting mass, it is secondary that the convex outward of potsherd contacts composition friction with the upper surface of liner.Potsherd Contact surface with femoral prosthesis reduces processing technology, reduces cost, while having certain impact resistance and drop without finishing The effect of making an uproar.
The shape of potsherd is cylinder and/or polygon prism, and one group of potsherd non-uniform spacing arrangement can increase contact surface Product.
Two end faces of potsherd are arc;Specifically, potsherd has convex outward and inner sunken face, convex outward Protrude from the outer surface of supporting mass or with the outer surface of supporting mass in same curved surface.The convex outward of potsherd protrudes from femur The outer surface of condyle prosthese or with the outer surface of lateral femoral condyle prosthesis in same curved surface.The curvature and condyle of femur of potsherd convex outward The outer surface of prosthese is consistent.Lateral femoral condyle prosthesis has two condyle outer surfaces, is equipped on two condyle outer surfaces for accommodating supporting mass Groove, groove curvature are consistent with the outer surface of lateral femoral condyle prosthesis.Uniform force, it is reliable and stable.
The outer peripheral surface of potsherd and supporting mass connected component is equipped with groove or protrusion.Preferably, the groove on potsherd For helicla flute.Supporting mass is high molecular polymer, and potsherd is embedded in high molecular polymer, has high molecular polymerization in groove Object, the setting of groove increase the withdrawal force and binding force of potsherd, keep potsherd fixation stronger.
There is certain gap between adjacent ceramic piece, can be used for storing human body fluid in gap;And in the upper of liner Surface is equipped with one group of hole, and one group of hole is one group of micro- hole, for storing human body fluid;The contact that lubrication potsherd is padded with shin bone Face reduces the two friction.
As shown in Figures 4 to 6, the artificial knee joint prosthesis, including lateral femoral condyle prosthesis, potsherd I 201, shin bone liner and Tibial plateau support, lateral femoral condyle prosthesis 1 are metal structure, are connected convenient for lateral femoral condyle prosthesis with skeleton.Potsherd I is quadrangular Shape body or hexagonal prisms or cylindrical body, shin bone liner 3 effect be similar to meniscus structure, the above is half a month arc, below Cheng Ping Mesa-shaped, top are contacted with lateral femoral condyle prosthesis 1, and lower part and tibial plateau support 4 are fixed, and potsherd I is embedded in shin bone liner 3 to recessed In on the semilune curved surface of certain radian.
Potsherd I protrudes certain altitude, and the preparation method of shin bone liner 3 includes injection molding or 3D increases material manufacturing technology, femur Condyle prosthese and powder metallurgy sintered method or plasma spraying method can be used for tibial plateau support preparation method or 3 D-printing is rapid-result fastly Type technology.
The material of shin bone liner and supporting mass uses high molecular polymer, preferably ultra-high molecular weight polyethylene, potsherd I Material is bioceramic, preferably aluminium oxide ceramics, and potsherd I is padded with shin bone to be linked by filled polyethylene material.
Potsherd and the outer peripheral surface of shin bone liner coupling part are equipped with groove or protrusion;Preferably, groove is helicla flute, Groove is placed in shin bone liner, increases the withdrawal force and binding force of potsherd, and potsherd is fixed reliable.
The outer surface of lateral femoral condyle prosthesis is equipped with one group of hole, and one group of hole is one group of micro- hole, for storing human body fluid, lubricates stock The contact surface of bone condyle prosthese and potsherd reduces the two friction, reduces abrasion loss.Between having centainly between adjacent ceramic piece Gap, can be used for storing human body fluid in gap, the contact surface of lubrication potsherd and shin bone liner, both reduce friction.The two knot The abrasion loss of structure collective effect, potsherd and lateral femoral condyle prosthesis is very small.
Supporting mass and ceramics are whole manufacture, then the supporting mass and ceramics that are connected as one after whole manufacture are assemblied in stock Inside the groove of bone condyle prosthese, stable structure is reliable.
Above or on lateral femoral condyle prosthesis several potsherds are distributed in shin bone liner in the knee-joint prosthesis, by lateral femoral condyle prosthesis It is separated with shin bone liner, reduces the coefficient of friction of lateral femoral condyle prosthesis and shin bone liner, reduce abrasion loss;It will be between metal and macromolecule Friction be changed into metal and ceramics friction, reduce metal and macromolecule friction caused by metal ion be precipitated, potsherd Discrete type arrangement, ceramic chip structure intensity is not easily broken greatly, mitigates kneed quality, keeps patient motion lighter and handier.
The present invention is exemplarily described above in conjunction with attached drawing, it is clear that the present invention implements not by aforesaid way Limitation, if use the improvement for the various unsubstantialities that conception and technical scheme of the invention carry out, or it is not improved will Conception and technical scheme of the invention directly apply to other occasions, within the scope of the present invention.

Claims (10)

1. a kind of artificial knee joint prosthesis, including lateral femoral condyle prosthesis, liner, tibial plateau support, the liner is located at tibial plateau In support, it is characterised in that: further include potsherd and supporting mass, the potsherd is one group of potsherd, and one group of potsherd disperses cloth It sets on supporting mass, the outer surface of lateral femoral condyle prosthesis is equipped with the groove for accommodating supporting mass, the convex outward and lining of potsherd It is secondary that the upper surface contact of pad constitutes friction.
2. artificial knee joint prosthesis as described in claim 1, it is characterised in that: the potsherd is outer with supporting mass connected component Circumferential surface is equipped with groove or protrusion;Groove on potsherd is helicla flute.
3. artificial knee joint prosthesis as described in claim 1, it is characterised in that: the potsherd has convex outward and interior concave curved Face, convex outward protrude from the outer surface of supporting mass or with the outer surface of supporting mass in same curved surface.
4. artificial knee joint prosthesis as described in claim 1, it is characterised in that: the convex outward of the potsherd protrudes from femur The outer surface of condyle prosthese or with the outer surface of lateral femoral condyle prosthesis in same curved surface.
5. artificial knee joint prosthesis as described in claim 1, it is characterised in that: the curvature and femur of the potsherd convex outward The outer surface curvature of condyle prosthese is consistent.
6. artificial knee joint prosthesis as described in claim 1, it is characterised in that: the lateral femoral condyle prosthesis has two condyle outer surfaces, The groove for accommodating supporting mass is equipped on two condyle outer surfaces, groove curvature is consistent with the outer surface curvature of lateral femoral condyle prosthesis.
7. artificial knee joint prosthesis as described in claim 1, it is characterised in that: the shape of the potsherd is cylinder and/or rib Column.
8. artificial knee joint prosthesis as described in claim 1, it is characterised in that: the supporting mass and liner are high molecular polymer Or its compound or surface-modified, the lateral femoral condyle prosthesis are titanium and its alloy or tantalum and its alloy or medical stainless steel or cobalt Evanohm.
9. artificial knee joint prosthesis as described in claim 1, it is characterised in that: the inner surface and shin bone of the lateral femoral condyle prosthesis are flat The lower surface of platform support, which is equipped with, is suitable for tissue growth, convenient for biological one group for connecting, enhancing clinical long-term connection effect Hole.
10. artificial knee joint prosthesis as described in claim 1, it is characterised in that: the supporting mass and ceramics manufacture to be whole, then The supporting mass and ceramics that are connected as one after whole manufacture are assemblied in inside the groove of lateral femoral condyle prosthesis.
CN201910154430.1A 2019-03-01 2019-03-01 A kind of artificial knee joint prosthesis Pending CN109662811A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910154430.1A CN109662811A (en) 2019-03-01 2019-03-01 A kind of artificial knee joint prosthesis

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910154430.1A CN109662811A (en) 2019-03-01 2019-03-01 A kind of artificial knee joint prosthesis

Publications (1)

Publication Number Publication Date
CN109662811A true CN109662811A (en) 2019-04-23

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201910154430.1A Pending CN109662811A (en) 2019-03-01 2019-03-01 A kind of artificial knee joint prosthesis

Country Status (1)

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5549700A (en) * 1993-09-07 1996-08-27 Ortho Development Corporation Segmented prosthetic articulation
CN1596091A (en) * 2001-12-04 2005-03-16 迪斯酋有限公司 Implants for load bearing applications
CN102488573A (en) * 2011-11-11 2012-06-13 上海交通大学 Artificial acetabulum made of discrete ceramic cylinders
CN102793594A (en) * 2012-08-18 2012-11-28 深圳清华大学研究院 Artificial knee joint
CN103222904A (en) * 2013-04-27 2013-07-31 上海交通大学 Distributed acetabular prosthesis
CN205885583U (en) * 2016-03-03 2017-01-18 华中科技大学同济医学院附属同济医院 Artifical full knee joint prosthesis

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5549700A (en) * 1993-09-07 1996-08-27 Ortho Development Corporation Segmented prosthetic articulation
CN1596091A (en) * 2001-12-04 2005-03-16 迪斯酋有限公司 Implants for load bearing applications
CN102488573A (en) * 2011-11-11 2012-06-13 上海交通大学 Artificial acetabulum made of discrete ceramic cylinders
CN102793594A (en) * 2012-08-18 2012-11-28 深圳清华大学研究院 Artificial knee joint
CN103222904A (en) * 2013-04-27 2013-07-31 上海交通大学 Distributed acetabular prosthesis
CN205885583U (en) * 2016-03-03 2017-01-18 华中科技大学同济医学院附属同济医院 Artifical full knee joint prosthesis

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