Journal of Arthroplasty




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Ed board

doi : 10.1016/S0883-5403(22)00986-X

Volume 38, Issue 1, January 2023, Pages A1-A2

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Masthead

doi : 10.1016/S0883-5403(22)00987-1

Volume 38, Issue 1, January 2023, Page A4

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Table of Contents

doi : 10.1016/S0883-5403(22)00988-3

Volume 38, Issue 1, January 2023, Pages A5-A6, A8

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Low-Molecular-Weight Heparin Is Superior to Aspirin in the Prevention of Thromboembolic Disease: Or Is It?

Javad Parvizi, MDDavid E. DeMik, MD, PharmDWilliam J. Hozack, MDMichael J. Dunbar, MD, FRCSC, PhDMichael A. Mont, MDPaul F. Lachiewicz, MD

doi : 10.1016/j.arth.2022.09.017

Volume 38, Issue 1, January 2023, Pages 1-2

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American Association of Hip and Knee Surgeons Foundation for Arthroplasty Research and Education Grant: Update From Inception to Today

Stephen T. Duncan, MDThorsten M. Seyler, MDRan Schwarzkopf, MD,

doi : 10.1016/j.arth.2022.08.031

Volume 38, Issue 1, January 2023, Pages 3-4

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Women in Arthroplasty

Rina Jain, MDLinda Suleiman, MDLynne Jones, PhDAudrey Tsao, MD

doi : 10.1016/j.arth.2022.11.001

Volume 38, Issue 1, January 2023, Page 5

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Cost Drivers in Two-Stage Treatment of Hip Periprosthetic Joint Infection With an Antibiotic Coated Cement Hip Spacer

Lefko T. Charalambous, MBA a , Colleen M. Wixted, MBA a, *, Billy I. Kim a , Niall H. Cochrane, MD b , Elshaday S. Belay, MD b , Hayden L. Joseph, MD b , Thorsten M. Seyler, MD, PhD b

doi : 10.1016/j.arth.2022.07.011

Volume 38, Issue 1, January 2023, Pages 6-12

The current gold standard for treating chronic Periprosthetic Joint Infection (PJI) is a 2-stage revision arthroplasty. There has been little investigation into what specific patient and operative factors may be able to predict higher costs of this treatment.

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Is an “Outpatient Arthroplasty Risk Assessment Score� Needed for Predicting Safe Selection of Outpatient Arthroplasty Candidates?

David A. Crawford, MD, Jacob S. Alexander, MD *, Robert B. Erlichman, MD, Derek J. Semaan, MD, Adolph V. Lombardi Jr., MD, Keith R. Berend, MD

doi : 10.1016/j.arth.2022.08.024

Volume 38, Issue 1, January 2023, Pages 13-17

Total joint arthroplasty is rapidly shifting to the outpatient space. One of the challenges of same-day discharge adoption has been determining which patients are suitable candidates. Risk assessment tools have been developed, including the Outpatient Arthroplasty Risk Assessment (OARA) score. The purpose of this study was to assess its predictive utility.

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A Safe Number of Perioperative Opioids to Reduce the Risk of New Persistent Usage Among Opioid-Naïve Patients Following Total Joint Arthroplasty

Yu-Tung Lan, MD, MPH a , Nicholas R. Pagani, MD b , Ya-Wen Chen, MD, MPH a , Ruijia Niu, MPH c , David C. Chang, PhD, MPH, MBA a , Carl T. Talmo, MD c , Brian L. Hollenbeck, MD c , David A. Mattingly, MD c , Eric L. Smith, MD c, *

doi : 10.1016/j.arth.2022.08.018

Volume 38, Issue 1, January 2023, Pages 18-23.e1

Higher initial opioid dosing increases the risk of prolonged opioid use following total joint arthroplasty (TJA), and the safe amounts to prescribe are unknown. We examined the relationship between perioperative opioid exposure and new persistent usage among opioid-naïve patients after total knee and hip arthroplasty.

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Osteopetrosis is Associated With an Increased Risk for Intraoperative Periprosthetic Fracture in Total Hip Arthroplasty but not in Total Knee Arthroplasty

John F. Burke, MD a , Nicole D. Quinlan, MD, MS a , Brian C. Werner, MD a , C. Lowry Barnes, MD b , James A. Browne, MD a,

doi : 10.1016/j.arth.2022.08.016

Volume 38, Issue 1, January 2023, Pages 24-29

Osteopetrosis is a rare, inherited disorder in which bone remodels to become pathologically dense. There has been a paucity of data evaluating medical and surgical complications following total hip arthroplasty (THA) and total knee arthroplasty (TKA) in this patient population.

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The Effect of Age on the Relative Outcomes of Cemented and Cementless Mobile-Bearing Unicompartmental Knee Arthroplasty, Based on Data From National Databases

Hasan R. Mohammad, MRCS, MRes (Dist), DPhil (Oxon) a, b, c, *, Andrew Judge, BSc, MSc, PhD a, b , David W. Murray, MD, FRCS a

doi : 10.1016/j.arth.2022.08.004

Volume 38, Issue 1, January 2023, Pages 30-36.e1

Unicompartmental knee arthroplasty (UKA) is an effective treatment for medial compartment arthritis. A challenge is that patients requiring knee arthroplasty are becoming younger. It is currently unknown what the relative performances of cemented and cementless UKAs are, in different age groups.

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Mild Valgus Alignment After Lateral Unicompartmental Knee Arthroplasty Led to Lower Functional Results and Survivorship at Mean 8-Year Follow-Up

Matteo Marullo, MD a, *, Antonio Russo, MD b, c , Andrea Spreafico, MD a , Sergio Romagnoli, MD

doi : 10.1016/j.arth.2022.07.009

Volume 38, Issue 1, January 2023, Pages 37-42

In medial unicompartmental knee arthroplasty (UKA), the best results and the highest survivorship are found by mild undercorrection of varus deformities. In lateral UKA, the desirable amount of valgus undercorrection has not yet been determined. The purposes of this study were to present the results of a consecutive series of lateral UKAs and to investigate the effect of postoperative limb alignment on them.

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Does Aseptic Revision Risk Differ for Primary Total Knee Arthroplasty Patients Who Have and Do not Have a Prior Primary or Revision Arthroplasty?

Heather A. Prentice, PhD a, *, Priscilla H. Chan, MS a , Nithin C. Reddy, MD b , Ronald A. Navarro, MD c , Robert S. Namba, MD d , Elizabeth W. Paxton, PhD a

doi : 10.1016/j.arth.2022.08.007

Volume 38, Issue 1, January 2023, Pages 43-50.e1

We sought to evaluate the risk of aseptic revision in total knee arthroplasty (TKA) patients who have and do not have a history of primary or revision arthroplasty of a different major joint.

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Preoperative Anemia Is Associated With Worse Joint-Specific Postoperative Outcomes, but Is Not Associated With Health-Related Quality of Life or Patient Satisfaction After Total Knee Arthroplasty

Fabienne M. Robertson, MPH *, Nicholas D. Clement, MD, PhD

doi : 10.1016/j.arth.2022.07.010

Volume 38, Issue 1, January 2023, Pages 51-59

The primary aim assessed whether preoperative anemia was associated with a worse knee-specific functional outcome after total knee arthroplasty (TKA). The secondary aims assessed the association of preoperative anemia with generic health and patient satisfaction.

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The Desired Oxford Knee Score Obtained Before Total Knee Arthroplasty is Predictive of the Postoperative Oxford Knee Score: A Prospective Study

Alexander J. Nedopil, MD a, *, Nelson V. Greidanus, MD b , Donald S. Garbuz, MD b , Lisa C. Howard, MD b , Eric C. Sayre, PhD c , Bassam A. Masri, MD b

doi : 10.1016/j.arth.2022.08.002

Volume 38, Issue 1, January 2023, Pages 60-64

The relationship between patient expectations and patient-reported outcome measures (PROMs) after total knee arthroplasty (TKA) is not well understood. The purpose of the study was to test the influence of desired knee function on postoperative perceived knee function 1 year after TKA.

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Efficacy of Opioids in Preemptive Multimodal Analgesia for Total Knee Arthroplasty: A Prospective, Double-Blind, Placebo-Controlled, Randomized Trial

Qiuru Wang, MD a , Wanli Zhang, MM b , Tingting Xiao, MM a , Liying Wang, MM c , Ting Ma, MM c , Pengde Kang, MD, PhD a, *

doi : 10.1016/j.arth.2022.08.001

Volume 38, Issue 1, January 2023, Pages 65-71

Preemptive multimodal analgesia is a commonly used technique to control pain following total knee arthroplasty (TKA). This study aimed to evaluate the efficacy of pre-emptive opioids for pain management in patients who underwent TKA.

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The Ability of Robot-Assisted Total Knee Arthroplasty in Matching the Efficiency of Its Conventional Counterpart at an Orthopaedic Specialty Hospital

Michael M. Meghpara, MD, Graham S. Goh, MD, Justin A. Magnuson, MD, William J. Hozack, MD, P. Maxwell Courtney, MD, Chad A. Krueger, MD *

doi : 10.1016/j.arth.2022.07.024

Volume 38, Issue 1, January 2023, Pages 72-77.e3

Robot-assisted total knee arthroplasty (RA-TKA) has become a popular technology. Studies have investigated the learning curve for surgeons incorporating RA-TKA into practice, but less is known regarding the change in operative efficiency when introducing RA-TKA into a facility.

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Mobile-Bearing has no Benefit Over Fixed-Bearing Total Knee Arthroplasty in Joint Awareness and Crepitus: A Randomized Controlled Trial

Sueen Sohn, MD a , In Jun Koh, MD, PhD b , Man Soo Kim, MD, PhD c , Keun Young Choi, MD b , Da Sol Lim, MD a , Yong In, MD, PhD c, *

doi : 10.1016/j.arth.2022.07.021

Volume 38, Issue 1, January 2023, Pages 78-84

Given higher component conformity, rotational availability of polyethylene insert, and more physiologic patellofemoral tracking, mobile-bearing (MB) total knee arthroplasty (TKA) is supposed to offer advantages in joint perception and crepitus. The purpose of this study was to investigate whether MB TKA offers superior outcomes over fixed-bearing (FB) TKA in terms of joint awareness and crepitus.

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Mid-Term Performance of the First Mass-Produced Three-Dimensional Printed Cementless Tibia in the United States as Reported in the American Joint Replacement Registry

Denis Nam, MD, MSc a, *, Manoshi Bhowmik-Stoker, PhD b , Ormonde M. Mahoney, MD c , Michael J. Dunbar, MD d , Robert L. Barrack, MD

doi : 10.1016/j.arth.2022.07.020

Volume 38, Issue 1, January 2023, Pages 85-89

Cementless tibial components have shown improvements in clinical performance compared to predicate designs, though evidence supporting mid-term performance and fixation is scarce.

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A Novel Multilayer-Coating for Total Knee Arthroplasty Implants is Safe – 10-Year Results From a Randomized-Controlled Trial

J€org Lützner, MD *, Franziska Beyer, Cornelia Lützner, Eric Tille, MD, Anne Elisabeth Postler, MD

doi : 10.1016/j.arth.2022.07.014

Volume 38, Issue 1, January 2023, Pages 90-95.e1

This randomized-controlled trial was initiated to compare a new multilayer hypoallergenic coating system with the standard implant in total knee arthroplasty (TKA) in terms of serum metal ion levels, patient-reported outcomes (PROs), and implant survival.

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Same-Day Discharge Total Knee Arthroplasty in Octogenarians

Nathan H. Varady, MD, MBA a, b, *, Troy B. Amen, MD, MBA a, b , Samuel S. Rudisill, BS c , Kelson Adcock, BA d , Patawut Bovonratwet, MD a, b , Michael P. Ast, MD a, b

doi : 10.1016/j.arth.2022.08.013

Volume 38, Issue 1, January 2023, Pages 96-100

One of the most important aspects of the transition to outpatient (OP) arthroplasty is patient selection, with guidance traditionally recommending that OP total knee arthroplasty (TKA) be reserved for patients <80 years old.

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Minimizing Opioid Use After Total Hip Arthroplasty: Comparing Periarticular Injection Versus Patient-Controlled Epidural Analgesia Versus a Combination Protocol

Kethy Jules-Elysee, MD a, b, *, Carrie Freeman, BS a , Daniel Maalouf, MD a, b , Jacques YaDeau, MD, PhD a, b , David Mayman, MD c , Peter Sculco, MD c

doi : 10.1016/j.arth.2022.06.025

Volume 38, Issue 1, January 2023, Pages 101-107

Effective management of postoperative pain after total hip arthroplasty (THA) may be challenging.

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Neuraxial Anesthesia Significantly Reduces 30-Day Venous Thromboembolism Rate and Length of Hospital Stay in Primary Total Hip Arthroplasty: A Stratified Propensity Score–Matched Cohort Analysis

Mohanad Baldawi, MD a, b, 1 , Mohamed E. Awad, MD, MBA a, c, d, 1 , George McKelvey, PhD a, b , Adam D. Pearl, MD b, d , Gamal Mostafa, MD b, d , Khaled J. Saleh, MD, MSc, MHCM

doi : 10.1016/j.arth.2022.07.003

Volume 38, Issue 1, January 2023, Pages 108-116

General anesthesia (GA) has been the commonly used protocol for total hip arthroplasty (THA); however, neuraxial anesthesia (NA) has been increasingly performed. Our purpose was to compare NA and GA for 30-day postoperative outcomes in United States veterans undergoing primary THA.

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What are the Causes, Costs and Risk-Factors for Emergency Department Visits Following Primary Total Hip Arthroplasty? An Analysis of 1,018,772 Patients

Mitchell K. Ng, MD a , Aaron Lam, MD a , Keith Diamond, MD a , Nicolas S. Piuzzi, MD b , Martin Roche, MD c , Orry Erez, MD a , Che Hang Jason Wong, MD a , Michael A. Mont, MD c, d,

doi : 10.1016/j.arth.2022.07.008

Volume 38, Issue 1, January 2023, Pages 117-123

Well-powered studies analyzing the relationship and nature of emergency department (ED) visits following primary total hip arthroplasties (THAs) are limited.

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Development of a Novel Prospective Model to Predict Unplanned 90-Day Readmissions After Total Hip Arthroplasty

Michael Korvink, MA a , Chun Wai Hung, MD b , Peter K. Wong, PhD c , John Martin, PhD a , Mohamad J. Halawi, MD b, *

doi : 10.1016/j.arth.2022.07.017

Volume 38, Issue 1, January 2023, Pages 124-128

For hospitals participating in bundled payment programs, unplanned readmissions after surgery are often termed “bundle busters.�

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Is Robotic-Assisted Technology Still Accurate in Total Hip Arthroplasty for Fibrous-Fused Hips?

Shuai Zhang, MD a, b, c , Yubo Liu, MD b, c, d, 1 , Mingyang Ma, MD a, b, c , Zheng Cao, MD b, c, d , Xiangpeng Kong, MD b, c, **, Wei Chai, MD b, c, *

doi : 10.1016/j.arth.2022.07.023

Volume 38, Issue 1, January 2023, Pages 129-134

Total hip arthroplasty (THA) for fibrous-fused hips is technically demanding. This study aimed to evaluate the precision and accuracy, as well as the rate of conversion of robotic-assisted THA in such difficult patients.

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Albumin is an Independent Predictor of up to 9-Year Mortality for Intracapsular Femoral Neck Fractures Aiding in Decision-Making for Total Hip Arthroplasty or Hemiarthroplasty

Bijai K. Thomas, MBBS, MS, MRCS *, Stefan Bajada, MD, FRCS, PhD, Rhodri L. Williams, MB BCh, FRCS

doi : 10.1016/j.arth.2022.08.015

Volume 38, Issue 1, January 2023, Pages 135-140

Intracapsular femoral neck fractures in the geriatric population are usually treated with hemiarthroplasty or total hip arthroplasty. The patients’ medium-term to long-term mortality is a consideration to help decide which procedure to perform.

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Extended Oral Antibiotic Prophylaxis After Aseptic Total Hip or Knee Arthroplasty Revisions: A Preliminary Report

Jesus M. Villa, MD, Tejbir S. Pannu, MD, MS, William Braaksma, MD, Carlos A. Higuera, MD *, Aldo M. Riesgo, MD

doi : 10.1016/j.arth.2022.08.003

Volume 38, Issue 1, January 2023, Pages 141-145

It is unknown whether extended oral antibiotic (EOA) prophylaxis reduces periprosthetic joint infection (PJI) rates after aseptic revision total hip (THA) and knee arthroplasty (TKA).

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Synovial Fluid Absolute Neutrophil Count and Neutrophil-To-Lymphocyte Ratio are not Superior to Polymorphonuclear Percentage in Detecting Periprosthetic Joint Infection

Julian E. Dilley, MD a , Abhijit Seetharam, MD a , R. Michael Meneghini, MD a , Michael M. Kheir, MD

doi : 10.1016/j.arth.2022.07.005

Volume 38, Issue 1, January 2023, Pages 146-151

Serum and synovial biomarkers are currently used to diagnose periprosthetic joint infection (PJI). Serum neutrophil-to-lymphocyte ratio (NLR) has shown promise as an inexpensive test in diagnosing infection, but there are no reports of synovial NLR or absolute neutrophil count (ANC) for diagnosing chronic PJI.

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Rates and Outcomes of Periprosthetic Joint Infection in Persons Who Inject Drugs

Tyler J. Humphrey, BA a, 1 , Alexander M. Tatara, MD, PhD b, c, 1 , Hany S. Bedair, MD a, d , Kyle Alpaugh, MD a, d , Christopher M. Melnic, MD a, d , Sandra B. Nelson, MD b, d, *

doi : 10.1016/j.arth.2022.07.018

Volume 38, Issue 1, January 2023, Pages 152-157

The risk of periprosthetic joint infection (PJI) is higher in persons who inject drugs (PWID) after total joint arthroplasty (TJA), though reported rates vary widely. This study was designed to assess outcomes of TJA in PWID and to describe factors associated with improved PJI outcomes among PWID.

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Contemporary Use of Trochanteric Plates in Periprosthetic Femur Fractures: A Displaced Trochanter Will Not Be Tamed

Colin Neitzke, BS a , Elizabeth Davis, MD b , Simarjeet Puri, BS b , Brian P. Chalmers, MD b , Peter K. Sculco, MD b , Elizabeth B. Gausden, MD

doi : 10.1016/j.arth.2022.07.012

Volume 38, Issue 1, January 2023, Pages 158-164

The objective of this study was to evaluate the reoperation and complication rate following trochanteric plate fixation of greater trochanter (GT) periprosthetic femur fractures associated with total hip arthroplasty and to identify risk factors for subsequent reoperation, nonunion, and hardware failure (plate/cable breakage or migration).

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Evaluation of the National Institutes of Health–Supported Relative Citation Ratio Among Fellowship-Trained American Orthopaedic Joint Reconstruction Surgery Faculty: A New Bibliometric Measure of Scientific Influence

Dane M. Pizzo, MS a, *, Nareena Imam a , Suleiman Y. Sudah, MD b , Robert D. Faccone c , Micky Akinrodoye, MD b , Joseph E. Manzi, MD d , Mariano E. Menendez, MD e , Mark W. Gesell, MD

doi : 10.1016/j.arth.2022.07.022

Volume 38, Issue 1, January 2023, Pages 165-170

The relative citation ratio (RCR), a novel National Institutes of Health–Supported measure of research productivity, allows for accurate interdisciplinary comparison of publication influence.

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Racial and Ethnic Disparities in Total Joint Arthroplasty Care: A Contemporary Systematic Review and Meta-Analysis

Samuel S. Rudisill, BS a, b , Nathan H. Varady, MD, MBA a , Aseal Birir, BA c , Susan M. Goodman, MD a , Michael L. Parks, MD a , Troy B. Amen, MD, MBA

doi : 10.1016/j.arth.2022.08.006

Volume 38, Issue 1, January 2023, Pages 171-187.e18

Total joint arthroplasty (TJA) is one of the most common surgical procedures in the United States; however, racial and ethnic disparities in utilizations and outcomes have been well documented.

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Relationship Between Mental Health Disorders and Readmissions Following Total Joint Arthroplasty: A Systematic Review and Meta-Analysis

Ramish Sumbal, MBBS *, Minha Murtaza, MBBS, Anusha Sumbal, MBBS, Aamna Farooq, MBBS, Mirza M. Ali Baig, MBBS, Laila Tul Qadar, MBBS

doi : 10.1016/j.arth.2022.08.017

Volume 38, Issue 1, January 2023, Pages 188-193.e1

There is limited evidence exploring the relationship between mental health disorders and the readmissions following total joint arthroplasty (TJA). Therefore, we conducted a meta-analysis to evaluate the relationship between mental health disorders and the risk of readmission following TJA.

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Efficacy of Ultrasound-Guided Quadratus Lumborum Block for Postoperative Analgesia After Hip Arthroplasty: A Meta-Analysis of Randomized Controlled Trials

Zhenxin Hu, MD a, b , Zhen Zhang, PhD a, **, Xiliang Tian, PhD

doi : 10.1016/j.arth.2022.07.013

Volume 38, Issue 1, January 2023, Pages 194-201

Ultrasound-guided quadratus lumborum (QL) block as a novel regional anesthetic technique was proposed in 2007 that can be applied in patients following hip arthroplasty. This study aimed to evaluate the efficacy of the QL block for pain control in patients undergoing hip arthroplasty.

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Conflict of Interest

doi : 10.1016/S0883-5403(22)00989-5

Volume 38, Issue 1, January 2023, Page A11

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