U.S. Market for Orthopedic Large Joint Reconstructive Devices 2012
NEW YORK, Jan. 17, 2012 /PRNewswire/ -- Reportlinker.com announces that a new market research report is available in its catalogue:
U.S. Market for Orthopedic Large Joint Reconstructive Devices 2012http://www.reportlinker.com/p0186400/US-Market-for-Orthopedic-Large-Joint-Reconstructive-Devices-2012.html#utm_source=prnewswire&utm_medium=pr&utm_campaign=Orthopedic
The orthopedic large joint reconstruction device market is expected to grow at a CAGR of 4.7% over the 2011–2018 forecast period.
The orthopedic large joint reconstruction device market includes hip and knee implants, as well as bone cements used to help adhere the implants to bone.
The market segments covered in this report include:
- Total Knee Reconstruction Device Market by Cementation Type
- Cemented Total Knee Implant Market
- Cementless Total Knee Implant Market
- Hybrid Cemented Total Knee Implant Market
- Total Market by Cruciate Construction
- Cruciate-Retaining Device Market
- Cruciate-Sacrificing Device Market
- Total Knee Reconstruction Device Market by Bearing Type
- Fixed-Bearing Total Knee Replacement Market
- Mobile-Bearing Total Knee Replacement Market
- Combined Partial Knee Reconstruction Device Market
- Bicondylar Knee Replacements and MAKOplasty® Procedures
- Unicondylar Knee Implant Market
- Patellofemoral Replacement Market
- Revision Knee Implant Market
- Traditional Bone Cement Market
- Premixed Antibiotic Bone Cement Market
- Surgical Gown & Helmet Market by Procedure Type
Although hip and knee arthroplasty has consistently seen high revenue growth since the early 2000s, growth has slowed since the recession that began in 2008. Procedure volumes began recovering in 2010, but the global economic crisis in 2011 has limited the recovery, and will have an uncertain effect on the market for the next several years. Nonetheless, large joint arthroplasty is experiencing a continued increase in demand, attributed to the aging baby boomer population, a higher number of highly active individuals and a rising obese demographic.
Within the orthopedic large joint reconstruction market,, companies such as Zimmer, DePuy Orthopaedics, Stryker Orthopaedics and Biomet led the market, among many others. This report provides a comprehensive and detailed analysis of market revenues by device type, market forecasts through 2018, unit sales, average selling prices, market drivers and limiters and a detailed competitive analysis, including manufacturer market shares and product portfolios.
TABLE OF CONTENTS TABLE OF CONTENTSLIST OF FIGURES..........VI
LIST OF CHARTSIX
EXECUTIVE SUMMARY 1
1.1 ORTHOPEDIC LARGE JOINT RECONSTRUCTION DEVICE MARKET ......... 1
1.2 COMBINED KNEE RECONSTRUCTION DEVICE MARKET COMPOSITION . 2
1.3 PARTIAL KNEE RECONSTRUCTION PROCEDURES.. 3
1.4 TOTAL HIP RECONSTRUCTION DEVICE MARKET BY FIXATION TYPE.... 4
1.5 HIP REPLACEMENT MARKET BY BEARING TYPE... 5
1.6 LARGE JOINT REVISION MARKET BY SEGMENT.... 6
1.7 LARGE JOINT RECONSTRUCTION DEVICE AVERAGE SELLING PRICES... 7
1.8 BONE CEMENT MARKET....... 8
1.9 LEADING COMPETITORS ....... 9
RESEARCH METHODOLOGY.......... 10
2.1 RESEARCH SCOPE .... 10
2.2 IDATA'S 9-STEP METHODOLOGY .. 10
Step 1: Project Initiation & Team Selection 11
Step 2: Prepare Data Systems and Perform Secondary Research 13
Step 3: Preparation for Interviews & Questionnaire Design ....... 14
Step 4: Performing Primary Research......... 15
Step 5: Research Analysis: Establishing Baseline Estimates ....... 17
Step 6: Market Forecast and Analysis ......... 18
Step 7: Identify Strategic Opportunities ...... 20
Step 8: Final Review and Market Release ... 21
Step 9: Customer Feedback and Market Monitoring......... 22
DEVICES .... 23
3.1 INTRODUCTION ........ 23
3.1.1 Anatomy and Pathology 23
3.1.2 Treatment 25
3.1.3 Treatment Complications......... 25
3.1.4 General Product Classifications......... 26
3.1.5 Patient-Specific Products and Consumer Awareness.......... 28
3.1.6 Press-Fitted versus Cemented Implantation.. 28
3.1.7 Simultaneous Bilateral Implantation .. 29
3.1.8 Minimally Invasive Surgery ..... 29
3.1.9 Computer-Assisted Navigation Systems......... 29
3.1.10 Emerging Technologies ......... 30
3.2MARKET OVERVIEW 31
3.3 TREND ANALYSIS BY SEGMENT .... 36
3.4 PROCEDURE NUMBERS ....... 38
3.5MARKET DRIVERS AND LIMITERS . 39
3.5.1 Market Drivers... 39
3.5.2 Market Limiters.. 40
3.6 COMPETITIVE ANALYSIS .... 42
3.6.1 Overview. 42
3.6.2 Leading Competitors..... 43
3.6.3 Other Notable Competitors...... 48
3.6.4 Market Concentration... 51
3.7MERGERS AND ACQUISITIONS ....... 53
3.8 LITIGATION AND LEGAL ISSUES .... 54
KNEE RECONSTRUCTION DEVICE MARKET .. 56
4.1 INTRODUCTION ........ 56
4.1.1 Anatomy .. 56
4.1.2 Pathology 56
4.1.3 Treatment 57
4.1.4 Implant Types..... 57
4.1.4.1 Total Knee Replacement .....57
4.1.4.2 Partial Knee Replacement ..57
4.1.4.3 Patellofemoral Replacement..........57
4.1.4.4 Interpositional Knee Implants .......58
4.1.4.5 Knee Revision ..........58
4.1.5 Fixation Method. 58
4.1.6 Bearing Surface . 58
4.1.7 Fixed versus Mobile Bearings . 59
4.2MARKET OVERVIEW 60
4.3MARKET ANALYSIS AND FORECAST ........ 65
4.3.1 Combined Total Knee Reconstruction Device Market......... 65
4.3.2 Total Knee Reconstruction Device Market by Cementation Type .. 67
4.3.2.1 Cemented Total Knee Implant Market......72
4.3.2.2 Cementless Total Knee Implant Market....74
4.3.2.3 Hybrid Cemented Total Knee Implant Market ....76
4.3.3 Total Market by Cruciate Construction......... 78
4.3.3.1 Cruciate-Retaining Device Market82
4.3.3.2 Cruciate-Sacrificing Device Market.........84
4.3.4 Total Knee Reconstruction Device Market by Bearing Type.......... 86
4.3.4.1 Fixed-Bearing Total Knee Replacement Market .90
4.3.4.2 Mobile-Bearing Total Knee Replacement Market ..........92
4.3.5 Combined Partial Knee Reconstruction Device Market...... 94
4.3.5.1 Bicondylar Knee Replacements and MAKOplasty® Procedures ..........99
4.3.6 Unicondylar Knee Implant Market ... 100
4.3.6.1 Patellofemoral Replacement Market ......102
4.3.7 Revision Knee Implant Market.......... 104
4.4MARKET DRIVERS AND LIMITERS .......... 106
4.4.1 Market Drivers. 106
4.4.2 Market Limiters 107
4.5 COMPETITIVE ANALYSIS .. 110
4.5.1 Leading Competitors... 110
4.5.2 Other Notable Competitors.... 114
HIP RECONSTRUCTION DEVICE MARKET..... 117
5.1 INTRODUCTION ...... 117
5.1.1 Anatomy 117
5.1.2 Pathology......... 117
5.1.3 Treatment......... 117
5.1.4 Implant Types... 118
5.1.4.1 Total Hip Joint Replacement .......118
5.1.4.2 Partial Hip Joint Replacement ....118
5.1.4.3 Resurfacing Hip Joint Replacement .......119
5.1.4.4 Revision Hip Joint Replacement..119
5.1.5 Fixation Method.......... 119
5.1.6 Implant Material ......... 119
5.1.7 Bearing Surface Technology.. 120
5.1.7.1 Polyethylene Bearings ......120
5.1.7.2 Highly Cross-Linked Polyethylene Bearings.....120
5.1.7.3 Metal Bearings.......120
5.1.7.4 Ceramic Bearings ..121
5.2MARKET OVERVIEW......... 122
5.3MARKET ANALYSIS AND FORECAST ...... 127
5.3.1 Combined Total Hip Reconstruction Device Market......... 127
5.3.2 Total Hip Reconstruction Device Market by Cementation Type .. 130
5.3.2.1 Cemented Total Hip Reconstruction Device Market ....134
5.3.2.2 Cementless Total Hip Reconstruction Device Market ..136
5.3.3 Total Hip Replacement Market by Bearing Type ... 138
5.3.3.1 Metal on Highly Cross-Linked Polyethylene Bearing Market.143
5.3.3.2 Metal-on-Metal Bearing Market..145
5.3.3.3 Ceramic-on-Ceramic Bearing Market....147
5.3.3.4 Ceramic-on–Highly X-linked PE Bearing Market........149
5.3.4 Combined Partial Hip Reconstruction Device Market ...... 151
5.3.5 Partial Hip Implant Market by Construction Type. 155
5.3.5.1 Bipolar Partial Hip Implant Market.......155
5.3.5.2 Unipolar Partial Hip Implant Market ....157
5.3.6 Resurfacing Hip Implant Market ...... 159
5.3.7 Revision Hip Implant Market. 161
5.4MARKET DRIVERS AND LIMITERS .......... 163
5.4.1 Market Drivers. 163
5.4.2 Market Limiters 164
5.5 COMPETITIVE ANALYSIS .. 167
5.5.1 Leading Competitors... 167
5.5.2 Other Notable Competitors.... 171
BONE CEMENT MARKET .... 174
6.1 INTRODUCTION ...... 174
6.2MARKET OVERVIEW......... 176
6.3MARKET ANALYSIS AND FORECAST ...... 180
6.3.1 Traditional Bone Cement Market ..... 182
6.3.2 Premixed Antibiotic Bone Cement Market... 184
6.4MARKET DRIVERS AND LIMITERS .......... 187
6.4.1 Market Drivers. 187
6.4.2 Market Limiters 188
6.5 COMPETITIVE ANALYSIS .. 189
APPENDIX: SURGICAL GOWN & HELMET MARKET BY PROCEDURE
TYPE ........ 192
7.1 OVERVIEW .. 192
ABBREVIATIONS......... 194
LIST OF FIGURESRESEARCH METHODOLOGY........ 10
U.S. MARKET FOR ORTHOPEDIC LARGE JOINT RECONSTRUCTION
DEVICES... 23
Figure 3-1: Combined Large Joint Reconstruction Device Market by Segment,
U.S., 2008 – 2018 (US$M) 32
Figure 3-2: Growth Rates by Segment, Large Joint Reconstruction Device
Market, U.S., 2008 – 2018 36
Figure 3-3: Combined Orthopedic Large Joint Reconstruction Device Market,
U.S., 2008 – 2018 .. 38
Figure 3-4: Drivers and Limiters, Combined Orthopedic Large Joint
Reconstruction Device Market, U.S., 2011 ......... 41
Figure 3-5: Leading Competitors, Combined Orthopedic Large Joint
Reconstruction Device Market, U.S., 2011 ......... 49
Figure 3-6: Market Concentration, Orthopedic Large Joint Reconstruction Device
Market, U.S., 2011 51
KNEE RECONSTRUCTION DEVICE MARKET.... 56
Figure 4-1: Combined Knee Reconstruction Device Market by Segment, U.S.,
2008 – 2018 (US$M) ........ 61
Figure 4-2: Total Knee Reconstruction Device Market, U.S., 2008 – 2018 65
Figure 4-3: Total Knee Reconstruction Device Market by Cementation Type,
U.S., 2008 – 2018 (US$M) 68
Figure 4-4: Cemented Total Knee Implant Market, U.S., 2008 – 2018 ...... 72
Figure 4-5: Cementless Total Knee Implant Market, U.S., 2008 – 2018 .... 74
Figure 4-6: Hybrid Total Knee Implant Market, U.S., 2008 – 2018 76
Figure 4-7: Total Knee Reconstruction Device Market by Cruciate Construction,
U.S., 2008 – 2018 (US$M) 78
Figure 4-8: Cruciate-Retaining Total Knee Replacement Market, U.S.,
2008 – 2018 82
Figure 4-9: Cruciate-Sacrificing Total Knee Replacement Market, U.S.,
2008 – 2018 84
Figure 4-10: Total Knee Reconstruction Device Market by Bearing Type, U.S.,
2008 – 2018 (US$M) ........ 86
Figure 4-11: Fixed-Bearing Total Knee Replacement Market, U.S., 2008 – 2018 . 90
Figure 4-12: Mobile-Bearing Total Knee Replacement Market, U.S.,
2008 – 2018 92
Figure 4-13: Combined Partial Knee Implant Market, U.S., 2008 – 2018
(US$M) ...... 95
Figure 4-14: MAKOplasty® Knee Procedures, U.S., 2008 – 2018 ... 99
Figure 4-15: Unicondylar Knee Implant Market, U.S., 2008 – 2018 ........ 100
Figure 4-16: Patellofemoral Replacement Market, U.S., 2008 – 2018 ..... 102
Figure 4-17: Revision Knee Implant Market, U.S., 2008 – 2018 .. 104
Figure 4-18: Drivers and Limiters, Knee Reconstruction Device Market, U.S.,
2011 ......... 109
Figure 4-19: Leading Competitors, Knee Reconstruction Device Market, U.S.,
2011 ......... 115
HIP RECONSTRUCTION DEVICE MARKET ..... 117
Figure 5-1: Combined Hip Reconstruction Device Market by Segment, U.S.,
2008 – 2018 (US$M) ...... 123
Figure 5-2: Total Hip Reconstruction Device Market, U.S., 2008 – 2018 128
Figure 5-3: Total Hip Reconstruction Device Market by Cementation Type, U.S.,
2008 – 2018 (US$M) ...... 130
Figure 5-4: Cemented Hip Reconstruction Device Market, U.S., 2008 – 2018 .... 134
Figure 5-5: Cementless Hip Reconstruction Device Market, U.S., 2008 – 2018.. 136
Figure 5-6: Total Hip Reconstruction Device Market by Bearing Type, U.S.,
2008 – 2018 (US$M) ...... 139
Figure 5-7: Metal-on–X-Linked PE Bearing Market, U.S., 2008 – 2018.. 143
Figure 5-8: Metal-on-Metal Bearing Market, U.S., 2008 – 2018 .. 145
Figure 5-9: Ceramic-on-Ceramic Bearing Market, U.S., 2008 – 2018 ..... 147
Figure 5-10: Ceramic-on–X-linked PE Bearing Market, U.S., 2008 – 2018 ........ 149
Figure 5-11: Combined Partial Hip Implant Market, U.S., 2008 – 2018 (US$M) 151
Figure 5-12: Bipolar Partial Hip Implant Market, U.S., 2008 – 2018 ...... 155
Figure 5-13: Unipolar Partial Hip Implant Market, U.S., 2008 – 2018 .... 157
Figure 5-14: Hip Resurfacing Implant Market, U.S., 2008 – 2018 159
Figure 5-15: Revision Hip Implant Market, U.S., 2008 – 2018 .... 161
Figure 5-16: Drivers and Limiters, Hip Reconstruction Device Market, 2011..... 166
Figure 5-17 Leading Competitors, Hip Reconstruction Device Market, U.S.,
2011 ......... 172
BONE CEMENT MARKET. 174
Figure 6-1: Bone Cement Market by Segment, U.S., 2008 – 2018 (US$M)......... 176
Figure 6-2: Bone Cement Market, U.S., 2008 – 2018 ....... 180
Figure 6-3: Traditional Bone Cement Market, U.S., 2008 – 2018. 182
Figure 6-4: Premixed Antibiotic Bone Cement Market, U.S., 2008 – 2018 ......... 184
Figure 6-5: Arthroplasty Procedures Involving Bone Cement, U.S.,
2008 – 2018......... 186
Figure 6-6: Drivers and Limiters, Bone Cement Market, U.S., 2011 ....... 188
Figure 6-7: Leading Competitors, Bone Cement Market, U.S., 2011 ....... 190
APPENDIX: SURGICAL GOWN & HELMET MARKET BY PROCEDURE
TYPE ....... 192
Figure 7-1: Penetration of Surgical Gowns and Helmet Systems in Surgical
Procedures, U.S., 2000 – 2018 ... 193
ABBREVIATIONS .. 194
LIST OF CHARTSChart 1-1: Orthopedic Large Joint Reconstruction Device Market, U.S.,
2008 – 2018.. 1
Chart 1-2: Combined Knee Reconstruction Device Market by Segment, U.S.,
2011 .. 2
Chart 1-3: Partial Knee Reconstruction Device Units Sold, U.S., 2008 – 2018 ....... 3
Chart 1-4: Total Hip Replacement Market Growth by Fixation Type, U.S.,
2008 – 2018.. 4
Chart 1-5: Total Hip Replacement Market by Bearing Type, U.S., 2008 – 2018 ..... 5
Chart 1-6: Large Joint Revision Market by Segment, U.S., 2008 – 2018 .... 6
Chart 1-7: ASP Annual Growth Rates, Large Joint Reconstruction Device Market
by Segment, U.S., 2008 – 2018 ...... 7
Chart 1-8: Bone Cement Usage by Indication, U.S., 2008 – 2018 .... 8
Chart 1-9: Leading Competitors, Large Joint Replacement Market, U.S., 2011 ...... 9
RESEARCH METHODOLOGY........ 10
U.S. MARKET FOR ORTHOPEDIC LARGE JOINT RECONSTRUCTION
DEVICES... 23
Chart 3-1: Combined Large Joint Reconstruction Device Market by Segment,
U.S., 2008 – 2018 .. 33
Chart 3-2: Combined Large Joint Reconstruction Device Market by Segment,
U.S., 2011 .. 34
Chart 3-3: Combined Large Joint Reconstruction Device Market by Segment,
U.S., 2018 .. 35
Chart 3-4: Growth Rates by Segment, Large Joint Reconstruction Device Market,
U.S., 2008 – 2018 .. 37
Chart 3-5: Leading Competitors, Combined Orthopedic Large Joint
Reconstructive Market, U.S., 2011 .......... 50
Chart 3-6: Market Concentration, Orthopedic Large Joint Reconstruction Device
Market, U.S., 2011 52
KNEE RECONSTRUCTION DEVICE MARKET.... 56
Chart 4-1: Combined Knee Reconstruction Device Market by Segment, U.S.,
2008 – 2018 62
Chart 4-2: Combined Knee Reconstruction Device Market by Segment, U.S.,
2011 .......... 63
Chart 4-3: Combined Knee Reconstruction Device Market by Segment, U.S.,
2018 64
Chart 4-4: Total Knee Reconstruction Device Market, U.S., 2008 – 2018 . 66
Chart 4-5: Total Knee Reconstruction Device Market by Cementation Type, U.S.,
2008 – 2018 69
Chart 4-6: Total Knee Reconstruction Device Market by Cementation Type, U.S.,
2011 70
Chart 4-7: Total Knee Reconstruction Device Market by Cementation Type, U.S.,
2018 71
Chart 4-8: Cemented Total Knee Implant Market, U.S., 2008 – 2018 ........ 73
Chart 4-9: Cementless Total Knee Implant Market, U.S., 2008 – 2018...... 75
Chart 4-10: Hybrid Total Knee Implant Market, U.S., 2008 – 2018 .......... 77
Chart 4-11: Total Knee Reconstruction Device Market by Cruciate Construction,
U.S., 2008 – 2018 .. 79
Chart 4-12: Total Knee Reconstruction Device Market by Cruciate Construction,
U.S., 2011 . 80
Chart 4-13: Total Knee Reconstruction Device Market by Cruciate Construction,
U.S., 2018 .. 81
Chart 4-14: Cruciate-Retaining Total Knee Replacement Market, U.S.,
2008 – 2018 83
Chart 4-15: Cruciate-Sacrificing Total Knee Replacement Market, U.S.,
2008 – 2018 85
Chart 4-16: Total Knee Reconstruction Device Market by Bearing Type, U.S.,
2008 – 2018 87
Chart 4-17: Total Knee Reconstruction Device Market by Bearing Type, U.S.,
2011 .......... 88
Chart 4-18: Total Knee Reconstruction Device Market by Bearing Type, U.S.,
2018 89
Chart 4-19: Fixed-Bearing Total Knee Replacement Market, U.S., 2008 – 2018... 91
Chart 4-20: Mobile-Bearing Total Knee Replacement Market, U.S.,
2008 – 2018 93
Chart 4-21: Combined Partial Knee Implant Market by Type, U.S., 2008 – 2018 . 96
Chart 4-22: Combined Partial Knee Implant Market by Type, U.S., 2011.. 97
Chart 4-23: Combined Partial Knee Implant Market by Type, U.S., 2018.. 98
Chart 4-24: Unicondylar Knee Implant Market, U.S., 2008 – 2018 ......... 101
Chart 4-25: Patellofemoral Replacement Market, U.S., 2008 – 2018 ....... 103
Chart 4-26: Revision Knee Implant Market, U.S., 2008 – 2018.... 105
Chart 4-27: Leading Competitors, Knee Reconstruction Device Market, U.S.,
2011 ......... 116
HIP RECONSTRUCTION DEVICE MARKET ..... 117
Chart 5-1: Combined Hip Reconstruction Device Market by Segment, U.S.,
2008 – 2018......... 124
Chart 5-2: Combined Hip Reconstruction Device Market by Segment, U.S.,
2011 ........ 125
Chart 5-3: Combined Hip Reconstruction Device Market by Segment, U.S.,
2018 ........ 126
Chart 5-4: Total Hip Reconstruction Device Market, U.S., 2008 – 2018 . 129
Chart 5-5: Total Hip Reconstruction Device Market by Cementation Type, U.S.,
2008 – 2018......... 131
Chart 5-6: Total Hip Reconstruction Device Market by Segment, U.S., 2011 .... 132
Chart 5-7: Total Hip Reconstruction Device Market by Segment, U.S., 2018 ..... 133
Chart 5-8: Cemented Hip Reconstruction Device Market, U.S., 2008 – 2018 ..... 135
Chart 5-9: Cementless Hip Reconstruction Device Market, U.S., 2008 – 2018 ... 137
Chart 5-10: Total Hip Reconstruction Device Market by Bearing Type, U.S.,
2008 – 2018......... 140
Chart 5-11: Total Hip Reconstruction Device Market by Bearing Type, U.S.,
2011 ........ 141
Chart 5-12: Total Hip Reconstruction Device Market by Bearing Type, U.S.,
2018 ......... 142
Chart 5-13: Metal-on–X-Linked PE Bearing Market, U.S., 2008 – 2018 . 144
Chart 5-14: Metal-on-Metal Bearing Market, U.S., 2008 – 2018 .. 146
Chart 5-15: Ceramic-on-Ceramic Bearing Market, U.S., 2008 – 2018 ..... 148
Chart 5-16: Ceramic-on–X-linked PE Bearing Market, U.S., 2008 – 2018.......... 150
Chart 5-17: Combined Partial Hip Implant Market by Type, U.S., 2008 – 2018.. 152
Chart 5-18: Combined Partial Hip Implant Market by Type, U.S., 2011 .. 153
Chart 5-19: Combined Partial Hip Implant Market by Type, U.S., 2018 .. 154
Chart 5-20: Bipolar Partial Hip Implant Market, U.S., 2008 – 2018 ........ 156
Chart 5-21: Unipolar Partial Hip Implant Market, U.S., 2008 – 2018 ...... 158
Chart 5-22: Hip Resurfacing Implant Market, U.S., 2008 – 2018 . 160
Chart 5-23: Revision Hip Implant Market, U.S., 2008 – 2018 ...... 162
Chart 5-24: Leading Competitors, Hip Reconstruction Device Market, U.S.,
2011 ......... 173
BONE CEMENT MARKET. 174
Chart 6-1: Bone Cement Market by Segment, U.S., 2008 – 2018 . 177
Chart 6-2: Bone Cement Market by Segment, U.S., 2011 . 178
Chart 6-3: Bone Cement Market by Segment, U.S., 2018.. 179
Chart 6-4: Bone Cement Market, U.S., 2008 – 2018 ......... 181
Chart 6-5: Traditional Bone Cement Market, U.S., 2008 – 2018 .. 183
Chart 6-6: Premixed Antibiotic Bone Cement Market, U.S., 2008 – 2018 .......... 185
Chart 6-7: Leading Competitors, Bone Cement Market, U.S., 2011......... 191
APPENDIX: SURGICAL GOWN & HELMET MARKET BY PROCEDURE
TYPE ....... 192
ABBREVIATIONS .. 194
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