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Pelvic ring fractures: should they be fixed?

1988; British Editorial Society of Bone & Joint Surgery; Volume: 70-B; Issue: 1 Linguagem: Inglês

10.1302/0301-620x.70b1.3276697

2044-5377

M. Tile,

Abdominal Trauma and Injuries

The Journal of Bone and Joint Surgery. British volumeVol. 70-B, No. 1 ArticlesFree AccessPelvic ring fractures: should they be fixed?M TileM TileSearch for more papers by this authorPublished Online:1 Jan 1988https://doi.org/10.1302/0301-620X.70B1.3276697AboutSectionsPDF/EPUB ToolsAdd to FavouritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InRedditEmail FiguresReferencesRelatedDetailsCited byPreoperative CT simulation of iliosacral screws for treating unstable posterior pelvic ring injury8 March 2022 | BMC Musculoskeletal Disorders, Vol. 23, No. 1Functional outcome of unstable pelvic fractures treated in a level III hospital in a developing country: a 10-year prospective observational study4 April 2022 | Journal of Orthopaedic Surgery and Research, Vol. 17, No. 1Percutaneous posterior transiliac plate versus iliosacral screw fixation for posterior fixation of Tile C-type pelvic fractures: a retrospective comparative study16 June 2022 | BMC Musculoskeletal Disorders, Vol. 23, No. 1Equestrian-Related Pelvic Trauma in Women of Childbearing Age — a Review of the Experience of a National Pelvic & Acetabular Referral Centre27 July 2022 | SN Comprehensive Clinical Medicine, Vol. 4, No. 1CT of Sacral Fractures: Classification Systems and ManagementRadioGraphics, Vol. 42, No. 7Moving forward with the management of minimally displaced lateral compression pelvic ring injuries18 June 2022 | European Journal of Orthopaedic Surgery & Traumatology, Vol. 32, No. 7Biomechanical Comparison of 4 Transsacral Fixation Constructs in a Type 61C, Zone II Pelvic Fracture ModelJournal of Orthopaedic Trauma, Vol. 36, No. 10Rami Comminution Is Associated With Displacement of Minimally Displaced Lateral Compression Type 1 Injuries on Lateral Stress RadiographsJournal of Orthopaedic Trauma, Vol. 36, No. 10Surgical management of paediatric pelvic fractures: a prospective case series and early experience from a level one Egyptian trauma centre23 July 2022 | International Orthopaedics, Vol. 46, No. 10A Review on Management of Insufficiency Fractures of the Pelvis and AcetabulumOrthopedic Clinics of North America, Vol. 53, No. 4Lumbo-sacral Junction Instability by Traumatic Sacral Fractures: Isler’s Classification Revisited – A Narrative Review22 February 2022 | Global Spine Journal, Vol. 12, No. 8Prolonged ileus in traumatic pelvic ring injury patients who underwent arterial angio-embolization: A retrospective studyMedicine, Vol. 101, No. 39Surgical Versus Non-surgical Treatment of Unstable Lateral Compression Type I (LC1) Injuries of the Pelvis With Complete Sacral Fractures in Non-fragility Fracture Patients: A Systematic ReviewCureus, Vol. 15Analysis of Postoperative Gait, Hip Strength, and Patient-Reported Outcomes After OTA/AO 61-B and 61-C Pelvic Ring InjuriesJournal of Orthopaedic Trauma, Vol. 36, No. 9Dual-Energy CT and Cinematic Rendering to Improve Assessment of Pelvic Fracture InstabilityRadiology, Vol. 304, No. 2Mortality and functional outcomes of fragility fractures of the pelvis by fracture type with conservative treatment: a retrospective, multicenter TRON study1 December 2021 | European Journal of Trauma and Emergency Surgery, Vol. 48, No. 4Pelvic Fracture Urethral Distraction DefectUrologic Clinics of North America, Vol. 49, No. 3Paediatric pelvic fractures – an updated literature review3 July 2022 | ANZ Journal of Surgery, Vol. 36Sakrumfrakturen beim geriatrischen Patienten1 June 2022 | Zeitschrift für Gerontologie und Geriatrie, Vol. 55, No. 4Evolution of the AO Spine Sacral and Pelvic Classification System: a systematic reviewJournal of Neurosurgery: Spine, Vol. 78Nonoperative Management of Minimally Displaced Lateral Compression Type 1 Pelvic Ring Injuries With and Without Occult InstabilityJournal of Orthopaedic Trauma, Vol. 36, No. 6Reliability and reproducibility analysis of the AOSpine Sacral Fractures Classification System by spinal and pelvic surgeonsInjury, Vol. 53, No. 6Outcomes and complications of the INFIX technique for unstable pelvic ring injuries with high-velocity trauma: a systematic review and meta-analysis11 January 2021 | Archives of Orthopaedic and Trauma Surgery, Vol. 142, No. 5Anatomic reduction of the sacroiliac joint in unstable pelvic ring injuries and its correlation with functional outcome30 September 2020 | European Journal of Trauma and Emergency Surgery, Vol. 48, No. 2Emergency Department Stress Radiographs of Lateral Compression Type-1 Pelvic Ring Injuries Are Safe, Effective, and Reliable17 December 2021 | Journal of Bone and Joint Surgery, Vol. 104, No. 4Ligaments stabilizing the sacrum and sacroiliac joint: a comprehensive review25 August 2021 | Neurosurgical Review, Vol. 45, No. 1Pelvic ring and acetabular fracture: Concepts of traumatological forensic interestInjury, Vol. 53, No. 2Danger zone - The spermatic cord during anterior plating of the symphysis pubisInjury, Vol. 53, No. 2The pectineal ligament is a secondary stabilizer in anterior pelvic ring fractures - a biomechanical studyInjury, Vol. 53, No. 2Inter- and intra-observer agreement using the new AOSpine sacral fracture classification, with a comparison between spine and pelvic trauma surgeonsInjury, Vol. 53, No. 2Accuracy of Radiographic Displacement Measurement in a Pelvic Ring Injury Model13 September 2021 | Journal of the American Academy of Orthopaedic Surgeons, Vol. 30, No. 2The Influence of Regional Differences on the Reliability of the AO Spine Sacral Injury Classification System8 January 2022 | Global Spine Journal, Vol. 67Computer and magnetic resonance imaging for pelvic fractures in children12 May 2021 | Medical Visualization, Vol. 25, No. 4Nonoperative Treatment of Select Lateral Compression Type II Pelvic Ring Injuries (OTA/AO 61B2.2) Results in a Low Rate of Radiographic DisplacementJournal of Orthopaedic Trauma, Vol. 36, No. 1BibliographyManagement of Open Tile C Pelvic Fractures and Their Outcomes: A Retrospective Study of 30 Cases1 September 2022 | Therapeutics and Clinical Risk Management, Vol. Volume 18A nomogram to predict arterial bleeding in patients with pelvic fractures after blunt trauma: a retrospective cohort study8 February 2021 | Journal of Orthopaedic Surgery and Research, Vol. 16, No. 1Three‐dimensional‐printed customized prosthesis for pubic defect: clinical outcomes in 5 cases at a mean follow‐up of 24 months30 April 2021 | BMC Musculoskeletal Disorders, Vol. 22, No. 1Which factors influence treatment decision in fragility fractures of the pelvis? - results of a prospective study13 August 2021 | BMC Musculoskeletal Disorders, Vol. 22, No. 1Comparison of lumbopelvic fixation and iliosacral screw fixation for the treatment of bilateral sacral fractures16 October 2021 | Journal of Orthopaedic Surgery and Research, Vol. 16, No. 1Minimally displaced acetabulum fractures in geriatric patients: a comparison of open, percutaneous and non-operative treatment from the German Pelvic Injury Register data8 April 2020 | European Journal of Trauma and Emergency Surgery, Vol. 47, No. 6Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses19 September 2020 | European Journal of Trauma and Emergency Surgery, Vol. 47, No. 6A retrospective study about functional outcome and quality of life after surgical fixation of insufficiency pelvic ring injuries13 December 2021 | BMC Musculoskeletal Disorders, Vol. 22, No. 1Is Anterior Plating Superior to the Bilateral Use of Retrograde Transpubic Screws for Treatment of Straddle Pelvic Ring Fractures? A Biomechanical Investigation28 October 2021 | Journal of Clinical Medicine, Vol. 10, No. 21Verification of High-Rate Vertical Loading Laboratory Skeletal Fractures by Comparison with Theater Injury Patterns15 October 2021 | Annals of Biomedical Engineering, Vol. 49, No. 11Reproductibilité intra- et inter-examinateur de la classification AO/OTA 2018 des ruptures de l’anneau pelvien à haute énergie : une étude rétrospectiveRevue de Chirurgie Orthopédique et Traumatologique, Vol. 107, No. 6Inter- and intraobserver reliability assessment of the 2018 AO/OTA classification for high-energy pelvic ring injuries: A retrospective studyOrthopaedics & Traumatology: Surgery & Research, Vol. 107, No. 6Management and outcomes of open pelvic fractures: An updateInjury, Vol. 52, No. 10One sacroiliac screw for posterior ring fixation in unstable pelvic fractures1 November 2021 | Acta Orthopaedica Belgica, Vol. 87, No. 3Endovascular management of haemorrhage in pelvic traumaSurgery in Practice and Science, Vol. 6The FFP-classification: From eminence to evidenceInjury, Vol. 94The Influence of Surgeon Experience and Subspeciality on the Reliability of the AO Spine Sacral Classification SystemSpine, Vol. Publish Ahead of PrintAssociation Between Stability and Urologic Lesions in Pelvic Ring Fractures. A Case Series Report6 January 2020 | Journal of Investigative Surgery, Vol. 34, No. 7Pelvic Ring Fractures and Lower Urinary Tract Injuries8 January 2020 | Journal of Investigative Surgery, Vol. 34, No. 7Validation of the AO Spine Sacral Classification SystemJournal of Orthopaedic Trauma, Vol. Publish Ahead of PrintLateral compression type 1 (LC1) pelvic ring injuries: a spectrum of fracture types and treatment algorithms16 April 2021 | European Journal of Orthopaedic Surgery & Traumatology, Vol. 31, No. 5An independent inter- and intraobserver agreement assessment of the AOSpine sacral fracture classification systemThe Spine Journal, Vol. 21, No. 7Incidence and Clinical Features of Urethral Injuries with Pelvic Fractures in Males: A 6-Year Retrospective Cohort Study at a Single Institution in South KoreaJournal of Trauma and Injury, Vol. 34, No. 2Short-Term Functional Outcomes and Quality of Life after B2.1 Type Pelvic Fractures for Surgically and Non-Surgically Treated Young Patients21 May 2021 | Medicina, Vol. 57, No. 6Pelvic and acetabular trauma in amateur equestrian enthusiasts – A retrospective reviewThe Surgeon, Vol. 120Bilateral vertical shear sacroiliac joint dislocations treated with bilateral triangular Osteosynthesis in a young female: A case reportTrauma Case Reports, Vol. 61Factors Associated With Failure of Superior Pubic Ramus ScrewsJournal of Orthopaedic Trauma, Vol. 35, No. 4Medium-Term Patient-Reported Quality of Life and Activities of Daily Living in Surgically Treated Trauma Patients With Pelvic, Acetabular or Combined Pelvic and Acetabular Fractures in a Retrospective Single-Center StudyJournal of Orthopaedic Trauma, Vol. 35, No. 4Relevant Clinical Findings of Patients with Extraperitoneal Bladder Injury Associated with Pelvic Fracture Who Underwent Operative Management: A 6-Year Retrospective StudyJournal of Acute Care Surgery, Vol. 11, No. 1Comparison of One-Year Functional Outcomes and Quality of Life between Posterior Pelvic Ring Fixation and Combined Anterior-Posterior Pelvic Ring Fixation after Lateral Compression (B2 Type) Pelvic Fracture26 February 2021 | Medicina, Vol. 57, No. 3Patient-reported Outcome in Surgically Treated Pelvic Ring Injuries at 5 Years Post-surgery19 September 2019 | Scandinavian Journal of Surgery, Vol. 110, No. 1Application of Pelvic Circumferential Compression Devices in Pelvic Ring Fractures—Are Guidelines Followed in Daily Practice?21 March 2021 | Journal of Clinical Medicine, Vol. 10, No. 6Interobserver reliability of the Tile classification system for pelvic fractures among radiologists and surgeons8 September 2020 | European Radiology, Vol. 31, No. 3An Automated Deep Learning Method for Tile AO/OTA Pelvic Fracture Severity Grading from Trauma whole-Body CT21 January 2021 | Journal of Digital Imaging, Vol. 34, No. 1The ‘nightstick’ ischial fracture: a unique oddity of the pelvic injury family26 February 2021 | BMJ Case Reports, Vol. 14, No. 2Treatment of Pelvic Fractures15 September 2020The History of Pelvic Fracture Treatment26 November 2020Classification of Pelvic Ring Injuries26 November 2020Biomechanics of the Pelvis26 November 2020Principles of Treatment of Pelvic Ring Injuries26 November 2020Ilium Fractures26 November 2020Retrograde Pubic Rami Screw26 November 2020Ilio-Iliacal Osteosynthesis26 November 2020Posterior pelvic ring injury of straddle fractures: Incidence, fixation methods, and clinical outcomesAsian Journal of Surgery, Vol. 44, No. 1Integrity of the pectineal ligament in MRI correlates with radiographic superior pubic ramus fracture displacement28 April 2020 | Acta Radiologica, Vol. 62, No. 1A systematic review of the transiliac internal fixator (TIFI) for posterior pelvic injuries26 July 2021 | SICOT-J, Vol. 7An Interpretable Approach to Automated Severity Scoring in Pelvic Trauma21 September 2021External Fixation in Pelvi-Acetabular Implantology3 December 2021Three-dimensional-printed customized prosthesis for pubic defect: prosthesis design and surgical techniques13 July 2020 | Journal of Orthopaedic Surgery and Research, Vol. 15, No. 1Radiostereometric Analysis Allows Assessment of the Stability and Inducible Displacement of Pelvic Ring Disruptions during Healing: A Case Series24 October 2020 | Journal of Clinical Medicine, Vol. 9, No. 11Minimal-invasive Stabilisierung bei Frakturen des Sakrums21 August 2020 | Der Unfallchirurg, Vol. 123, No. 10A Water Slide Accident Resulting in an Open Book Pelvic Injury and Subsequent Pulmonary Embolus: A Case Report5 August 2020 | Case Reports in Orthopedic Research, Vol. 3, No. 2Description and Reliability of the AOSpine Sacral Classification System21 April 2020 | Journal of Bone and Joint Surgery, Vol. 102, No. 16MRI Evaluation of the Posterior Pelvic Bony and Soft Tissue Injuries With Tile C Displaced Pelvic Fractures in Young Children20 March 2020 | Journal of Pediatric Orthopaedics, Vol. 40, No. 7Early fixation strategies for high energy pelvic ring injuries – the Zurich algorithmInjuryResults of open reduction internal fixation versus percutaneous iliosacral screw fixation for unstable pelvic ring injuries: retrospective study of 36 patients5 March 2020 | European Journal of Orthopaedic Surgery & Traumatology, Vol. 30, No. 5The Lateral Stress Radiograph Identifies Occult Instability of Lateral Compression Pelvic Ring Injuries Without SedationJournal of Orthopaedic Trauma, Vol. Publish Ahead of PrintFlegmasia cerúlea dolens posquirúrgica inmediata en el tratamiento de una fractura de pelvis. Reporte de Caso2 May 2020 | Revista de la Asociación Argentina de Ortopedia y Traumatología, Vol. 85, No. 2Long-term total hip arthroplasty rates in patients with acetabular and pelvic fractures after surgery: A population-based cohort study3 April 2020 | PLOS ONE, Vol. 15, No. 4Dual-energy CT as an innovative method for diagnosing fragility fractures of the pelvic ring: a retrospective comparison with MRI as the gold standard14 October 2019 | Archives of Orthopaedic and Trauma Surgery, Vol. 140, No. 4Radiologische Diagnostik von Beckenringfrakturen27 February 2020 | Der Radiologe, Vol. 60, No. 3High-energy Lateral Compression Type 1 Injuries of the PelvisJournal of the American Academy of Orthopaedic Surgeons, Vol. 28, No. 4CT-guided fixation of pelvic fractures after high-energy trauma, by interventional radiologists: technical and clinical outcome18 October 2019 | European Radiology, Vol. 30, No. 2Pelvic fractures in children (pelvic ring and acetabulum)Orthopaedics & Traumatology: Surgery & Research, Vol. 106, No. 1Combined 3D Printed Template to Guide Iliosacral Screw Insertion for Sacral Fracture and Dislocation: A Retrospective Analysis19 February 2020 | Orthopaedic Surgery, Vol. 12, No. 1Pelvic Vertical Shear Injuries and Sacroiliac Joint Disruptions2 January 2020Percutaneous removal of sacroiliac screw following iatrogenic neurologic injury in posterior pelvic ring injury: A case reportInternational Journal of Surgery Case Reports, Vol. 66Kinesiology of the pelvisPelvis16 April 2020Vertical shear pelvic ring injuries: do transsacral screws prevent fixation failure?1 September 2020 | OTA International: The Open Access Journal of Orthopaedic Trauma, Vol. 3, No. 3Outcome of pubic rami fractures with or without concomitant involvement of the posterior ring in elderly patients12 June 2018 | European Journal of Trauma and Emergency Surgery, Vol. 45, No. 6Modified less invasive anterior subcutaneous fixator for unstable Tile-C-pelvic ring fractures: a biomechanical study29 March 2019 | BioMedical Engineering OnLine, Vol. 18, No. 1Decision-making, therapy, and outcome in lateral compression fractures of the pelvis – analysis of a single center treatment15 May 2019 | BMC Musculoskeletal Disorders, Vol. 20, No. 1Operative Treatment of Pediatric Pelvic and Acetabulum FracturesJournal of Orthopaedic Trauma, Vol. 33, No. 8Surgery for Unilateral Sacral Fractures: Are the Indications Clear?Journal of Orthopaedic Trauma, Vol. 33, No. 12Is a Fracture of the Transverse Process of L5 an Indicator of the Presence and/or Severity of a Pelvic Fracture?Spine Surgery and Related Research, Vol. 3, No. 4Minimally Invasive Screw Fixation of Unstable Pelvic Fractures Using the “Blunt End” Kirschner Wire Technique Assisted by 3D Printed External TemplateBioMed Research International, Vol. 2019COMPARISON OF X-RAY AND CT METHODS FOR ASSESSING SACRAL SHAPE VARIANTS AND IDENTIFYING A SECURE SACROILIAC SCREW FIXATION CORRIDOR14 May 2020 | Journal of Musculoskeletal Research, Vol. 22, No. 03n04Pelvic TraumaYoung–Burgess classification: Inter-observer and inter-method agreement between pelvic radiograph and computed tomography in emergency polytrauma management8 July 2019 | Hong Kong Journal of Emergency Medicine, Vol. 71Management of male pelvic fracture urethral injuries: Review and current topics20 March 2019 | International Journal of Urology, Vol. 26, No. 6Interactive Flying Frustums (IFFs): spatially aware surgical data visualization12 March 2019 | International Journal of Computer Assisted Radiology and Surgery, Vol. 14, No. 6Ultrasound-guided supra-acetabular pelvic external fixator (US-SA FIX)Injury, Vol. 50AOSpine—Spine Trauma Classification System: The Value of Modifiers: A Narrative Review With Commentary on Evolving Descriptive Principles8 May 2019 | Global Spine Journal, Vol. 9, No. 1_supplTreatment of Partial Traumatic HemipelvectomyJournal of Bone and Joint Surgery, Vol. 101, No. 9Minimally invasive internal fixator for unstable pelvic ring injuries with a pedicle screw–rod system: a retrospective study of 23 patients after 13.5 months8 December 2018 | Archives of Orthopaedic and Trauma Surgery, Vol. 139, No. 4Complex Open Pelvic Fracture in an 8-Year-Old Girl Treated With INFIX—A Case StudyJAAOS: Global Research and Reviews, Vol. 3, No. 4Conventional plate fixation method versus pre-operative virtual simulation and three-dimensional printing-assisted contoured plate fixation method in the treatment of anterior pelvic ring fracture3 May 2018 | International Orthopaedics, Vol. 43, No. 2Levels of evidence in pelvic trauma: a bibliometric analysis of the top 50 cited papers12 May 2018 | Irish Journal of Medical Science (1971 -), Vol. 188, No. 1A biomechanical study comparing minimally invasive anterior pelvic ring fixation techniques to external fixationInjury, Vol. 50, No. 2Unstable Pelvic Ring Injuries: How Soon Can Patients Safely Bear Weight?Journal of Orthopaedic Trauma, Vol. 33, No. 2Long-Term Patient-Reported Functional Outcome of Polytraumatized Patients With Operatively Treated Pelvic FracturesJournal of Orthopaedic Trauma, Vol. 33, No. 2Pediatric Pelvic Injuries29 June 2019Fractures du bassin chez l'enfant (anneau pelvien et cotyle)Biomechanical evaluation of location and mode of failure in three screw fixations for a comminuted transforaminal sacral fracture modelJournal of Orthopaedic Translation, Vol. 16American College of Surgeons Committee on Trauma verification level affects trauma center management of pelvic ring injuries and patient mortalityJournal of Trauma and Acute Care Surgery, Vol. 86, No. 1Sciatic Nerve Palsy After Distal Femoral Traction for Vertically Unstable Pelvic Fracture in a Neurologically Intact Patient1 September 2019 | JAAOS: Global Research and Reviews, Vol. 3, No. 9Intramedullary Stabilization of Pubic Ramus Fractures in Elderly Patients With a Photodynamic Bone Stabilization System (IlluminOss)25 April 2019 | Geriatric Orthopaedic Surgery & 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Radiology, Vol. 28, No. 9The Use of External Fixation for the Management of the Unstable Anterior Pelvic RingJournal of Orthopaedic Trauma, Vol. 32, No. 6Reduction and temporary stabilization of Tile C pelvic ring injuries using a posteriorly based external fixation system5 December 2017 | European Journal of Orthopaedic Surgery & Traumatology, Vol. 28, No. 5Predictors of Unplanned Reoperation After Operative Treatment of Pelvic Ring InjuriesJournal of Orthopaedic Trauma, Vol. 32, No. 7Biomechanical investigation of four different fixation techniques in sacrum Denis type II fracture with low bone mineral density5 December 2017 | Journal of Orthopaedic Research®, Vol. 36, No. 6CT Prediction Model for Major Arterial Injury after Blunt Pelvic Ring DisruptionRadiology, Vol. 287, No. 3Fixation of Pelvic-Acetabular Fractures Using a Midline-Modified Stoppa Approach: Clinical and Operative Outcomes1 June 2018 | Journal of Orthopaedics, Trauma and Rehabilitation, Vol. 24, No. 1The skeletal trauma resulting from a fatal B.A.S.E jump: A case study showing the impact of landing feet-first under extreme vertical decelerationForensic Science International, Vol. 286Biplanar Posterior Pelvic Fixator for Unstable Sacral Fractures: A New Fixation TechniqueJournal of Orthopaedic Trauma, Vol. 32, No. 5Lateral compression type B 2-1 pelvic ring fractures in young patients do not require surgery2 May 2016 | European Journal of Trauma and Emergency Surgery, Vol. 44, No. 2Biomechanical analysis of anterior ring fixation of the ramus in type C pelvis fractures8 April 2017 | European Journal of Trauma and Emergency Surgery, Vol. 44, No. 2Quality of life after pelvic ring fractures: A cross-sectional studyInjury, Vol. 49, No. 4Fragility fractures of the pelvic ringOrthopaedics and Trauma, Vol. 32, No. 2Factors Predicting Lung Contusions in Critically Ill Trauma ChildrenPediatric Emergency Care, Vol. 34, No. 3Biomechanics of unilateral and bilateral sacroiliac joint stabilization: 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Outcomes at 5 years of follow-up27 November 2018 | SICOT-J, Vol. 4Minimally invasive treatment of unstable pelvic ring injuries with modified pedicle screw–rod fixator29 June 2017 | Journal of International Medical Research, Vol. 46, No. 1Sacral FixationUltrasound-guided supra-acetabular pin placement in pelvic external fixation: description of a surgical technique and resultsInjury, Vol. 48The use of an anterior pelvic internal fixator to treat disruptions of the anterior pelvic ringa report of technique, indications and complicationsM. Dahill, J. McArthur, G. L. Roberts, M. R. Acharya, A. J. Ward, T. J. S. 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