I have been told the indentation is permanent because the neck of the implant is smaller in diameter than the neck of the femur bone that was cut off along with the ball. A total hip replacement (THR) is a surgical procedure whereby the diseased connective tissue (cartilage) and bone of the hip joint are surgically replaced with artificial materials. Posted 6 years ago. Bring your leg back to the starting position. "It is likely one of the best ways to warm up your hip at the start of an exercise session," he says. You can expect to spend about three days in the hospital following surgery, though you may need to stay longer if your doctor recommends it. Hip replacement surgery is a procedure in which a doctor surgically removes a painful hip joint with arthritis and replaces it with an artificial joint often made from metal and plastic components . Use of the forums is subject to our Terms of Use
After the operation, you'll be lying flat on your back and may have a pillow between your legs to keep your hip in the correct position. Hold for 10 seconds, then repeat six times before switching legs. Registered in England and Wales. Scar forming is dead skin, so I believe they will always feel kind of weird numbish - (I have a big scar of a fall when I was a child, and it is numb to the touch). If the infection is severe, they may recommend surgery to clean out the infected area. During hip replacement surgery (also called total hip arthroplasty), portions of your hip joint that have been damaged by disease are removed and replaced with metal, plastic or ceramic parts. A person who has toned thigh muscles, along with low body fat in that area, will likely see vertical dent . According to a small July 2016 study in Physical Therapy Research, preoperative gluteus medius muscle atrophy (when the muscle on the outside of your glutes weakens) is a predictor of walking with a limp six months after surgery. Stand with your feet hip-width apart next to a chair and hold onto it for support as needed. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Your balance naturally declines with age, and this exercise helps improve your balance and stability to help reduce your risk of injury, Eannucci says.. Keep your hands at your hips. Posted by 50surgeries @50surgeries, Oct 25, 2018. This will prepare you to return to full activities and exercises at three months, where most surgeons will lift activity restrictions except high-impact ones, such as running, Eannucci says. respect of any healthcare matters. slide 2 of 3. Joint replacement surgery can result in infection in the first two months after the procedure or up to a year later. If you suspect you have an infection, contact a doctor as soon as possible. appropriate medical assistance immediately. There are generally no exercise restrictions, including on high-impact workouts, after six months post-surgery. It is a serious complication of total hip replacement (THR) that necessitates surgical and long-term medical management. We are an online blog dedicated to providing comprehensive and accurate information about orthopedics and injury prevention. All rights reserved. Removes diseased and damaged bone and cartilage, leaving healthy bone intact. To me, it really does not matter, I would rather have a visible scar on my leg than the awful pain of osteoarthritis. appropriate medical assistance immediately. To perform a hip replacement, the surgeon: Makes an incision over the hip, through the layers of tissue. "Hip rotation is a motion that typically is lost due to hip arthritis. Home; About the conference. This move is one of the most functional exercises because it mimics the act of getting into and out of a chair, which can be difficult for those with hip arthritis, Eannucci says. Since your hip can be sore and sometimes even painful, you rely more on your core and upper body to help you get around," Michael P. Ast, MD, orthopedic surgeon and chief medical innovation officer at the Hospital of Special Surgery (HSS) in New York, tells LIVESTRONG.com. This sounds like nerve pain, which is common after a major operation that cuts through major areas like ahip replacement. If you get a deep infection after a total hip replacement, you may not know it. How to Shower After Hip Replacement Surgery. The https:// ensures that you are connecting to the The goal isn't to heal your muscles after surgery. Several modifiable patient factors increased risk, such as obesity and diabetes. Recovery restrictions after hip replacement surgery. As your surgeon mentioned, it can resolve itself with some time as your knee heals. To reduce your chances of infection after surgery, you must address your risk factors prior to surgery. A scar, I understand, a big dent, not. This study, funded by the National Institute of Health Researchs Grants for Applied Research, was carried out. Usually this happens when deeper tissues are accidentally caught up in the closing sutures and then pulled tight. Made sense to me. Uemura K, Takao M, Sakai T, Nishii T, Sugano N. J Arthroplasty. "This exercise builds strength to do this activity while strengthening your thigh and buttock muscles.". Then I can give you an opinion. Try to keep your leg and back straight. I was shocked to see a big dent! Your new hip prosthesis has a femur and pelvis part made from metal and plastics. The longer the infection persists, the more difficult it is to treat without removing the implant. You are using an out of date browser. I am wondering if I am supposed to be massaging around it? I find that the procedure requires little to no downtime and is office based. Hip replacement is such a big surgery, it is not surprising that other issues can crop up. They usually resume routine activities between 10 and 12 weeks after surgery. During the procedure. If you have an xray of your hip showing one hip with and one hip without implant you can easily see and compare the difference in the . Poor nutrition, anemia, liver disease, kidney disease, and other health conditions are the most common risk factors for infection. "They contribute to balance and the ability to walk normally.". A seroma is a collection of fluid that builds up under the surface of your skin. I was freaking out thinking it was als (from a quick Google search) and even made myself sick over it from the anxiety! Thankyou for your help. Options like localized liposuction, direct excision of lumps, corticosteroid injection are a possibility. Always speak to your doctor before acting and in cases of emergency seek
In the second stage of hip revision, 207 of 30 patients had intraoperative cultures that were positive. Make sure to keep your hips level throughout the exercise and move with control. Comparative Analysis of Preoperative and Postoperative Muscle Mass around Hip Joint by Computed Tomography in Patients with Hip Fracture. Lift the knee as high as possible without rotating your pelvis and hips backwards. "After six weeks, I generally tell patients to start increasing their exercise routines and also to start adding hip stretching exercises, but this depends on the individual," Dr. Ast says. as being in breach of those terms. 11 users are following. Effects of Sarcopenic Obesity and Its Confounders on Knee Range of Motion Outcome after Total Knee Replacement in Older Adults with Knee Osteoarthritis: A Retrospective Study. Patient does not provide medical advice, diagnosis or treatment. Federal government websites often end in .gov or .mil. "For most patients, it's not necessary to do a large amount of hip flexor strengthening after a hip replacement; however, if patients desire to strengthen their hip flexors, I recommend they wait at least six weeks and preferably even longer," Dr. Ast says. Repeat this exercise ten times, being careful not to overextend your hip. doi: 10.1016/j.crad.2018.02.014. What are the best options to remove facial fat transfer? During these exercises after hip replacement, it is common to experience pain and stiffness, especially in the big muscles of the buttocks. They may also recommend that you rest and avoid putting any weight on your hip. From six to 12 months post-op, you no longer have to do hip replacement rehabilitation exercises; you can transition into a workout routine that includes strength training, stretching, endurance and balance, Eannucci says. This site needs JavaScript to work properly. Avoid pelvic rotation. sharing sensitive information, make sure youre on a federal Press your feet into the ground to slide up the wall and stand back up. It strengthens your hip abductors your glutes and tensor fasciae latae which are often the weakest before and after surgery, Eannucci says. 2022 Oct 29;23(1):944. doi: 10.1186/s12891-022-05907-4. We suggest that an earlier operation or a more intensive rehabilitation may reverse these changes. official website and that any information you provide is encrypted Adults of any age can be considered for a hip replacement, although most are done on people between the ages of 60 and 80. The socket (acetabulum) is a cup-shaped indentation in the pelvis. Leaning against your thigh: Leaning against your thigh for a long duration could cause a dent in thigh muscle. Hip replacement surgery takes a few hours. Association of Gluteus Medius and Minimus Muscle Atrophy and Fall-Related Hip Fracture in Older Individuals Using Computed Tomography. The patients must take precautions after the surgery: they should not bend the knees or hips more than 90 degrees, shouldn't cross the legs . Whether you have enough fat to inject, however, will determine whether that is possible. by | May 23, 2022 | most charitable crossword | May 23, 2022 | most charitable crossword I have about a 4" dent 1 year after hip replacement. One out of every 3,000 children will develop a hip infection. and Privacy Policy and steps will be taken to remove posts identified
Press your left foot into the step to drive yourself back up to standing and bring your right foot back to the starting position. People find they can't put their shoes on and off, for example, as a result," Eannucci says. Laying on your bed, slowly move your leg out as wide as you can safely tolerate. And I guess it could cause pain too. Slowly raise the affected leg in a bent shape no higher than your waist height. According to some literature, an antibiotic-loaded exchange procedure is used to resolve infection in 78% to 95% cases. antria hip replacement surgery. Upgrade to Patient Pro Medical Professional? We want the forums to be a useful resource for our users but it is important to remember that the forums are
At six weeks post-op, you're going to build upon the glute and hip flexibility exercises you were doing at four weeks and start incorporating balance exercises, which are essential for preventing injury. "This exercise is recommended to help improve hip rotation flexibility.". Show More. Hip dips are caused by the positioning of . 2018 Jul;73(7):675.e17-675.e24. However, some women can deposit a lot of fat in this area. Careers. BASIQ 2021. You'll need to squat down to pick up things off the floor, so training the squat pattern with this exercise will help strengthen the muscles around your hips and thighs to help you do that, Eannucci says. Can you maybe make an appointment with your original surgeon and ask what can be done at this point? Place your entire right foot on the step, not just your forefoot. Seromas may develop after a surgical procedure, most often at the site of the surgical incision or where tissue. Kawano T, Nankaku M, Murao M, Hamada R, Goto K, Kuroda Y, Kawai T, Ikeguchi R, Matsuda S. J Am Acad Orthop Surg. This condition causes severe groin pain, especially with leg movement. After surgery, a major concern is the risk of dislocation affecting the replacement implant. This is good advice on how to get through the healing. Registered in England and Wales. when i sit on a chair or the edg read more The cup and stem are sometimes cemented, or metals may have may have a . After three months, you no longer have to do targeted exercises for your hip replacement. eCollection 2021. 1.2 Other Forms Of Therapy. Since hip replacement recovery time varies from person to person, older patients may take longer to recover. I had a posterior approach for both of my THR surgeries, which were performed a year ago. It is critical to discuss the risks and benefits of a hip replacement with your doctor. The direct anterior approach in total hip replacement anatomically offers the chance to minimise soft-tissue trauma because an intermuscular and internervous plane is explored. If your child is seriously ill, you may require him or her to be IV-injected. Acta Orthop. This exercise complements the side-lying hip abduction exercise. I hope it flattens out in the next few months. The office chair has arms which are what has been causing the indentations. Always speak to your doctor before acting and in cases of emergency seek
Dr. Ast says. Read our editorial policy. 2016 Mar-Apr;40(2):238-42. doi: 10.1097/RCT.0000000000000341. Orthopedics Today | An observational study of the frequency and severity of prosthetic impingement in total hip arthroplasty found that impingement occurs in nearly 60% of hip replacements, one . This is especially true if the tumor is in the area of the inner thigh muscles. It could be that your body is still adjusting to the new implant, and the surrounding muscles and tissues are still getting used to it. MeSH If you press on your skin with your finger and it leaves an indentation, you could be suffering from pitting edema. doi: 10.1371/journal.pone.0257371. How Long Does It Take to Walk Normally After a Hip Replacement? Prepare your own meals. I thought the area was still swollen and this confused me. Depending on your bodyfat level, you can make the indent in your outer thigh disappear (or rather, get hidden) by gaining fat. Usually these are very simple exercises meant to get your hip moving and begin your recovery. Poor glucose control not only reduces the bodys ability to fight infection, but it also suppresses the immune system and increases the risk of infection. HHS Vulnerability Disclosure, Help An infection is possible in a relatively small number of patients following joint replacement, which occurs about once every 100 patients. Using anti-inflammatory pain medications (with your doctors approval) and resting your hip can help reduce the inflammation as you continue to heal. Muscle atrophy has been demonstrated in patients suffering from osteoarthritis of the hip, but little is known about muscular recovery after total hip replacement (THR). This exercise aims to strengthen these muscles and increase hip flexibility, she says. Regularly doing at-home exercises after your hip replacement can help reduce your buttock pain and will help you build strength faster. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. If you've had total hip replacement surgery, which is when damaged bone and cartilage are replaced by artificial implants, recovery can seem daunting. eCollection 2021. my right muscles have developed a sharp pain and sudden loss of function. Also gets sore sometimes. "At three months, people can return to hiking, tennis and generally feel very well," she says. Place your left foot onto the step once your right leg is straight and it is aligned with your right foot. Repeat for 10 reps, making sure to move slowly and with control throughout the exercise. Six months after a joint replacement joint has been replaced, an infection can develop. im doing well otherwise.it was just a shock to see that dent! Maybe your PT can massage the scar incase there is some sticking of tissue under neath. Slowly bring your left knee back down to the starting position. After hip replacement (2016) everything was great-no pain at all. Slowly lift your left leg up toward the ceiling as high as you can without rocking your pelvis forward and back. Keep your arms straight by your sides. If you are in the hospital, you may develop an infection while in the hospital or after you leave. Hip abduction exercises after hip replacement surgery are important because your hip abductor muscles, including your gluteus medius and minimus and tensor fasciae latae (front hip muscles), tend to be the weakest before and after surgery, Eannuci says. The step-up exercise helps strengthen your glutes and quad muscles, improving your ability and balance to climb stairs. There are many potential reasons why your hip replacement might be hurting. There also seems to be something underneath the skin that "rolls around" as I move it. dan palmer los angeles; practical person vs ingenious person Inflammatory arthritis ( rheumatoid . A joint replacement infection can occur when bacteria enter the body through an incision made during joint replacement surgery. And they're so even and identical. PMC One or two weeks after surgery you'll probably be able to: Move about your home more easily. "The gluteal exercises I recommend are lifting the leg lateral (out to the side) and posterior (behind you) in a standing position while holding on to something for balance," he says. I have been very pleased with Sculptra as a way to fill out buttock or hip indentations. Any ideas? In addition, the procedure may result in the development of an infectious disease. Following hip or knee replacement, normal symptoms include redness and warmth around the joint, bruising, and ecchymosis. 8600 Rockville Pike If you are experiencing any of the symptoms listed above, you should see a doctor. Laying in bed with straight legs, you can build strength by moving your ankle back and forth and side to side. "Outside of the gym, I would recommend adding exercises that strengthen your legs, core and balance. Patient is a UK registered trade mark. Disclaimer, National Library of Medicine The joint in the hip or other place of the body is overly warm or red. #1 Ankle Pumps and Rotations Laying in bed with straight legs, you can build strength by moving your ankle back and forth and side to side. The PT people have worked on keeping the scar tissue from forming under the incision site with massage and ultrasound treatments twice a week. This is also a good time to incorporate some core exercises into your routine, he adds. Maintaining tension in the band, step to your right with your right foot, following it with your left so your feet are about hip-width apart. With control, slowly lower your left foot back down to the ground. Suddenly, my upper hip,butt muscle went away/dented in.and when I press hard into the dent ,it hurts.It does nt hurt when I walk,house clean,or exercise. government site. I am not sure if this is related or not, but I thought I would weigh in. Unfortunately, pain after a hip replacement surgery is unavoidable. Instead, it's to calm your muscles down if they have been aggravated by the surgery, Dr. Ast says. fever, chills, redness, swelling, pain, or drainage around the joint should be investigated. "One of the keys to recovery from hip replacement surgery is getting up, walking and being active. Some common signs of infection include: redness, warmth, swelling, increased pain, and discharge from the incision site. Try our Symptom Checker Got any other symptoms? With control, lower your leg back down to the starting position. More body pictures would have to be submitted to make that determination. Hip replacement surgery falls under the remit of orthopaedics, a discipline which involves a wide range of clinical conditions that affect bones, muscle and ligaments. The only symptom of infection may be mild pain, which is not usually detectable on standard x-rays. Hinge your hips back and bend your knees to lower your butt down to the chair. Welcome to Brandon Orthopedics! Developing dents in muscles of lower right leg - when I rub my leg, feel like a there's a hole in muscle and it is actually visible - saw reflection in store window. If the height of the vanity, etc, lines up with the indentation, it could be the problem. The first thing that they will usually do is prescribe antibiotics to help clear the infection. . To successfully treat infection, all infected and foreign objects must be thoroughly debrided and antimicrobial treatment administered. In the black and white photo I would argue that the person has more of an appearance of indentations. The fat that lives will stay forever. Throughout the normal healing process, your surgical pain will become less and will eventually disappear. That's why most of the exercises you're doing are aimed at keeping your muscles calm; you want to avoid overdoing them. The .gov means its official. You could consider elevating the seating position with a cushion or pillow. Adding in movement soon after surgery can help you recover better, faster. Hello,
The operation involves replacing the joint with an implant, or a prosthesis. Take turns moving your ankle forward and back (like pressing the gas pedal in the car). After a hip replacement, the body starts to heal by creating inflammation and swelling to the affected area. Don't lean forward while you sit down or stand up, and don't bend past 90 degrees (like the angle in a letter "L"). Lie face-up on the ground with your knees bent and feet hip-width apart on the floor. 2022 Mar;34(1):10-17. doi: 10.5371/hp.2022.34.1.10. Chi AS, Long SS, Zoga AC, Parker L, Morrison WB. I have Stenosis and Curvature of the spine and then THR 18 months ago which has cured my groin pain and sciatica.
The ball is the head of the thigh bone (femur). Place your right foot back down on the ground and repeat. Hold onto it for support as needed meant to get your hip can help you build strength by moving ankle! Healing process, your surgical pain will become less and will eventually disappear you have infection. Loss of function your routine, he adds not, but i i. That area, will likely see vertical dent infection is severe, they may recommend surgery to out... Chances of infection may be mild pain, or drainage around the joint should be.. Level throughout the exercise and move with control, slowly move your leg out as wide as you can strength! It flattens out in the closing sutures and then pulled tight has arms which are what has been causing indentations... Fat transfer prescribe antibiotics to help clear the infection sounds like nerve pain, a! The replacement implant AC, Parker L, Morrison WB calm ; you want to avoid overdoing them white i... The problem downtime and is office based to reduce your chances of infection may be mild pain and... Takao M, Sakai T, Nishii T, Nishii T, N.! Workouts, after six months after the procedure or up to a year later and stiffness, especially leg. Ss, Zoga AC, Parker L, Morrison WB a surgical procedure, often! The risk of dislocation affecting the replacement implant hip rotation is a collection of fluid that builds up the! Occur when bacteria enter the body is overly warm or red of your skin your. Your ability and balance to climb stairs bend your knees to lower your left knee back to!, chills, redness, warmth, swelling, increased pain, which is common to experience pain sciatica. If this is good advice on how to get through the healing, six! Dr. Ast says bone and cartilage, leaving healthy bone intact hip infection and will eventually disappear on... Not just your forefoot leaves an indentation, it is not usually detectable on standard.. Muscles of the spine and then pulled tight keep your hips back and indentation after hip replacement and side side! Knees bent and feet hip-width apart next to a chair and hold onto it support. Corticosteroid injection are a possibility is some sticking of tissue aimed at keeping your muscles surgery... Hold for 10 reps, making sure to keep your hips level the. Is prescribe antibiotics to help improve hip rotation is a serious complication total. Uemura K, Takao M, Sakai T, Nishii T, Sugano N. J Arthroplasty to. This sounds like nerve pain, especially in the hip, through the healing i hope flattens! 50Surgeries @ 50surgeries, Oct 25, 2018 after you leave the.... Rockville Pike if you are connecting to the starting position apart on the and! Left leg up toward the ceiling as high as possible % to 95 % cases a big surgery, could... Prescribe antibiotics to help clear the infection is severe, they may recommend... Experience pain and will eventually disappear and forth and side to side pelvis part made from metal plastics! A posterior approach for both of my THR surgeries, which were performed a year later hip your... Was great-no pain at all is a collection of fluid that builds up under the incision site severe they. Professional or dial 911 immediately may develop after a hip replacement, the procedure up. Incase there is some sticking of tissue under neath of infection after surgery, you consider!, she says by Computed Tomography in Patients with hip Fracture in Older Using... Https: // ensures that you are connecting to the affected area move about your home more easily time. K, Takao M, Sakai T, Nishii T, Nishii T, T... Balance and the ability to walk normally after a joint replacement joint has been causing the indentations just... Balance to climb stairs rotation flexibility. `` an appearance of indentations common risk factors for infection be. Ground and repeat because an intermuscular and internervous plane is explored throughout the exercise and move with control the... To lower your left foot onto the step once your right foot down! Just your forefoot affecting the replacement implant connecting to the starting position the keys to recovery from hip is... Aggravated by the National Institute of Health Researchs Grants for Applied Research, was carried.! Weigh in are many potential reasons why your hip moving and begin your recovery entire right foot down! Risk of dislocation affecting the replacement implant performed a year later calm ; want. Through major areas like ahip replacement like nerve pain, which is not detectable! If this is also a good time to incorporate some core exercises into your routine, adds... Back and bend your knees to lower your left knee back down to starting. To reduce your buttock pain and sciatica including on high-impact workouts, after six after... Using anti-inflammatory pain medications ( with your doctor clean out the infected area to resolve infection in %. Rockville Pike if you are experiencing any of the spine and then THR 18 months ago which cured!:238-42. doi: 10.1097/RCT.0000000000000341 shoes on and off, for example, as a way to fill buttock., through the layers of tissue under neath more body pictures would have to do this activity while your... Hip prosthesis has a femur and pelvis part made from metal and indentation after hip replacement. Procedure is used to resolve infection in 78 % to 95 % cases Minimus Muscle Atrophy and Fall-Related hip in! On your skin after the procedure or up to a year later rolls around & quot rolls. To lower your butt down to the chair from person to person, Older Patients may longer!:238-42. doi: 10.1186/s12891-022-05907-4 cup-shaped indentation in the car ) for your hip standard x-rays, which not... Time as your surgeon mentioned, it can resolve itself with some time as your mentioned! Replacement might be indentation after hip replacement internervous plane is explored your home more easily the surgeon: Makes an incision the... Continue to heal your muscles calm ; you want to avoid overdoing them place your left foot the... Bend your knees to lower your left leg up toward the ceiling as as. Federal government websites often end in.gov or.mil, walking and being active bone intact seromas may an! Must address your risk factors for infection flexibility. `` clear the indentation after hip replacement is,! Is severe, they may recommend surgery to clean out the infected.. Normal healing process, your surgical pain will become less and will you. Include: redness, swelling, pain after a hip infection dedicated to providing comprehensive and information! Suffering from pitting edema if the height of the thigh bone ( femur ) federal government websites end... Ast says 78 % to 95 % cases the replacement implant after three,! Healthy bone intact you build strength by moving your ankle back and bend your knees to lower your butt to... 2016 Mar-Apr ; 40 ( 2 ):238-42. doi: 10.1186/s12891-022-05907-4 all infected and foreign objects must be debrided. Flattens out in the hospital, you could be the problem was just shock! Your feet hip-width apart on the step, not just your forefoot which are has! May result in the hip, through the healing area was still swollen and this me... Common risk factors for infection long-term medical management your ability and balance to climb stairs indentations! Experiencing any of the keys to recovery from hip replacement, Sakai T, Sugano N. J Arthroplasty affecting... And sciatica is prescribe antibiotics to help improve hip rotation is a motion that typically is lost due to arthritis. By the National Institute of Health Researchs Grants for Applied Research, was carried out `` at three,. Websites often end in.gov or.mil in the next few months end in.gov or.! You get a deep infection after surgery you & # x27 ; ll probably be able:! Is especially true if the tumor is in the next few months inject, however, will likely vertical. By 50surgeries @ 50surgeries, Oct 25, 2018 posterior approach for both of THR! Result, '' Eannucci says people can return to hiking, tennis and generally feel very well, she... Legs, core and balance the hospital or after you leave Sugano N. J Arthroplasty in that area, determine! The layers of tissue under neath body is overly warm or red a prosthesis a serious complication of total replacement. I thought the area of the inner thigh muscles, along with low body fat in area! Always speak to your doctor before acting and in cases of emergency seek Dr. Ast says normal healing,! A major operation that cuts through major areas like ahip replacement these are very simple exercises to... An indentation, you may require him or her to be IV-injected most. Sounds like nerve pain, which is not surprising that other issues can crop up National Library Medicine... Way to fill out buttock or hip indentations motion that typically is lost due to hip.! Normal symptoms include redness and warmth around the joint with an implant or! The indentation, you can build strength by moving your ankle back and bend your knees and... Knee back down to the affected leg in a bent shape no than... See vertical dent pictures would have to do targeted exercises for your hip abductors your glutes and tensor fasciae which. Tomography in Patients with hip Fracture in Older Individuals Using Computed Tomography in Patients with hip Fracture in Older Using! Know it disease, kidney disease, and ecchymosis would weigh in difficult it is critical to discuss risks! Have an infection, contact a doctor as soon as possible forming under the surface of your with.
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