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234:. Many operating methods and variations have been developed. They are defined by the type of cut and adjustment made. Some acetabular procedures are named after the surgeons who first described them as Salter (R. Salter), Dega (W. Dega), Sutherland (D.H. Sutherland), Chiari (K. Chiari): other names one may encounter are Ludlov, P. Pemberton, and James B. Steele. Some are named after the shape of cut (e.g. Chevron, Wedge) or the way the bones are aligned (Dial=old style rotary dial phone).
258:
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Chin osteotomy is most often done to correct a vertically short chin. As opposed to putting an implant on top of the chin bone to bring it forward, an alternative approach is to cut the chin bone itself and bring it forward or other directions as well. It can also be used to lengthen the chin (which
294:
A standard oscillating saw is run along the guide wires, removing most of the bone wedge from underneath the outside of the knee, below the healthy cartilage. The cartilage surface on the top of the outside (lateral side) of the shinbone is left intact. The top of the shinbone is then lowered on the
282:
The location of the removed wedge of bone depends on where osteoarthritis has damaged the knee cartilage. The most common type of osteotomy performed on arthritic knees is a high tibial osteotomy, which addresses cartilage damage on the inside (medial) portion of the knee. The procedure usually takes
286:
During a high tibial osteotomy, surgeons remove a wedge of bone from the outside of the knee, which causes the leg to bend slightly inward. This resembles the realigning of a bowlegged knee to a knock-kneed position. The patient's weight is transferred to the outside (lateral) portion of the knee,
273:
Osteotomy is also used as an alternative treatment to total knee replacement in younger and active patients. Because prosthetic knees may wear out over time, an osteotomy procedure can enable younger, active osteoarthritis patients to continue using the healthy portion of their knee. The procedure
265:
Knee osteotomy is commonly used to realign arthritic damage on one side of the knee. The goal is to shift the patient's body weight off the damaged area to the other side of the knee, where the cartilage is still healthy. Surgeons remove a wedge of the tibia from underneath the healthy side of the
269:
A model for this is the hinges on a door. When the door is shut, the hinges are flush against the wall. As the door swings open, one side of the door remains pressed against the wall as space opens up on the other side. Removing just a small wedge of bone can "swing" the knee open, pressing the
384:
Chin osteotomies (cutting the bone and moving it) are done through an incision inside the mouth. It is technically more difficult than an implant and has more swelling and recovery than a simple chin implant. Also, there is usually temporary loss of feeling of the lip and chin after that takes
290:
After regional or general anesthesia is administered, the surgical team sterilizes the leg with antibacterial solution. Surgeons map out the exact size of the bone wedge they will remove, using an X-ray, CT scan, or 3D computer modeling. A four- to five-inch incision is made down the front and
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After rehabilitation, preventing osteoarthritis involves slowing the progression and spread of the disease. Maintaining aerobic cardiovascular fitness has been an effective method for preventing the progression of osteoarthritis. Light, daily exercise is much better for an arthritic knee than
237:
A femoral derotation osteotomy can be performed to correct version abnormalities such as excessive anteversion or retroversion of the hip joint. Excessive anteversion of the femur results in anterior instability of the hip joint while excessive retroversion results in femoroacetabular hip
241:
A subtrochanteric blade plate or an intramedullary rod can be used to stabilize the osteotomy site in a femoral derotation osteotomy until compete bone healing is achieved; an approach employing an intramedullary rod is much less invasive than one using a subtrochanteric blade plate.}
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outside of the knee, starting below the kneecap and extending below the top of the shinbone.Guide wires are drilled into the top of the shinbone (tibia plateau) from the outside (lateral side) of the knee. The wires usually outline a triangle form in the shinbone.
311:
It is especially important to avoid any serious knee injuries, such as torn ligaments or fractured bones, because arthritis can complicate knee injury treatment. High-impact or repetitive stress sports, like football and distance running, should be avoided.
177:
Due to the serious nature of this procedure, recovery may be extensive. Careful consultation with a physician is important in order to ensure proper planning during a recovery phase. Tools exist to assist recovering patients who may have
360:(upper jaw) with the rest of the skull and/or teeth. This is usually performed to correct skeletal malocclusions, that is discrepancies in tooth position that cannot be corrected by simple orthodontic movement, and realignment of the
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are two of the most common osteotomy procedures performed in the United States. Recovery is often 6–8 weeks and the osteotomy can be filled with autologous bone grafts, scaffolds (hydroxyapatite, TR Matrix, etc.) or ceramics.
1174:
Vercellotti T, De Paoli S, Nevins M (2001). "The piezoelectric bony window osteotomy and sinus membrane elevation: introduction of a new technique for simplification of the sinus augmentation procedure".
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A fall or torque to the leg during the first two months after surgery may jeopardize healing. Patients must exercise extreme caution during all activities, including walking, until healing is complete.
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outside and attached with surgical staples or screws, depending on the size of the wedge that was removed. The layers of tissue in the knee are stitched together, usually with absorbable sutures.
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In veterinary medicine, osteotomies are frequently performed to address rupture of the canine cranial cruciate ligament, which is analogous to the anterior cruciate ligament. The
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604:"Dega osteotomy for the management of developmental dysplasia of the hip in children aged 2–8 years: results of 58 consecutive osteotomies after 13–25 years of follow-up"
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Non-contact activities keep joints and bones healthy and maintain fitness over time. Exercise also helps promote weight loss, which can take stress off knees.
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Brouwer, Reinoud W; Huizinga, Maarten R; Duivenvoorden, Tijs; van Raaij, Tom M; Verhagen, Arianne P; Bierma‐Zeinstra, Sita MA; Verhaar, Jan AN (2014-12-13).
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Brouwer, Reinoud W; Huizinga, Maarten R; Duivenvoorden, Tijs; van Raaij, Tom M; Verhagen, Arianne P; Bierma‐Zeinstra, Sita MA; Verhaar, Jan AN (2014-12-13).
1371:"Systematic review of the incidence of inferior alveolar nerve injury in bilateral sagittal split osteotomy and the assessment of neurosensory disturbances"
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healthy tissue together as space opens up between the femur and tibia on the damaged side so that the arthritic surfaces do not rub against each other.
1295:
Fujisawa Y, Masuhara K, Shiomi S (1979). "The effect of high tibial osteotomy on osteoarthritis of the knee. An arthroscopic study of 54 knee joints".
364:, or to correct facial deformities such as mandibular retrognathia. There is little scarring, and all of the surgery takes places inside of the mouth.
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Osteotomy is one method to relieve pain of arthritis, especially of the hip and knee. It is being replaced by joint replacement in the older patient.
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Ganz R, Klaue K, Vinh TS, Mast JW (1988). "A new periacetabular osteotomy for the treatment of hip dysplasias. Technique and preliminary results".
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of
Femoral Osteotomy hardware to correct femoral rotation caused by hip dysplasia. X-ray of the right hip in female patient in early thirties.
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Musumeci, Giuseppe; Mobasheri, Ali; Trovato, Francesca Maria; Szychlinska, Marta Anna; Imbesi, Rosa; Castrogiovanni, Paola (2016-01-06).
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Smith-Petersen MN, Larson CB, Aufranc OE (1969). "Osteotomy of the spine for correction of flexion deformity in rheumatoid arthritis".
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requirements and include bedpans, dressing sticks, long-handled shoe-horns, grabbers/reachers and specialized walkers and wheelchairs.
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Two main types of osteotomies are used in the correction of hip dysplasias and deformities to improve alignment/interaction of
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El-Sayed, Mohamed M. H.; Hegazy, Mohamed; Abdelatif, Nasef M.; ElGebeily, Mohamed A.; ElSobky, Tamer; Nader, Sean (2015).
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Serrani, Daniele; Picavet, Pierre Paul; Marti, Juan; Bouvy, Bernard; Balligand, Marc; Witte, Philip George (2022-01-01).
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Because osteoarthritis has multiple causes and may be related to genetic factors, no universal prevention tactic exists.
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O'Malley, Michael P.; Pareek, Ayoosh; Reardon, Patrick. J.; Stuart, Michael J.; Krych, Aaron J. (2016-07-11).
1406:"Is Bone Grafting Necessary in Opening Wedge High Tibial Osteotomy? A Meta-Analysis of Radiological Outcomes"
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1135:"Proximal tibial osteotomy for osteoarthritis with varus deformity. A ten to thirteen-year follow-up study"
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is more difficult with an implant) or to shorten or narrow a chin. (which is impossible with an implant).
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661:"Proximal femoral derotation osteotomy for idiopathic excessive femoral anteversion and intoeing gait"
217:. The bones are cut, reshaped or partially removed to realign the load-bearing surfaces of the joint.
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is cut to shorten or lengthen it or to change its alignment. It is sometimes performed to correct a
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Femoral osteotomies, as the name indicates, involves adjustments made to the femur head and/or the
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Gently strengthen thigh and lower leg muscles to help protect the bones and cartilage in the knee.
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Han JH, Kim HJ, Song JG, Yang JH, Bhandare NN, Fernandez AR, Park HJ, Nha KW (2015).
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547:"Algorithm for Femoral and Periacetabular Osteotomies in Complex Hip Deformities"
433:"Valgus osteotomy by external fixation for treatment for developmental coxa vara"
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1072:"Tibial Plateau Leveling Following Tibial Tuberosity Advancement: A Case Series"
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knee, which allows the tibia and femur to bend away from the damaged cartilage.
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Keeping a slight bend in the knees will take the pressure off during standing.
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1227:"Proximal tibial osteotomy. A critical long-term study of eighty-seven cases"
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Perform controlled range of motion activities that do not overload the joint.
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Avoid heavy impact on the knees during everyday and athletic activities.
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766:"The use of rapid prototyping jigs in the planning of knee osteotemies"
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The
International Journal of Periodontics & Restorative Dentistry
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can delay the need for a total knee replacement for up to ten years.
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b. Same hip after addition of Chiari medial displacementosteotomy.
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Hefny, Hany; Elmoatasem, Elhussein
Mohamed; Nassar, Wael (2013).
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151:, or to straighten a bone that has healed crookedly following a
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Agbaje JO, Salem AS, Lambrichts I, Jacobs R, Politis C (2015).
931:"Post-operative rehabilitation and nutrition in osteoarthritis"
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may have to be worn pre- and post- operation to realign the
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NHS Surgery, Theatres & Anaesthesia
Specialist Library
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1326:"Orthognathic surgery and temporomandibular joint symptoms"
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710:"Distal Femoral Osteotomy: Lateral Opening Wedge Technique"
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Avoid activities that causes pain which lasts over an hour.
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144:
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Hernigou P, Medevielle D, Debeyre J, Goutallier D (1987).
906:"High Tibial Osteotomy Knee Surgery and Realignment | HSS"
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Ganz, Reinhold; Horowitz, Kevin; Leunig, Michael (2010).
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Surgically shortening, lengthening, or re-aligning a bone
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Valgus osteotomy. The black line is the mechanical axis.
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a. X-ray of a hip after capsulorrhaphy and Dega surgery.
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International
Journal of Oral and Maxillofacial Surgery
791:"The young osteoarthritic knee: dilemmas in management"
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The
Journal of Bone and Joint Surgery. American Volume
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The
Journal of Bone and Joint Surgery. American Volume
1015:"Chin Ptosis: Classification, Anatomy, and Correction"
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several weeks to months for full return of sensation.
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789:Sutton, Paul M; Holloway, Edward S (2013-01-18).
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1983:
1330:Maxillofacial Plastic and Reconstructive Surgery
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46:but its sources remain unclear because it lacks
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1019:Craniomaxillofacial Trauma & Reconstruction
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1225:Coventry MB, Ilstrup DM, Wallrichs SL (1993).
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850:"Osteotomy for treating knee osteoarthritis"
490:"Osteotomy for treating knee osteoarthritis"
437:Strategies in Trauma and Limb Reconstruction
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854:The Cochrane Database of Systematic Reviews
494:The Cochrane Database of Systematic Reviews
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1324:Jung HD, Kim SY, Park HS, Jung YS (2015).
1260:Clinical Orthopaedics and Related Research
1198:Clinical Orthopaedics and Related Research
993:University of Iowa Hospitals & Clinics
989:"Surgical treatment to correct a bad bite"
551:Clinical Orthopaedics and Related Research
1880:Anterior cruciate ligament reconstruction
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77:Learn how and when to remove this message
1832:Ulnar collateral ligament reconstruction
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287:where the cartilage is still healthy.
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230:Adjustments are made to part of the
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1410:Knee Surgery & Related Research
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1889:Unicompartmental knee arthroplasty
1733:Knee cartilage replacement therapy
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608:Journal of Children's Orthopaedics
372:to match the newly realigned jaw.
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395:tibial plateau leveling osteotomy
352:This is performed to realign the
318:General recommendations include:
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167:. The operation is done under a
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389:Veterinary osteotomy procedures
205:– (socket) – and femoral head (
155:. It is also used to correct a
1997:Orthopedic surgical procedures
1992:Oral and maxillofacial surgery
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399:tibial tuberosity advancement
299:Rehabilitation and prevention
283:60 to 90 minutes to perform.
1460:Drawings of a knee osteotomy
910:Hospital for Special Surgery
308:occasional, heavy exercise.
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1721:Articular cartilage repair
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449:10.1007/s11751-013-0178-3
412:List of surgeries by type
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1847:Finger joint replacement
1638:Distraction osteogenesis
362:temporomandibular joints
32:This article includes a
808:10.1186/1741-7015-11-14
61:more precise citations.
1628:Femoral head ostectomy
1596:Vertebral augmentation
1031:10.1055/s-0028-1098968
714:Arthroscopy Techniques
677:10.1051/sicotj/2017033
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186:Osteotomies of the hip
1825:Weaver–Dunn procedure
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376:Osteotomy of the chin
348:Dentofacial osteotomy
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1535:Orthognathic surgery
342:Osteotomy of the jaw
1967:Arthroscopic lavage
1699:Tension band wiring
1076:Veterinary Sciences
215:femoral osteotomies
169:general anaesthetic
1909:Triple arthrodesis
1904:Broström procedure
1842:Brunelli procedure
1643:Ilizarov apparatus
1591:Vertebral fixation
1507:Orthopedic surgery
366:Orthodontic braces
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1930:Arthroplasty
1894:Ankle fusion
1837:Hand surgery
1792:Arthroplasty
1787:Annuloplasty
1673:
1586:Foraminotomy
1571:Laminoplasty
1556:Coccygectomy
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67:January 2016
64:
53:Please help
45:
1940:Arthroscopy
1935:Synovectomy
1765:Arthrodesis
1581:Facetectomy
1566:Laminectomy
161:genu valgum
59:introducing
1986:Categories
1955:Arthrogram
1925:Arthrotomy
1782:Discectomy
1576:Corpectomy
1561:Laminotomy
1499:and joints
999:2022-11-29
915:2022-11-29
775:2022-11-29
418:References
346:See also:
207:femur head
203:acetabulum
165:genu varum
143:whereby a
1713:Cartilage
1684:Reduction
1674:Osteotomy
1664:Ostectomy
1336:(1): 14.
1098:2306-7381
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1039:1943-3875
957:2046-1402
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817:1741-7015
734:2212-6287
628:1863-2521
571:0009-921X
514:1469-493X
457:1828-8936
157:coxa vara
141:operation
137:osteotomy
92:Osteotomy
1950:imaging:
1440:26675553
1397:25496848
1362:26029683
1288:20745134
1189:11794567
1167:35537539
1116:35051100
1057:22110784
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752:27709028
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475:24081626
406:See also
354:mandible
232:hip-bone
153:fracture
98:ICD-9-CM
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1657:General
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1497:bones
1284:S2CID
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370:teeth
247:femur
195:X-ray
124:[
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453:ISSN
397:and
213:and
178:non–
145:bone
110:MeSH
103:77.3
1858:Leg
1803:Arm
1621:Leg
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1418:doi
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1348:PMC
1338:doi
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