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|000018b0| 20 20 33 30 20 30 30 30 | 20 20 20 20 20 31 30 30 |  30 000|     100|
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|00001940| 20 20 20 20 20 20 4e 6f | 20 20 20 20 20 20 20 20 |      No|        |
|00001950| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |        |        |
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|00001980| 20 20 20 59 65 73 20 20 | 20 20 20 20 20 20 20 20 |   Yes  |        |
|00001990| 20 59 65 73 20 20 20 20 | 20 20 20 20 20 20 20 20 | Yes    |        |
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|00004480| 20 61 6e 67 6c 65 2e 20 | 4f 76 65 72 64 72 69 6c | angle. |Overdril|
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|000044a0| 6c 6c 20 62 69 74 20 26 | 20 65 6e 6c 61 72 67 65 |ll bit &| enlarge|
|000044b0| 20 68 6f 6c 65 20 77 69 | 74 68 20 43 6f 6e 69 63 | hole wi|th Conic|
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|000044d0| 20 32 30 6d 6d 78 31 30 | 6d 6d 2e 06 41 70 70 6c | 20mmx10|mm..Appl|
|000044e0| 79 20 43 6f 6d 70 72 65 | 73 73 69 6f 6e 20 44 65 |y Compre|ssion De|
|000044f0| 76 69 63 65 20 69 66 20 | 72 65 71 75 69 72 65 64 |vice if |required|
|00004500| 20 74 6f 20 63 6f 75 70 | 6c 69 6e 67 2e 06 49 6e | to coup|ling..In|
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|00004520| 49 49 2e 20 4e 61 69 6c | 20 74 69 70 20 73 68 6f |II. Nail| tip sho|
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|00004540| 79 20 70 72 6f 74 72 75 | 64 65 20 69 6e 74 6f 20 |y protru|de into |
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|00004560| 72 6f 78 2e 20 6c 6f 63 | 6b 20 77 69 74 68 20 72 |rox. loc|k with r|
|00004570| 61 64 69 6f 6c 75 63 65 | 6e 74 20 64 72 69 76 65 |adioluce|nt drive|
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|00004600| 78 2e 20 6c 6f 63 6b 69 | 6e 67 2c 20 62 65 66 6f |x. locki|ng, befo|
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|00004620| 67 2e 20 52 65 6d 6f 76 | 65 20 43 6f 6d 70 72 65 |g. Remov|e Compre|
|00004630| 73 73 69 6f 6e 20 44 65 | 76 69 63 65 20 61 6e 64 |ssion De|vice and|
|00004640| 20 69 6e 73 65 72 74 20 | 65 6e 64 20 63 61 70 2e | insert |end cap.|
|00004650| 20 50 6f 73 74 2d 6f 70 | 20 42 72 61 63 65 20 66 | Post-op| Brace f|
|00004660| 6f 72 20 31 77 6b 2e 06 | 50 72 6f 78 69 6d 61 6c |or 1wk..|Proximal|
|00004670| 20 49 6e 73 65 72 74 69 | 6f 6e 20 54 65 63 68 6e | Inserti|on Techn|
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|00004690| 75 70 69 6e 65 20 6f 6e | 20 62 72 6f 61 64 20 61 |upine on| broad a|
|000046a0| 72 6d 20 62 6f 61 72 64 | 2e 20 4e 61 69 6c 20 6c |rm board|. Nail l|
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|000046c0| 61 74 20 6c 65 61 73 74 | 20 32 30 6d 6d 20 70 72 |at least| 20mm pr|
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|00004720| 73 75 70 72 61 73 70 69 | 6e 61 74 75 73 20 74 65 |supraspi|natus te|
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|000048d0| 72 74 20 66 65 6d 6f 72 | 61 6c 20 63 6f 6d 70 6f |rt femor|al compo|
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|00004920| 75 6c 61 74 69 6f 6e 2e | 06 2a 20 73 6d 61 6c 6c |ulation.|.* small|
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|00004940| 20 4f 47 20 63 75 70 06 | 2a 20 4a 26 4a 20 6e 6f | OG cup.|* J&J no|
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|00004960| 75 75 6d 20 70 61 63 6b | 69 6e 67 3a 20 20 76 61 |uum pack|ing:  va|
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|00004a40| 77 68 65 6e 20 64 69 73 | 6c 6f 63 61 74 65 64 2e |when dis|located.|
|00004a50| 20 4d 65 61 73 75 72 65 | 20 6c 65 67 20 6c 65 6e | Measure| leg len|
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|00004a70| 2d 6f 70 20 26 20 6c 61 | 74 65 72 2e 06 df 41 3e |-op & la|ter...A>|
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|00004ab0| 75 73 2c 20 20 38 6d 6d | 20 64 65 70 72 65 73 73 |us,  8mm| depress|
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|00004ae0| 66 6f 72 65 20 4f 52 49 | 46 2e 20 06 43 6c 61 73 |fore ORI|F. .Clas|
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|00004b80| 34 3d 20 6d 65 64 69 61 | 6c 20 74 69 62 69 61 6c |4= media|l tibial|
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|00004ba0| 72 63 6f 6e 64 79 6c 61 | 72 20 65 6d 69 6e 65 6e |rcondyla|r eminen|
|00004bb0| 63 65 29 06 54 79 70 65 | 20 35 3d 20 42 69 63 6f |ce).Type| 5= Bico|
|00004bc0| 6e 64 79 6c 61 72 06 54 | 79 70 65 20 36 3d 20 50 |ndylar.T|ype 6= P|
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|00004be0| 68 79 73 69 73 2f 64 69 | 61 70 68 79 73 69 73 20 |hysis/di|aphysis |
|00004bf0| 6a 75 6e 63 74 69 6f 6e | 2e 06 4e 42 2d 20 54 68 |junction|..NB- Th|
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|00004d20| 69 61 6d 65 74 65 72 06 | 34 2e 35 6d 6d 20 74 68 |iameter.|4.5mm th|
|00004d30| 72 65 61 64 65 64 2c 20 | 73 65 6c 66 2d 74 61 70 |readed, |self-tap|
|00004d40| 70 69 6e 67 20 63 72 6f | 73 73 20 73 63 72 65 77 |ping cro|ss screw|
|00004d50| 73 2c 20 33 2e 35 6d 6d | 20 64 72 69 6c 6c 2e 06 |s, 3.5mm| drill..|
|00004d60| 13 42 47 72 64 31 3a 20 | 73 6d 61 6c 6c 20 73 6b |.BGrd1: |small sk|
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|00004da0| 72 64 32 3a 20 73 6d 61 | 6c 6c 20 77 65 6c 6c 20 |rd2: sma|ll well |
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|00004e00| 6f 73 74 65 75 6d 2e 06 | 47 72 64 33 41 3a 20 4c |osteum..|Grd3A: L|
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|00004e30| 6e 6f 6e 2d 76 69 61 62 | 6c 65 20 74 69 73 73 75 |non-viab|le tissu|
|00004e40| 65 20 42 55 54 20 63 61 | 6e 20 63 6c 6f 73 65 20 |e BUT ca|n close |
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|00004e60| 65 20 6f 72 20 53 54 53 | 47 20 61 66 74 65 72 20 |e or STS|G after |
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|00004eb0| 6f 73 74 65 61 6c 20 73 | 74 72 69 70 70 69 6e 67 |osteal s|tripping|
|00004ec0| 20 72 65 71 75 69 72 69 | 6e 67 20 6d 75 73 63 6c | requiri|ng muscl|
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|00004ee0| 73 20 61 62 6f 76 65 20 | 77 69 74 68 20 76 61 73 |s above |with vas|
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|00004fb0| 44 53 20 26 20 49 43 55 | 20 73 74 61 79 2e 06 2a |DS & ICU| stay..*|
|00004fc0| 47 72 64 20 33 63 20 6d | 61 79 20 72 65 71 75 69 |Grd 3c m|ay requi|
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|00005010| 69 64 65 6d 65 6e 74 20 | 26 20 70 75 6c 73 61 74 |idement |& pulsat|
|00005020| 69 6c 65 20 6c 61 76 61 | 67 65 2e 20 43 68 61 6e |ile lava|ge. Chan|
|00005030| 67 65 20 64 72 61 70 65 | 73 20 20 61 66 74 65 72 |ge drape|s  after|
|00005040| 20 64 65 62 72 69 64 65 | 6d 65 6e 74 20 66 6f 72 | debride|ment for|
|00005050| 20 6e 61 69 6c 69 6e 67 | 2e 20 28 4c 6f 77 20 76 | nailing|. (Low v|
|00005060| 65 6c 6f 63 69 74 79 20 | 67 75 6e 73 68 6f 74 3d |elocity |gunshot=|
|00005070| 47 72 64 20 31 29 06 2a | 20 45 78 74 20 46 69 78 |Grd 1).*| Ext Fix|
|00005080| 3a 20 50 72 65 66 65 72 | 61 62 6c 65 20 66 6f 72 |: Prefer|able for|
|00005090| 20 47 72 64 20 33 63 2c | 20 41 52 44 53 2c 20 70 | Grd 3c,| ARDS, p|
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|000050b0| 4d 20 4e 61 69 6c 3a 20 | 20 47 72 64 20 31 2d 33 |M Nail: | Grd 1-3|
|000050c0| 62 2c 20 62 65 73 74 20 | 6f 75 74 63 6f 6d 65 20 |b, best |outcome |
|000050d0| 69 6e 20 61 6c 69 67 6e | 6d 65 6e 74 2c 20 6c 65 |in align|ment, le|
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|00005110| 20 45 78 20 46 69 78 20 | 26 20 74 68 65 20 6c 6f | Ex Fix |& the lo|
|00005120| 6e 67 65 72 20 74 68 65 | 20 64 65 6c 61 79 20 62 |nger the| delay b|
|00005130| 65 74 77 20 66 69 78 61 | 74 6f 72 20 72 65 6d 6f |etw fixa|tor remo|
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|00005160| 64 75 6c 6c 61 72 79 20 | 69 6e 66 65 63 74 69 6f |dullary |infectio|
|00005170| 6e 20 77 69 6c 6c 20 6f | 63 63 75 72 21 20 06 2a |n will o|ccur! .*|
|00005180| 49 66 20 6e 61 69 6c 69 | 6e 67 20 6e 6f 74 20 64 |If naili|ng not d|
|00005190| 6f 6e 65 20 69 6e 20 66 | 69 72 73 74 20 37 32 68 |one in f|irst 72h|
|000051a0| 72 73 2c 20 77 61 69 74 | 20 66 6f 72 20 73 6f 66 |rs, wait| for sof|
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|000051d0| 73 6b 65 6c 65 74 61 6c | 20 74 72 61 63 74 69 6f |skeletal| tractio|
|000051e0| 6e 20 74 6f 20 6d 61 69 | 6e 74 61 69 6e 20 6c 65 |n to mai|ntain le|
|000051f0| 6e 67 74 68 29 2e 20 06 | 2a 53 68 6f 75 6c 64 20 |ngth). .|*Should |
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|00005210| 20 49 4d 20 4e 61 69 6c | 20 77 69 74 68 69 6e 20 | IM Nail| within |
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|00005d60| 26 20 73 75 72 76 69 76 | 61 6c 2e 06 b8 43 4d 45 |& surviv|al...CME|
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|00005db0| 6e 65 73 73 2c 20 63 61 | 6e 20 62 65 20 64 75 63 |ness, ca|n be duc|
|00005dc0| 74 69 6c 65 2c 20 70 6f | 6f 72 20 72 65 73 69 73 |tile, po|or resis|
|00005dd0| 74 61 6e 63 65 20 74 6f | 20 63 6f 72 72 6f 73 69 |tance to| corrosi|
|00005de0| 6f 6e 2c 20 68 69 67 68 | 20 65 6c 65 63 74 72 69 |on, high| electri|
|00005df0| 63 61 6c 20 26 20 74 68 | 65 72 6d 61 6c 20 63 6f |cal & th|ermal co|
|00005e00| 6e 64 75 63 74 69 76 69 | 74 79 2e 20 41 6c 6c 6f |nductivi|ty. Allo|
|00005e10| 79 73 2d 20 4d 69 6c 64 | 20 73 74 65 65 6c 3d 20 |ys- Mild| steel= |
|00005e20| 69 72 6f 6e 20 26 20 63 | 61 72 62 6f 6e 3b 20 53 |iron & c|arbon; S|
|00005e30| 74 61 69 6e 6c 65 73 73 | 20 73 74 65 65 6c 2d 20 |tainless| steel- |
|00005e40| 69 72 6f 6e 2c 20 63 68 | 72 6f 6d 69 75 6d 2c 20 |iron, ch|romium, |
|00005e50| 63 61 72 62 6f 6e 20 26 | 20 6d 61 6e 67 61 6e 65 |carbon &| mangane|
|00005e60| 73 65 2e 20 43 61 72 62 | 6f 6e 20 69 6d 70 72 6f |se. Carb|on impro|
|00005e70| 76 65 73 20 73 74 72 65 | 6e 67 74 68 2e 20 43 68 |ves stre|ngth. Ch|
|00005e80| 72 6f 6d 69 75 6d 20 69 | 6d 70 72 6f 76 65 73 20 |romium i|mproves |
|00005e90| 63 6f 72 72 6f 73 69 6f | 6e 20 72 65 73 69 73 74 |corrosio|n resist|
|00005ea0| 61 6e 63 65 2e 06 50 4f | 4c 59 4d 45 52 53 3a 20 |ance..PO|LYMERS: |
|00005eb0| 31 29 20 54 68 65 72 6d | 6f 73 65 74 73 3d 20 64 |1) Therm|osets= d|
|00005ec0| 65 63 6f 6d 70 6f 73 65 | 20 77 68 65 6e 20 68 65 |ecompose| when he|
|00005ed0| 61 74 65 64 2e 20 42 61 | 6b 65 6c 69 74 65 2e 20 |ated. Ba|kelite. |
|00005ee0| 20 32 29 20 54 68 65 72 | 6d 6f 70 6c 61 73 74 69 | 2) Ther|moplasti|
|00005ef0| 63 73 3d 20 73 6f 66 74 | 65 6e 20 77 68 65 6e 20 |cs= soft|en when |
|00005f00| 68 65 61 74 65 64 2e 20 | 50 6f 6c 79 74 68 65 6e |heated. |Polythen|
|00005f10| 65 2e 20 4c 6f 77 20 6d | 6f 64 75 6c 75 73 20 6f |e. Low m|odulus o|
|00005f20| 66 20 65 6c 61 73 74 69 | 63 69 74 79 3b 20 6c 6f |f elasti|city; lo|
|00005f30| 77 20 68 61 72 64 6e 65 | 73 73 3b 20 6d 65 64 69 |w hardne|ss; medi|
|00005f40| 75 6d 20 74 65 6e 73 69 | 6c 65 20 73 74 72 65 6e |um tensi|le stren|
|00005f50| 67 74 68 73 3b 20 64 75 | 63 74 69 6c 65 3b 20 6c |gths; du|ctile; l|
|00005f60| 6f 77 20 64 65 6e 73 69 | 74 69 65 73 3b 20 68 69 |ow densi|ties; hi|
|00005f70| 67 68 20 63 6f 72 72 6f | 73 69 6f 6e 20 72 65 73 |gh corro|sion res|
|00005f80| 69 73 74 61 6e 63 65 3b | 20 6c 6f 77 20 65 6c 65 |istance;| low ele|
|00005f90| 63 74 72 69 63 61 6c 20 | 26 20 74 68 65 72 6d 61 |ctrical |& therma|
|00005fa0| 6c 20 63 6f 6e 64 06 75 | 63 74 69 76 69 74 69 65 |l cond.u|ctivitie|
|00005fb0| 73 3b 20 74 65 6e 64 20 | 74 6f 20 63 72 65 65 70 |s; tend |to creep|
|00005fc0| 3b 20 70 72 6f 70 65 72 | 74 69 65 73 20 64 65 70 |; proper|ties dep|
|00005fd0| 65 6e 64 20 6f 6e 20 74 | 65 6d 70 2e 20 43 61 6e |end on t|emp. Can|
|00005fe0| 20 77 69 74 68 73 74 61 | 6e 64 20 68 69 67 68 20 | withsta|nd high |
|00005ff0| 73 74 72 61 69 6e 73 2c | 20 6e 6f 74 20 68 69 67 |strains,| not hig|
|00006000| 68 20 73 74 72 65 73 73 | 65 73 2e 06 43 45 52 41 |h stress|es..CERA|
|00006010| 4d 49 43 53 3a 20 62 72 | 69 74 74 6c 65 3b 20 68 |MICS: br|ittle; h|
|00006020| 61 72 64 3b 20 68 69 67 | 68 20 6d 6f 64 75 6c 75 |ard; hig|h modulu|
|00006030| 73 20 6f 66 20 65 6c 61 | 73 74 69 63 69 74 79 3b |s of ela|sticity;|
|00006040| 20 73 74 72 6f 6e 67 65 | 72 20 69 6e 20 63 6f 6d | stronge|r in com|
|00006050| 70 72 65 73 73 69 6f 6e | 20 74 68 61 6e 20 69 6e |pression| than in|
|00006060| 20 74 65 6e 73 69 6f 6e | 3b 20 68 69 67 68 20 61 | tension|; high a|
|00006070| 62 72 61 73 69 6f 6e 20 | 72 65 73 69 73 74 61 6e |brasion |resistan|
|00006080| 63 65 5b 68 61 72 64 5d | 3b 20 6c 6f 77 20 65 6c |ce[hard]|; low el|
|00006090| 65 63 74 72 69 63 61 6c | 20 63 6f 6e 64 75 63 74 |ectrical| conduct|
|000060a0| 69 76 69 74 79 2e 20 43 | 61 6e 20 77 69 74 68 73 |ivity. C|an withs|
|000060b0| 74 61 6e 64 20 68 69 67 | 68 20 73 74 72 65 73 73 |tand hig|h stress|
|000060c0| 65 73 2c 20 6e 6f 74 20 | 68 69 67 68 20 73 74 72 |es, not |high str|
|000060d0| 61 69 6e 73 2e 06 43 4f | 4d 50 4f 53 49 54 45 53 |ains..CO|MPOSITES|
|000060e0| 3a 20 74 77 6f 20 64 69 | 66 66 65 72 65 6e 74 20 |: two di|fferent |
|000060f0| 6d 61 74 65 72 69 61 6c | 73 20 62 6f 6e 64 65 64 |material|s bonded|
|00006100| 20 74 6f 67 65 74 68 65 | 72 2e 20 4d 6f 72 65 20 | togethe|r. More |
|00006110| 65 78 70 65 6e 73 69 76 | 65 20 74 6f 20 70 72 6f |expensiv|e to pro|
|00006120| 64 75 63 65 2e 06 48 42 | 4d 61 74 65 72 69 61 6c |duce..HB|Material|
|00006130| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 55 6c 74 |        |     Ult|
|00006140| 69 6d 61 74 65 20 53 74 | 72 65 6e 67 74 68 28 4d |imate St|rength(M|
|00006150| 50 61 29 20 20 20 20 20 | 45 6c 61 73 74 69 63 20 |Pa)     |Elastic |
|00006160| 4d 6f 64 75 6c 75 73 06 | 50 75 72 65 20 54 69 74 |Modulus.|Pure Tit|
|00006170| 61 6e 2e 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |an.     |        |
|00006180| 20 32 35 30 20 20 20 20 | 20 20 20 20 20 20 20 20 | 250    |        |
|00006190| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |        |        |
|000061a0| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 31 30 |        |      10|
|000061b0| 30 06 54 69 41 6c 56 34 | 20 20 20 20 20 20 20 20 |0.TiAlV4|        |
|000061c0| 20 20 20 20 20 20 20 20 | 20 20 20 20 31 32 30 30 |        |    1200|
|000061d0| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |        |        |
|000061e0| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |        |        |
|000061f0| 20 20 20 20 20 20 20 20 | 20 20 31 31 30 06 43 6f |        |  110.Co|
|00006200| 43 72 4d 6f 20 20 20 20 | 20 20 20 20 20 20 20 20 |CrMo    |        |
|00006210| 20 20 20 20 20 20 31 32 | 34 31 20 20 20 20 20 20 |      12|41      |
|00006220| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |        |        |
|00006230| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |        |        |
|00006240| 20 20 20 20 32 34 30 06 | 53 74 2e 20 53 74 65 65 |    240.|St. Stee|
|00006250| 6c 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |l       |        |
|00006260| 20 20 20 20 35 31 35 20 | 20 20 20 20 20 20 20 20 |    515 |        |
|00006270| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |        |        |
|00006280| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |        |        |
|00006290| 20 32 32 30 06 43 6f 72 | 74 69 63 61 6c 20 42 6f | 220.Cor|tical Bo|
|000062a0| 6e 65 20 20 20 20 20 20 | 20 20 20 20 32 30 35 20 |ne      |    205 |
|000062b0| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |        |        |
|000062c0| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |        |        |
|000062d0| 20 20 20 20 20 20 20 20 | 20 20 20 20 31 37 06 50 |        |    17.P|
|000062e0| 4d 4d 41 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |MMA     |        |
|000062f0| 20 20 20 20 20 20 20 20 | 20 20 20 31 30 30 28 43 |        |   100(C|
|00006300| 6f 6d 70 72 29 2c 20 20 | 32 34 28 54 65 6e 73 29 |ompr),  |24(Tens)|
|00006310| 20 20 20 20 20 20 20 20 | 20 20 20 32 2e 37 06 48 |        |   2.7.H|
|00006320| 4d 57 50 45 20 20 20 20 | 20 20 20 20 20 20 20 20 |MWPE    |        |
|00006330| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 33 38 20 |        |     38 |
|00006340| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |        |        |
|00006350| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |        |        |
|00006360| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 31 32 06 |        |     12.|
|00006370| 79 42 2a 49 6e 63 6c 75 | 73 69 6f 6e 20 6f 66 20 |yB*Inclu|sion of |
|00006380| 62 6c 6f 6f 64 2d 20 75 | 70 20 74 6f 20 37 30 25 |blood- u|p to 70%|
|00006390| 20 6c 6f 73 73 20 6f 66 | 20 73 74 72 65 6e 67 74 | loss of| strengt|
|000063a0| 68 2e 06 2a 53 74 72 65 | 73 73 20 72 69 73 65 72 |h..*Stre|ss riser|
|000063b0| 73 2d 20 53 69 67 6e 69 | 66 69 63 61 6e 74 20 65 |s- Signi|ficant e|
|000063c0| 66 66 65 63 74 2e 06 2a | 41 6e 74 69 62 69 6f 74 |ffect..*|Antibiot|
|000063d0| 69 63 20 69 6e 63 6c 75 | 73 69 6f 6e 2d 20 35 2d |ic inclu|sion- 5-|
|000063e0| 31 30 25 20 73 74 72 65 | 6e 67 74 68 20 6c 6f 73 |10% stre|ngth los|
|000063f0| 73 2e 06 2a 52 61 64 69 | 6f 70 61 71 75 65 20 66 |s..*Radi|opaque f|
+--------+-------------------------+-------------------------+--------+--------+