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A Combined Rip-Stop and Double-Pulley Technique in Arthroscopic Suture-Bridge Repair
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103247
Jianhao Xie M.D. , Yiming Zhu M.D.
{"title":"A Combined Rip-Stop and Double-Pulley Technique in Arthroscopic Suture-Bridge Repair","authors":"Jianhao Xie M.D. ,&nbsp;Yiming Zhu M.D.","doi":"10.1016/j.eats.2024.103247","DOIUrl":"10.1016/j.eats.2024.103247","url":null,"abstract":"<div><div>Rotator cuff tear is one of the most common upper-extremity pathologies and often requires repair. The pursuit of optimal arthroscopic rotator cuff repair has spurred numerous technical innovations and stitch-pattern refinements. First, the double-pulley construct can increase tendon-bone compression and provide a joint seal. Second, the rip-stop configuration can reduce the possibility of tendon cut-through and improve the biomechanical properties of the fixation. Thus, an alternative method is introduced by incorporating both techniques simultaneously into arthroscopic suture-bridge repair, in which the medial double-pulley construct assumes the function of a rip-stop. This method may improve the biology of tendon healing and reduce the retear rate after rotator cuff repair.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103247"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Posterior Cruciate Ligament Reconstruction Using a Trans-septal Approach With Preserved Hamstrings Tibial Insertion
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103278
Paul Ruterana M.D. , Pierre Sautet M.D. , Victor Housset M.D. , Thomas Bauer M.D., Ph.D. , Bertrand Sonnery-Cottet M.D., Ph.D. , Charles Pioger M.D., M.Sc.
{"title":"Posterior Cruciate Ligament Reconstruction Using a Trans-septal Approach With Preserved Hamstrings Tibial Insertion","authors":"Paul Ruterana M.D. ,&nbsp;Pierre Sautet M.D. ,&nbsp;Victor Housset M.D. ,&nbsp;Thomas Bauer M.D., Ph.D. ,&nbsp;Bertrand Sonnery-Cottet M.D., Ph.D. ,&nbsp;Charles Pioger M.D., M.Sc.","doi":"10.1016/j.eats.2024.103278","DOIUrl":"10.1016/j.eats.2024.103278","url":null,"abstract":"<div><div>Posterior cruciate ligament reconstruction is a challenging procedure and requires a safe approach that provides a proper visualization of the tibial footprint while avoiding neurovascular damage and facilitating graft passage. Recent studies have shown that the preservation of the hamstring tibial attachment improves fixation and vascularization in the setting of anterior cruciate ligament reconstruction. This Technical Note reports an effective and reproducible arthroscopic single-bundle posterior cruciate ligament reconstruction through a trans-septal approach wit preserved hamstring tibial insertion.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103278"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
LIPO-AMIC Technique Description: Autologous Matrix Induced–Chondrogenesis With Microfragmented Adipose Tissue Graft
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103279
Pedro Debieux M.D., Ph.D. , Gustavo Guadalupe Ribeiro M.D. , Keng Lin Wong M.D., Ph.D. , Moisés Cohen M.D., Ph.D. , Camila Cohen Kaleka M.D., Ph.D.
{"title":"LIPO-AMIC Technique Description: Autologous Matrix Induced–Chondrogenesis With Microfragmented Adipose Tissue Graft","authors":"Pedro Debieux M.D., Ph.D. ,&nbsp;Gustavo Guadalupe Ribeiro M.D. ,&nbsp;Keng Lin Wong M.D., Ph.D. ,&nbsp;Moisés Cohen M.D., Ph.D. ,&nbsp;Camila Cohen Kaleka M.D., Ph.D.","doi":"10.1016/j.eats.2024.103279","DOIUrl":"10.1016/j.eats.2024.103279","url":null,"abstract":"<div><div>Cartilage injuries have historically been challenging to manage, but recent advancements have rapidly expanded treatment options. The incorporation of mesenchymal stem cell sources, such as bone marrow or adipose tissue, has improved repair tissue quality and clinical outcomes. The LIPO-AMIC procedure for full-thickness knee cartilage lesions uses a collagen matrix combined with microfragmented adipose tissue grafts as a source of adipose-derived stem cells, leveraging their chondrogenic differentiation capacity and paracrine activity. This adaptation aims to enhance outcomes and provides a single-stage knee cartilage repair option with biological augmentation.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103279"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Modified Suture Button Latarjet Procedure With Coracoacromial Ligament and Pectoralis Minor Preservation: An Approach to Avoid Subscapularis Split
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103251
Zhenhan Deng M.D., Ph.D. , Wei Lu M.D., Ph.D.
{"title":"Modified Suture Button Latarjet Procedure With Coracoacromial Ligament and Pectoralis Minor Preservation: An Approach to Avoid Subscapularis Split","authors":"Zhenhan Deng M.D., Ph.D. ,&nbsp;Wei Lu M.D., Ph.D.","doi":"10.1016/j.eats.2024.103251","DOIUrl":"10.1016/j.eats.2024.103251","url":null,"abstract":"<div><div>The main mechanism of the Latarjet procedure for maintaining anterior shoulder stability is attributed to the “triple locking” factors. During the traditional Latarjet procedure, the subscapularis split is inevitably, which is one of the main difficulties in surgical technique and sources of complications. We introduce a procedure in which the coracoid graft can pass through the subscapularis without splitting based on our previous modified suture button Latarjet procedure with preservation of the coracoacromial ligament and pectoralis minor.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103251"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ultrasound-Guided Iliopsoas Tenotomy for Iliopsoas Tendon Impingement: Surgical Technique in Cadaveric Models
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103254
Pablo Froidefond M.D. , Rayan Fairag M.D. , Alexandre Rudel M.D. , Peter N. Chalmers M.D. , Nicolas Bronsard M.D., Ph.D. , Régis Bernard de Dompsure M.D. , Jean-François Gonzalez M.D., Ph.D. , Grégoire Micicoi M.D., Ph.D.
{"title":"Ultrasound-Guided Iliopsoas Tenotomy for Iliopsoas Tendon Impingement: Surgical Technique in Cadaveric Models","authors":"Pablo Froidefond M.D. ,&nbsp;Rayan Fairag M.D. ,&nbsp;Alexandre Rudel M.D. ,&nbsp;Peter N. Chalmers M.D. ,&nbsp;Nicolas Bronsard M.D., Ph.D. ,&nbsp;Régis Bernard de Dompsure M.D. ,&nbsp;Jean-François Gonzalez M.D., Ph.D. ,&nbsp;Grégoire Micicoi M.D., Ph.D.","doi":"10.1016/j.eats.2024.103254","DOIUrl":"10.1016/j.eats.2024.103254","url":null,"abstract":"<div><div>Iliopsoas tendon impingement after total hip replacement has been reported with an incidence of up to 8.3%. Iliopsoas tendon impingement has also been observed in young active patients engaged in extreme sports. In such cases, surgical iliopsoas tendon release or tenotomy may be considered to improve anterior hip pain and function. Currently, iliopsoas tenotomy is performed either in an open manner or arthroscopically. This article describes a surgical technique using percutaneous ultrasound-guided iliopsoas tenotomy in cadaveric models. We perform the release at the acetabulum because it is safe and provides good sonographic visualization. This study describes the effectiveness of percutaneous iliopsoas tendon tenotomy under ultrasound guidance. However, clinical studies are warranted to confirm these findings. This minimally invasive procedure opens opportunities for clinical applications, comparing outcomes with those of standard approaches and conducting cost analyses. It may offer a cost-effective outpatient clinic option with local anesthesia, avoiding operating room expenses.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103254"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combined All-Inside Anterior Cruciate Ligament Reconstruction and Tibial Anterior Closing Wedge Tibial Osteotomy Using Staple Fixation: Surgical Technique
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103262
Tyler K. Khilnani M.D. , Tyler J. Uppstrom M.D. , Giuseppe Anzillotti M.D. , Morgan Rizy B.S. , Sabrina M. Strickland M.D. , Andreas H. Gomoll M.D.
{"title":"Combined All-Inside Anterior Cruciate Ligament Reconstruction and Tibial Anterior Closing Wedge Tibial Osteotomy Using Staple Fixation: Surgical Technique","authors":"Tyler K. Khilnani M.D. ,&nbsp;Tyler J. Uppstrom M.D. ,&nbsp;Giuseppe Anzillotti M.D. ,&nbsp;Morgan Rizy B.S. ,&nbsp;Sabrina M. Strickland M.D. ,&nbsp;Andreas H. Gomoll M.D.","doi":"10.1016/j.eats.2024.103262","DOIUrl":"10.1016/j.eats.2024.103262","url":null,"abstract":"<div><div>Failure of anterior cruciate ligament (ACL) reconstruction may be associated with a number of technical, anatomic, and patient-related factors. In particular, increased posterior tibial slope is associated with a greater risk of failure after both primary and revision ACL reconstruction, likely a result of increased load across the ACL graft. Surgical treatment of increased posterior tibial slope most commonly involves an anterior closing-wedge osteotomy of the proximal tibia, which may be performed in a simultaneous or staged fashion with ACL reconstruction. The authors describe a technique for combined, single-stage, all-inside ACL reconstruction and anterior closing-wedge osteotomy using staple fixation. The proposed technique provides adequate fixation of the osteotomy while minimizing hardware interference with the ACL tunnel placement and maximizing proximal femoral bone stock.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103262"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Arthroscopic Centralization of the Extruded Meniscus With Posterior Root Tear: A Technique Using Meniscotibial Ligament Fixation
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103274
Aaron J. Krych M.D. , Fabien Meta M.D. , Louis Kang B.S. , Mario Hevesi M.D., Ph.D. , Patrick A. Smith M.D.
{"title":"Arthroscopic Centralization of the Extruded Meniscus With Posterior Root Tear: A Technique Using Meniscotibial Ligament Fixation","authors":"Aaron J. Krych M.D. ,&nbsp;Fabien Meta M.D. ,&nbsp;Louis Kang B.S. ,&nbsp;Mario Hevesi M.D., Ph.D. ,&nbsp;Patrick A. Smith M.D.","doi":"10.1016/j.eats.2024.103274","DOIUrl":"10.1016/j.eats.2024.103274","url":null,"abstract":"<div><div>Meniscal root tears have been shown to significantly impact tibiofemoral mechanics and contribute to accelerated development of osteoarthritis. A common finding in conjunction with a meniscal root tear is extrusion of the meniscus. Meniscal extrusion is an independent risk factor for tibiofemoral cartilage loss and the progression of osteoarthritis. Meniscus centralization was first introduced to directly address extrusion alongside root repair techniques. To date, reported techniques for meniscus centralization generally involve anchoring the meniscus directly to the tibia in some fashion, which can limit the normal anatomic motion of the meniscus. We present a technique for meniscus centralization that aims to maintain natural meniscal motion by utilizing the meniscotibial ligaments.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103274"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Double-Bundle Technique for the Reconstruction of the Proximal Medial Patellofemoral Complex, Using the First Layer of the Quadriceps Tendon as a Graft
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103268
José Luis Martin-Alguacil Ph.D., M.D. , Ramon del Moral Nestares M.D. , Juan Manuel Fernández-Domínguez M.D. , Pablo Navarro Holgado M.D. , José Luis Martín-Gómez M.D. , Vicente Sanchís-Alfonso Ph.D., M.D.
{"title":"Double-Bundle Technique for the Reconstruction of the Proximal Medial Patellofemoral Complex, Using the First Layer of the Quadriceps Tendon as a Graft","authors":"José Luis Martin-Alguacil Ph.D., M.D. ,&nbsp;Ramon del Moral Nestares M.D. ,&nbsp;Juan Manuel Fernández-Domínguez M.D. ,&nbsp;Pablo Navarro Holgado M.D. ,&nbsp;José Luis Martín-Gómez M.D. ,&nbsp;Vicente Sanchís-Alfonso Ph.D., M.D.","doi":"10.1016/j.eats.2024.103268","DOIUrl":"10.1016/j.eats.2024.103268","url":null,"abstract":"<div><div>The proximal medial femoral patellar complex is the main medial stabilizer of the patella. It is formed by the medial patellofemoral ligament and medial quadriceps tendon-femoral ligament. We present a double-bundle medial patellofemoral complex reconstruction technique using a graft from the first layer of the quadriceps tendon, which enables fixation at different degrees of knee flexion and therefore also different lengths of the reconstructed medial patellofemoral ligament and medial quadriceps tendon-femoral ligament, imitating the native anatomy and biomechanics of the medial femoral patellar complex with a single incision that allows harvesting of the graft and its fixation in the patella and the quadriceps tendon.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103268"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preoperative Planning and Harvesting Technique of Quadriceps Tendon With Bone Block for Anterior Cruciate Ligament Reconstruction: An Evidence-Based, Cosmetic, and Precise Harvest Method
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103258
Yusuke Hashimoto M.D., Ph.D. , Shinya Yamasaki M.D., Ph.D. , Ken Iida M.D., Ph.D. , Takuya Kinoshita M.D., Ph.D. , Kazuya Nishino M.D., Ph.D. , Junsei Takigami M.D., Ph.D. , Hiroaki Nakamura M.D., Ph.D.
{"title":"Preoperative Planning and Harvesting Technique of Quadriceps Tendon With Bone Block for Anterior Cruciate Ligament Reconstruction: An Evidence-Based, Cosmetic, and Precise Harvest Method","authors":"Yusuke Hashimoto M.D., Ph.D. ,&nbsp;Shinya Yamasaki M.D., Ph.D. ,&nbsp;Ken Iida M.D., Ph.D. ,&nbsp;Takuya Kinoshita M.D., Ph.D. ,&nbsp;Kazuya Nishino M.D., Ph.D. ,&nbsp;Junsei Takigami M.D., Ph.D. ,&nbsp;Hiroaki Nakamura M.D., Ph.D.","doi":"10.1016/j.eats.2024.103258","DOIUrl":"10.1016/j.eats.2024.103258","url":null,"abstract":"<div><div>The quadriceps tendon has become an increasingly standard option for anterior cruciate ligament reconstruction. Notably, many harvesting techniques involve longitudinal skin incisions, which sometimes result in scar formation, creating cosmetic concerns, and small incisions sometimes have bone complications and require specific devices. We used a transverse skin incision for a minimally invasive quadriceps tendon graft with a bone block without specific devices. This technique provides an adequate bone block from the appropriate patellar position, decreasing the risk of patellar fracture while preserving a small skin incision to resolve cosmetic problems and preserve the joint capsule.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103258"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medial Meniscus Allograft Transplantation: Bone Plug Technique With Anatomic Anterior and Posterior Horn Fixation
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103260
Giovanna Medina M.D., Ph.D. , Chilan B.G. Leite M.D., Ph.D. , Gergo Merkely M.D., Ph.D. , Christian Lattermann M.D.
{"title":"Medial Meniscus Allograft Transplantation: Bone Plug Technique With Anatomic Anterior and Posterior Horn Fixation","authors":"Giovanna Medina M.D., Ph.D. ,&nbsp;Chilan B.G. Leite M.D., Ph.D. ,&nbsp;Gergo Merkely M.D., Ph.D. ,&nbsp;Christian Lattermann M.D.","doi":"10.1016/j.eats.2024.103260","DOIUrl":"10.1016/j.eats.2024.103260","url":null,"abstract":"<div><div>Meniscus preservation is crucial for avoiding cartilage degeneration after symptomatic meniscal tears. Despite efforts, meniscal repair procedures may fail, which requires a partial or total meniscectomy. Meniscus allograft transplantation (MAT) presents a viable solution, offering symptom alleviation, enhanced knee function, and potential osteoarthritis progression delay. Although MAT can address both lateral and medial compartments, medial MAT poses greater challenges as the result of its intricate attachments and limited mobility. The medial meniscus's unique anatomy, including attachments to the intermeniscal ligament, deep medial collateral ligament, capsule, and the anterior cruciate ligament, demands meticulous transplantation techniques. Refinements in surgical techniques are ongoing, emphasizing the importance of anatomical precision, particularly in positioning the anterior and posterior horns of the medial meniscus. Here, we present a bone plug technique for medial MAT, prioritizing the accurate anatomical attachment of the anterior horns of the allograft to improve surgical outcomes.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103260"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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