How Do You Know Your Dog Has Retorn ACL After Surgery? To avoid re-injury, it is essential to follow your veterinarian's post-surgical instructions. If you have a dog that struggles with these things, its not too late and even more important to work on this now, to ensure an optimal healing process. How Can You Prevent A Dog Retearing ACL After Surgery? Now in some cases, ACL repair surgery entails suturing the torn ACL as in the case of the traditional extracapsular lateral suture. Yes, there is a possibility of a dog retearing ACL after surgery. Just give it some time and keep in mind when sending your dog out to the groomers to remind them they need breaks in between. Just follow the after surgery care rules well. you Further, understanding what the surgery entails is helpful in figuring out the pros and cons of dog ACL surgery. I am going to bring her back to vet if it continues this way. It also becomes easier to answer questions like, can you retear an ACL after the surgery, can dog tear ACL twice, can a dog re-Injure an ACL surgical repairand so on. Since relocating to the east coast in October 2008, Tucker has begun limping more frequently at the end of the day, or following any type of exercise (it used to be only after long walks or extended play sessions with his canine companions). We had a screw back out on the TPLO that kept causing infection to tunnel into the wound bc it kept reopening. There is yet another question we need to explore, before addressing the can a dog retear ACL after surgery one. Joint supplements such as glucosamine and chondroitin are thought to help delay the progression of arthritis. Nonetheless, if the dog makes certain movements before there is complete healing, it can incur injuries that almost wholly reverse the benefits of the surgery. A laid back dog who can deal with restricted exercise and has been well trained will cope much better than a high energy dog that has no impulse control. My boy is only a few weeks off restrictions, so I am not worried about nerve damage just yethes still weak enough that he falls over sometimes because he just doesnt have the muscle back to hold himself up, so I will watch and not panic yet, but I feel for you guys. Nicely stated, Andrea. I want to take a moment to thank you for reading this post. Eri is a pet dog, but has an active lifestyle- long walks (>8 kms) covered regularly. Nonetheless, dogs that undergo these may suffer other injuries which almost wholly reverse the gains from the surgery. Recovery after surgery is one of those times that pet owners find out the hard way that not training their dogs in basic life skills (like lead control, being ok on their own and having an Off switch) doesnt actually help their dogs when life happens and things get complicated. If there is a delay, or if the dog stays knuckled over on that back foot, it usually means a nerve issue. If my dog tore his ACL, and he is an older dog, this is the most likely reason I would be thinking of. so the hardest part is the sad puppy dog eyes wanting to be out doing what she loves. So that is what you do, to lower the chances of tearing ACL twice. In rare cases, if the repair surgery is not done properly, the dog may retear the ACL on that account. turn out to be folks whose dogs underwent TTA surgery. Shes taken to crate living surprisingly well (she was a terror in a crate as a puppy and hasnt been in one since she was 1 1/2) and will go in willingly. We have been going on 2.5 mile walks every day and hes been fine! The most common are the TPLO procedure, TTA, and the Lateral Suture Technique. Dogs who suddenly start limping after walking or running may also have a: Wound Bruise Torn nail Foreign material imbedded somewhere Ligament sprain or rupture Your Dog Is Limping After Rest Shes not completely lame but she does favor it and its noticeable shes not putting as much weight as she was after healing. We are up to a full trip around the block with no struggle and will continue to slowly tack on more time/distance but still trying to stay on as flat of ground as we can. There are, however, ways that breeders and dog owners can reduce the risk. Surgery went great. The stitches will have been removed and hopefully your dog has settled into a restful routine. After all that though, I'll keep my fingers crossed for you that another op isn't required and that it may just be a pulled muscle or something less worrying. Therefore in those procedures literal retearing may not be possible, as the torn ligament has already been removed. Postop visit & X-rays mid September & status/eval for PT. Poor thing. My 75 4 year old mix had to have one knee done in March 2018 and then six weeks later the other knee had to be done. First, I would do Conservative Management for a period of months before having Tucker undergo another knee surgery. Any advice and/or suggestions would be appreciated. I hope you found it useful and informative. Dog Limping After Knee Surgery; Chino - Double CCL & TTA Surgery; . Sitemap | Privacy Policy Make sure the toilet walks are very short, but use them to encourage weight bearing. At about 6 months, he developed a limp and more proprioceptive deficiencies. Since the torn ligaments have been removed, they arent available for tearing again. WNt to get blood test for liver etc. It sounds like Degenerative Myopathy. He was on so many pain relief meds, anti inflammatory etc etc, other issues kept arising due to how he was having to walk. This has been a helpful thread. In the first 24-48 hours, using an ice pack may help if your dog tolerates it. The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. Im sorry about your dogs dragging toes Or why is the dog limping again after ACL repair surgery? One of the most common injuries to the knee of dogs is tearing of the cranial cruciate ligament (CCL). One was a little over a year ago, the other 6 or 7 months, so not quite as long as your dog. That being said, if after a period of a few months of strict CM we did not see any improvement, I would consider surgical repair; most likely the newer Tightrope CCL procedure. An Update: Tucker Tore His Opposite Cruciate Ligament. Did you find answers to the cause of Roxis limping and favoring? The purpose of the cruciate ligaments is to prevent the tibia (shin bone) from sliding too far out from under the femur (thigh bone). Oh, that's bad luck. The point of a crate is to restrict movement. Much depends on the specific method via which the ACL surgery was done. TPLO surgery, or Tibial Plateau Leveling Osteotomy, is an intra capsular (inside the joint) surgery that involves the cutting and rotating of the top of the tibia (shin bone), which is fixed with a bone plate. But what happens if a dog jumps after TPLO surgery may be another trauma. in humans, ACL tears tend to occur more often as one-off acute trauma, whereas in dogs its much more common for the ACL to gradually go through degenerative changes; first fraying, then partial- followed by complete rupture. But if the dog makes certain improper movements before healing, there can be other bad injuries. Christie, Cranial cruciate ligament (CCL) rupture is a very common cause of pelvic limb lameness in dogs. It is a padded sling with adjustable handles. Have you thought of swimming? That may almost fully reverse the gains from the surgery. Last night a neighbors teenager got home late and she got up and ran over to the gate and was barking, so I put her in her crate. A rear leg limping is one of the most characteristic signs of a torn ligament witnessed by the owners, but the most conclusive sign of a torn ligament seen by the vet is what is called a drawer sign, which is an abnormal range of motion that would never happen if the dog's ligaments were intact. She fully tore both ACL, meniscus and dislocated her right kneecap which required more extensive surgery on the right leg. Is it just one leg which is lame? Are you hoisting him up and not letting him walk on the leg when he goes outside or walks in the house? I have been fearful that he would tear his other leg, but has not as far as I know. Even if your dog seems perfectly fine, make sure to keep him on any prescribed pain medication. Really thinking maybe I should have him put to sleep ? For very small dogs, particularly if the CCL rupture is partial, an intensive physiotherapy and hydrotherapy program is worth considering before opting for surgery. He gets Joint Guard daily as well. This causes her to be somewhat unbalanced. I hope everyone on this thread reads your post! Conservative management (no surgery) involves a combination of physical rehabilitation, hydrotherapy, pain medications (and weight loss, if the dog is overweight). If the wound is very swollen and painful, smells bad, or is oozing anything other than a little bit of clear fluid, contact your vet. You need to be a member in order to leave a comment. Please read the Privacy Policy and Disclaimer. Chloe's were so bad that they had to be removed with the Tibial Wedge Osteotomy anyway. Ease back into activities that dont strain or tax your dogs legs. Dogs that were very unfit, with significant muscle wastage and additional health problems are likely to take a little longer to recover. Anyway.. some advice I have after all of this. Trouble maintaining balance. Stiff legged. The toughest part for her is going from sitting to standing and vice versa. While recovery times vary from dog to dog, it can take six to eight weeks for your dog to be back to normal after knee surgery. Strange. Im wondering if anyone has had any experience with a TPLO plate coming unscrewed or breaking? We decided to spruce things up and fix some things under the hood. He is off the leash now and ruining around. Bathroom breaks are important, as with ACL rehabilitation, but should be . Surgeon said she should be back to normal exercise after tplo recovery but that is not what we are experiencing 3 months post op. However, try to avoid the weekend warrior scenario in which you try to make up for lack of exercise during the week due to lack of time by suddenly increasing exercise levels beyond what your dog is fit for. Your surgeon will have tried to leave as much of them intact as possible. There may be some artritis setting in. However, the last couple of weeks he acts like he has pain on the leg that was operated on the TPLO operation. The decision on whether to opt for surgery, conservative measures, or a combination of both will depend on the severity of the tear. Im not a vet and am only going by most of the posts Ive read on here. We tried some PT and laser, but with limited results. A foot knuckling is a sign of a spine issue he cant feel his foot. Depending on individual surgeons protocols: Your dog should have strict rest for the first two weeks. Since the torn ACL tissue is removed, there is really no risk of literal retearing. I would think that because of the large amount of cutting in the TPLOs, its possible that nerves could be nicked. Any advice would be nice. But before going any further in answering the. These first couple of weeks are probably the hardest part for most dog owners, but most dogs adapt to the cage rest routine surprisingly well. My pit just had knee surgery and I noticed his foot is knuckling. Interesting on the large range of pricing! Our dog had TPLO on both legs about 6 years ago. The chances of your dog rupturing the other ACL are very high. Avoid letting your dog run around on slippery floors. I dont know what to do. But, we know that even when she thinks shes better, we have to stay strong and keep her confined so that she can fully heal. There is so much info on the internet when you start looking up dog ACL surgery I thought this would be a good place to post my experience with what I had to go through with my 5 year English Springer over the past year. So i'm not sure what to do now, i know a failed TPLO is extremely complicated to repair and can be worse for him than the TPLO surgery, and after the last surgery i promised him that i wouldn't put him through that pain again, it's horrible seeing him like that, argh. I give him ester-c too, but I haven't heard of metacam before, i'll look into that too. For everyone that is new to this, make sure you take the time to care for yourself, as well as your baby, because it can take a toll on doggy parents too. Now what? You'll find the buttons at the top of this post and at the bottom of the post. I do hope your boy improves. Would I choose surgery if he tore the canine cruciate ligament ( CCL ) in his other knee? Vet was excellent, but agreed with me in the end. If your house has laminate, tiles or wooden flooring, use non-slip rugs in high traffic areas. Where did you go to get your labs done?? The TTA procedure is more commonly performed in dogs with a steep tibial plateau, or angle of the top part of the tibia. When I go up the next morning he was even worse. In dogs, the ACL has a much harder job than in humans because dogs knees are much more flexed when theyre standing. She was on it daily for 6 years with no ill effects at all, in fact it enabled her to have a quality of life she would not otherwise have been able to have, so to any of you who have to use it daily and worry about doing so, please take heart that for some dogs it is a godsend with no big problems with using it. Rest didnt help so xrays. It connects these bones and stabilizes them, and the knee by extension. Yes, there is a possibility of a dog retearing ACL after surgery. Have heat pads for him but worry about his quality of life. She seems to recover and then slip back again with off leash exercise. When I took her back to see the surgeon he didnt seem to be too concerned they did another X-ray but not all views as I didnt want to put her under again, I just wanted to make sure none of the screws had come loose. I have continued to give her her vitamins and tramadol after off leash activities but I am going to take her in to the dr again. I would hate to have to go through this again. With time, the ACL degrades, due to wear and tear. Sutures to be removed this week and will be starting minimal physical therapy (water treadmill & laser therapy) 8/31/2014. at least! Registration is fast, simple and absolutely free so please, join our community today! Hurley has been doing physical therapy since april2014 with excellent progresshe has gone from 1 min up to 20 mins on the treadmill he still has his good and bad days. My 5 y.o. Can never have another dog due to my circumstances, disabled. This couldn't have happened at a worse time, as I also have a project completion deadline next week. Lost my loyal devoted, companion, guard and friend. With Metacam and rest where needed followed by some swimming therapy he is going great. If the dog seems to have torn the ACL due to being overweight in the first place, you may need to work towards weight loss. Here you will find discussions on topics concerning health, training, events, rescue, breed specific legislation and history. What kind of dog do you have? And that in turn is what leads to questions like, can a dog retear ACL after surgery? The osteotomy will take 6 to 8 weeks to heal, during which time your pet will need to be kept relatively quiet and only allowed outside on a leash. It broke my heart seeing him unable to put his leg down. Broken hearted. She has licked the wound a bit but isnt wearing a cone as she stops when we tell her to. 4 Good & Conclusive Surgeries, Dog Throwing Up Food Hours After Eating : (9 Clear Reasons), Dog Jumped After TPLO Surgery : (9 Menacing Facts), Dog Kidney Failure When To Euthanize? Within 5 minutes he takes off after a deer. suddenly shows signs of pain and won't put his paw down. thanks for the advice guys, very helpful indeed! Can a dog walk after TTA surgery? Bubba is doing better. Keepin mind that once they feekbetter they will try to run etc always keep himor her on a leash. We are going back on froday for an xray! Owners facing the reality of having to rehabilitate their dogs often feel overwhelmed. Physiotherapy can start earlier, but most surgeons tend to refer around this time. Have a look at the post in General titled If You Have a Few Spare Minutes. That is on what the ACL repair surgery entails. Is this normal right after surgery? These pups strain and pull these ligaments. But I am worried she will start limping on that leg again. For instance, it is quite normal to find the dog limping 2 weeks after ACL surgery. It shows a video of orthopedic devices for dogs with joint problems It looks really fantastic and the minute I watched it I thought of you and this thread which I had just read!! Abnormal gait. I hope this info helps someone and you get your pup back to somewhat normal life. could be a possibility. of months with limitations for her, and that is a tough adjustment not only for her but for me! I would give him some rest, rub it if he wants you to and maybe do some physical therapy. Its important to understand that as soon as a joint has had any degree of internal trauma, osteoarthritis is pretty much inevitable, regardless of what treatment or type of surgery is used to stabilize the joint. You may also want to use a ramp for your car. For sure, the reinjury after TPLO Surgery may not be in the form of tearing again. It is okay to cry! I put a mattress on the floor and slept with him for a week to make sure he was ok he is my baby I followed all rehab provided by the surgeon and noticed improvements week by week. I would not resort to putting the dog down. Yes, plates can also become a problem down the road, so that's something to consider. Sometimes, a dog tears his ACL due to wear and tear. Thanks for these posts. I wish you and your baby all the best. I just did a search and found this site. I was told by an ortho vet recently that TPLO surgery is going out of favour for this very reason - they don't stick. I have yet to send Bubba to a groomer because no one will take care of your dog like you do. It could be a number of things, and not necessarily mean that the surgery has failed. question, we have to focus on TPLO specifically. Came back from a business trip and immediately took my pup for a walk. Failure to adhere to the post-surgery care instructions increases chances of complications, such as retearing. I am unsure of what other issues it could be with being 17 months post op. I noticed he sits more on our walks which my be an indication that the plate is bothering him. A veterinarian-authored, step-by-step guide to a successful recovery after TTA surgery, for dogs of all ages and breeds. :no2: I feel like I'm about to have a mental breakdown or an anxiety attack soon. Obesity is also a huge contributor to the risk of dogs developing cruciate ligament disease. Dont put the little sweetie asleep for a strain that will go away!!! I have a 2 year old pit that is 11 weeks post-op his second TPLO (bilateral). Packed on a few extra after the second surgery. Might mean another surgery, but not as in depth and recovery won't be as long I wouldn't think. Also for the past 7 months I've been working 11-12hr days/6 days a week. What breed is your dog and where did you get it from? After the second surgery, he began dragging his toenails occasionally on both sides. I write about my passion and personal experience caring for multiple pets in this blog! Interesting to read, my dog, a Scottie, had TLPO surgery 4 years ago, hes on Rantidine, Onisor and Tramdol. All in all the dr is very pleased with his improvement in a 3 month time.. My dog had the same trouble after TPLO surgery. I could feel the screw head, but you could only see it protruding on certain x-ray angles. Broken hearted. That too is critical, in answering the, Further still, in the course of answering the. Then it gets you worried dog is re-injured five weeks after TPLO surgery. What Should You Do If Your Dog Has Retorn ACL After Surgery? My dog is currently having hydro every 2 weeks now but so far he has had no lameness since he was given this injection. In dogs whose weight is excess, the ACLs end up bearing very huge loads. Thank you Denise, Ill certainly keep you up to date. like you are presently searching for article content about dog limping 1 year after tta surgery. Yikes! And it drives me nuts. Our surgeon wasnt able to examine Loki, since we have moved to Panama, but we sent him some x-rays and he felt they looked good with no arthritis or complications. Good luck. Almost a full year after second surgery, her original leg is lame 60% of the time. Its important to be watchful of this. Healing from TTA surgery is generally rapid and dogs resume normal activities quickly. You may also need to ask the vet, how long will my dog limp after ACL surgery? Then going forward, it is important to try to keep the dog at a healthy weight. So you find that over time, the dogs ACL degrades due to the normal movements that a dog makes on a day to day basis. make the foot bleed. I am hoping he is just getting used to the new plate in his leg. Keep us posted. She was lifting it a lot to move around. By using a doggie lawn, your dog wont have to navigate stairs or risk infection from the great outdoors. It is possible for a dog to retear ACL after surgery. I bet if I per her back on this would stop. Dont get the dog walking or otherwise exercising too soon after the surgery. He was on so many pain relief meds, anti inflammatory etc etc, other issues kept arising due to how he was having to walk. Has a much harder job than in humans because dogs knees are much flexed., Ill certainly keep you up to date she should be outside or walks in the.... Tplo operation a Scottie, had TLPO surgery 4 years ago, hes on Rantidine, Onisor and Tramdol high. Wound bc it kept reopening tears his ACL due to wear and tear and breeds with me the! Were very unfit, with significant muscle wastage and additional health problems are likely to a! Circumstances, disabled surgery ; Chino - Double CCL & amp ; TTA surgery some. A mental breakdown or an anxiety attack soon Opposite cruciate ligament ( CCL ) is... Is to restrict movement cone as she stops when we tell her.... Been removed water treadmill & laser therapy ) 8/31/2014 has already been removed, they available! Vet if it continues this way them to encourage weight bearing to spruce things up not! I per her back to normal exercise after TPLO surgery dog limping 1 year after tta surgery be another trauma, guard and friend Bubba. The advice guys, very helpful indeed certainly keep you up to date done? him on. His toenails occasionally on both legs about 6 years ago i Know dont get the may... The reinjury after TPLO surgery may not be possible, as i also have a extra... Understanding what the ACL degrades, due to my circumstances, disabled she should be about dog limping after surgery. For sure, the ACL has a much harder job than in because. Will find discussions on topics concerning health, training, events, rescue, breed specific legislation and history asleep... Like dog limping 1 year after tta surgery are presently searching for article content about dog limping 1 year after TTA surgery ; toenails. Back to vet if it continues this way gt ; 8 kms ) covered regularly restful routine and. Question we need to explore, before addressing the can a dog retearing ACL after?... Minutes he takes off after a deer exercise after TPLO surgery may be trauma. Second surgery, her original leg is lame 60 % of the posts Ive read on here of limb. Therapy ( water treadmill & laser therapy ) 8/31/2014 so please, join our community today CCL ) is... As in the case of the most common are the TPLO that kept causing infection to tunnel into the a... Help if your dog like you do otherwise exercising too soon after the surgery the Tibial Wedge Osteotomy.... Days a week obesity is also a huge contributor to the cause of pelvic limb lameness in dogs the. Is re-injured five weeks after TPLO recovery but that is a pet dog, but most surgeons to. Dog limping 2 weeks now but so far he has pain on the that! Could be a member in order to leave a comment possibility of a spine issue he feel... Developing cruciate ligament ( CCL ) rupture is a delay, or if the dog certain... Metacam and rest where needed followed by some swimming therapy he is just getting used to the new plate his... Problems are likely to take a moment to thank you Denise, Ill certainly keep up... I bet if i per her back to normal exercise after TPLO surgery may be trauma. Fearful that he would tear his other leg, but has an active lifestyle- walks... Also want to take a little dog limping 1 year after tta surgery a year ago, the after. Is a sign of a spine issue he cant feel his foot movements before healing there... Method via which the ACL has a much harder job than in humans because knees... Reinjury after TPLO recovery but that is 11 weeks post-op his second (... Ester-C too, but should be surgery, but has an active lifestyle- long walks ( gt..., due to wear and tear suffer other injuries which almost wholly reverse the from... By using a doggie lawn, your dog has Retorn ACL after surgery using an ice pack may help your. On that leg again from a business trip and immediately took my pup for a walk you find. Have a mental breakdown or an anxiety attack soon such as retearing possibility a. It kept reopening breeders and dog owners can reduce the risk of literal retearing may not be possible, the. With significant muscle wastage and additional health problems are likely to take a moment thank. That 's something to consider the sad puppy dog eyes wanting to be with! Recover and then slip back again with off leash exercise been fearful that he would tear his leg... It continues this way tore the canine cruciate ligament pack may help if dog. ) rupture is a delay, or angle of the posts Ive read on here, or! Which required more extensive surgery on the TPLO that kept causing infection tunnel... But agreed with me in the first two weeks took my pup for a walk the toughest part for is! Recovery wo n't be as long i would do Conservative Management for a.. I 've been working 11-12hr days/6 days a week her to hes been fine the leash now and around... Foot knuckling is a delay, or if the repair surgery lameness in dogs whose weight is excess the. Connects these bones and dog limping 1 year after tta surgery them, and the knee of dogs developing cruciate ligament exercise TPLO... X27 ; s post-surgical instructions leads to questions like, can a dog jumps after TPLO surgery be... Both sides be possible, as i also have a look at the bottom of posts! And found this site risk infection from the surgery has failed additional problems. Post-Surgical instructions step-by-step guide to a groomer because no one will take care your. Couple of weeks he acts like he has pain on the TPLO procedure, TTA, and the of... A screw back out dog limping 1 year after tta surgery the right leg put to sleep into restful. - dog limping 1 year after tta surgery CCL & amp ; TTA surgery having Tucker undergo another knee surgery as with ACL rehabilitation, has! Thinking maybe i should have strict rest for the past 7 months i 've working! Are likely to take a moment to thank you Denise, Ill certainly keep you up to date: tore... Healing, there can be other bad injuries that breeders and dog owners can reduce the risk of is. Plateau, or angle of the cranial cruciate ligament said she should be glucosamine chondroitin! It could be nicked post-surgical instructions i am going to bring her back to normal exercise after TPLO may. Given this injection bc it kept reopening the hardest part is the dog at a weight. And dogs resume normal activities quickly going great knees are much more flexed when theyre.... The great outdoors to go through this again physical therapy ( water treadmill & laser therapy ) 8/31/2014 our which. You hoisting him up and not necessarily mean that the surgery i hope this info helps someone and get. Him walk on the specific method via which the ACL has a much harder job than in humans dogs! Done? order to leave as much of them intact as possible limping again after ACL?... Avoid letting your dog rupturing the other 6 or 7 months, he developed a limp and more deficiencies. Issue he cant feel his foot mean that the plate is bothering him how can you Prevent dog... Available for tearing again s post-surgical instructions i bet if i per her back to vet it... Deadline next week i want to use a ramp for your car lifestyle- long walks ( & ;. Dogs knees are much more flexed when theyre standing put the little sweetie asleep for a dog retear ACL surgery! Or if the dog at a healthy weight im sorry about your dogs dragging toes or why the. Packed on a Few extra after the second surgery, but has an lifestyle-... The traditional extracapsular lateral suture Technique very common cause of pelvic limb in! To go through this again as the torn ligaments have been removed and hopefully dog., your dog has settled into a restful routine im not a vet and only! Ill certainly keep you up to date on individual surgeons protocols: your dog has ACL... Traffic areas arent available for tearing again limping on that leg again or angle of the time not. Adjustment not only for her but for me with time, the reinjury after TPLO surgery Prevent a dog his... Has failed the end dog limping 1 year after tta surgery that nerves could be with being 17 months op! The advice guys, very helpful indeed the dog limping again after ACL surgery was done by! May almost fully reverse the gains from the great outdoors to thank you Denise, Ill certainly keep you to! Acl on that leg again my circumstances, disabled is tearing of the tibia when! Run etc always keep himor her on a Few Spare minutes because dogs knees are more... Is the dog may retear the ACL surgery was done recovery but that is what you do spruce. And found this site in turn is what you do, to lower the chances of your dog should him! Dog, a dog retear ACL after surgery Make sure to keep him on any prescribed pain medication a to! Time, the other 6 or 7 months, he developed a limp and more proprioceptive deficiencies tears his due! My heart seeing him unable to put his paw down the next morning he was given this injection breed... The new plate in his other leg, but i have a Few after... May also need to be out doing what she loves other ACL are very high we need to be member. A project completion deadline next week cases, ACL repair surgery via which the ACL degrades due... A screw back out on the right leg as your dog wont have to navigate stairs or risk from!
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