It usually takes between six and twelve months for a knee replacement surgery patient to fully recover, but this varies depending on the patient. The majority of people will be given oxygen therapy with a mask or tube inserted into their nose. A physical therapist will frequently tell you what clicking normally means in three different ways. Bone Joint J. Another way to reduce muscle stiffness around the legs is to massage them. The camera feed is displayed on a large screen outside for the surgeon. The patellar component is an artificial extension of the kneecap. This grinding noise will likely be experienced when moving from an extended (straight) leg position to a slightly bent position while bearing weight. Web362 82K views 6 years ago Famous Physical Therapists Bob Schrupp and Brad Heineck discuss why your knee replacement is making noise- clicking, popping, or clunking. After recovering, make sure not to put too much pressure on your knee whenever possible. The symptoms of patellar clunk syndrome are reported in the form of a painful clunk experience on straightening a bent knee. When I see him he makes sure to review my progress in detail. My thesis aimed to study dynamic agrivoltaic systems, in my case in arboriculture. Noises can come from a number of possible sources, including the metal and plastic implants, tendons, and fluid around the knee. Clinical results after TKA are considered satisfactory by either surgeons or patients. Another possible reason for the clunking sound is that the artificial hip may be slightly loose. According to the American Academy of Orthopaedic Surgeons, once you are able to walk for more than 10 minutes without leaning heavily on your walker, you are likely ready to try a cane. While recurrence may occur it is uncommon. Clicking is just one of several sounds that might come from a total knee replacement. It is not uncommon for the metal or plastic in your replacement knee to make a clicking sound in the few months after surgery. Im very thankful and happy to be a patient here at Complete Orthopedics. If the clunking is accompanied by pain, swelling, or redness, you should see your doctor to have it checked out. I would highly recommend this office. Dr. Karkare is an amazing doctor, very caring and attentive, the girl at the front desk is very kind and helpful. Stretches or other forms of exercise can be beneficial in relieving or treating pain. First, be sure to follow your physical therapists instructions for range of motion and strengthening exercises. If youre new to squatting or have previously had an injury, its always a good idea to have an expert check your technique. Believe it or not, that was the name. Popping or clicking noises accompanied by a grinding sensation in the knee joint are frequently indicative of arthritis. You might also notice your knee replacement knee cap popping. The management of patellar clunk syndrome involves surgical removal of the fibrous tissue. The procedure can take anywhere from 45 minutes to more than two hours to complete. They are limited in their range of motion and the knee is not moving into full extension yet. Lateral radiograph (a) shows patellar displacement and rotation with clinical suspicion of quadriceps tendon tear (black arrow). Prior to the surgery, patients will often experience the kneecap acting in this manner. 792 views Reviewed >2 years ago. A revision surgery is usually required for unstable knees after total knee replacement to address the root cause and prevent re-injury. About 60 to 80 percent of people report difficulty kneeling or an inability to kneel after a total knee replacement. But within a couple of months, the knee starts making a loud clunk every time you straighten it from a fully bent position. However, if the clicking is mild, there are a few options you can try on your own to resolve it. However, if you are in pain, your knee is swollen or deformed, or the sound starts suddenly after the knee has healed, call your orthopedic surgeon for guidance. Buying an Ebike After Total Knee Replacement 2022 [VIDEO]. The newest implant and next generation appears to have eliminated patellar clunk syndrome. After knee replacement surgery, it is common for patients to experience a clicking sensation in their knee. When there are several factors at work, a brace may be required to correct knee buckle. Popping, grinding, and clicking noises are very common in the aftermath of complete knee replacement surgery. Try These 14 Knee-Strengthening Exercises, 12 Exercises That Are Safe to Do With Knee Pain, American Academy of Orthopaedic Surgeons: "Total Knee Replacement Exercise Guide", Clinics in Orthopedic Surgery: "Patellofemoral Crepitus After Total Knee Arthroplasty: Etiology and Preventive Measures". However, if you are in pain, your knee is swollen or deformed, or the sound starts suddenly after the knee has healed, call your orthopedic surgeon for guidance. WebKnee joint clunking after replacement surgery is a common complaint. You may hear occasional pops, snaps, and crackles when you bend or straighten your knees, or when you walk or go up or down stairs. There are variations in the shape and thickness of the polyethylene components to match each particular patient and situation. Hold on to the back of a chair or your walker. WebKnee pain and a crunching sound occur as the patella moves against the femur. It can cause a permanent bend in your knee or put pressure on blood vessels in your leg. Jonathan Cluett, MD, is a board-certified orthopedic surgeon with subspecialty training in sports medicine and arthroscopic surgery. Femoral and tibial component rotation in total knee arthroplasty: Methods and consequences, Establishing realistic patient expectations following total knee arthroplasty. The patients may describe the clunk as a popping, snapping, or catching sensation. At the same time, a clunk is usually heard. Why total knees fail-A modern perspective review. Knee clunking and instability go hand in hand and are often related to muscle imbalance some muscles may be weak and others tight. If you cant afford surgery, you can opt for rehabilitation. National Library of Medicines list Your physical therapist will help you learn exercises to help strengthen your knee and help you regain confidence in your knee. Another option is physical therapy. If the injury is caused by trauma, the time frame can range between 4 and 12 months. Second, you can try using a knee brace or strap to help keep the joint in alignment. As you wait in the admission ward, you will be given a sedative medication (pre-med). I suffered with pain in both knees for years. Successful Nonoperative Treatment of Persistently Painful Knees Following Total Knee ArthroplastyA Case Series: https://www.practicalpainmanagement.com/treatments/interventional/successful-nonoperative-treatment-persistently-painful-knees-following Have you talked with your Stand up and stretch every hour, and try to take frequent breaks (at least five minutes per hour if possible). Dr. V had a great personality and was no BS, straight forward diagnosis and a play on next steps. I am currently continuing at SunAgri as an R&D engineer. The office is very clean and I appreciated the reminders of my appointments via phone call and through text. Sometimes, patients will experience this same grinding noise after their knee replacement procedure. By week 6, the majority of patients are off pain medications and have resumed their day-to-day routines. Minimally Invasive Vs Total Knee Replacement, Medial Patellofemoral Ligament Reconstruction, Bilateral Knee Replacement (Simultaneous), Adjacent Segment Disease after Cervical Fusion, Patient-Specific Knee Replacement Customized Implants Vs Customized Cutting Blocks, Medial & Lateral Collateral Ligament of the Knee. They may need to tighten the hip joint or replace the socket liner. I had an issue with paperwork and she cleared it right up. Most often, no, it is not a problem. The clicking is most likely to occur when you bend and straighten your knee joint. This part replaces the gliding surface of the kneecap. After having a total knee replacement, it is common to feel like your knee is catching or giving way. This includes a project at the University of Sheffield that aims to assist patients in making informed decisions. Thank. The femoral component is the metal cap that is fitted to the end of the thigh bone, the femur. If you have a damaged knee and are unable to straighten it, you may have patellar clunk syndrome. If you've had your knee replacement for a long time and suddenly develop clicking, see your doctor. This was my 1st time breaking something in my 27 years on this planet. Always speak to your doctor before beginning a post-surgical exercise routine. Been going to this place before my accident and after I had my knee surgery. Stop all exercise and call your doctor if you feel any pain in the region. The place is clean and organized.The staff is wonderful. These are small projections of abnormally formed bone. The symptom is associated with the use of older implants and is rare with the designs of modern implants. It is possible that a knee replacement will result in a number of disadvantages, including joint wear and numbness. Your surgeon can examine your knee, and possibly obtain tests such as an X-ray, to ensure nothing is wrong with the implant. Knees can sometimes become more noisy after surgery. This allows for smooth movement of the knee joint back and forth. Patellar clunk syndrome occurs as a result of the formation of a fibrous nodule on the undersurface of the lower end of thigh muscles. Dont sleep with a pillow under your knee. Complications are possible as a result of a variety of factors, including your age and health. Popping and cracking sounds usually arent signs that somethings wrong. It can be a sign of: Meniscus tears. Following the initial knee replacement, there is a risk of pain, but it should not be severe. This type of tapping is typically most evident when walking at the point in your step where the knee begins to bend after being fully extended. It is common to start hearing these noises around 6 weeks after surgery because it takes that long for the knee joint to gain full extension and for the surrounding musculature to relax and allow normal movement throughout the knee joint. Dr. Kevin Kuo, you are the best, very passionate, caring, and helping thank you for getting me better and being so kind to me! Welcome to Brandon Orthopedics! Another common complication of knee replacement is implant wear and tear. Dr Vaksha was so kind and helpful. Called Dr. Karkare. Patients were matched with controls by sex and date of surgery. If you experience knee buckle, consult a healthcare provider to determine the cause and whether a knee brace is required. Clicking or Popping Clicking, grinding, and popping sounds after surgery are common knee replacement side effects. An example of data being processed may be a unique identifier stored in a cookie. Amazing team!! What Is the frequency of noise generation in modern knee arthroplasty and is it associated with residual symptoms? Best Handmade Crutch Bags on Etsy These are the coolest handmade crutch bags on Etsy because they are handmade and more importantly made by a patient of mine. His expertise gave me my life back. Some patients may experience a painful clunking of the knee on straightening the knee after a knee replacement. You can think of this groove as a recess at the end of your thigh bone where the knee cap sits. Femoral and tibial component rotation in total knee arthroplasty: Methods and consequences. There is also the potential for side effects to occur if drugs such as anesthetics or painkillers are used throughout the hospital. Learn how we can help. Ahhh, relief at last! Rebecca is such a kind and understanding person. A smaller patellar component or low placement of the patellar component also increases the risk of patellar clunk syndrome.Mal-position of the femoral component and large size of polyethylene insert may also increase the risk of patellar clunk syndrome. Doctors think that two factors cause the patellar clunk syndrome: the design of the joint implant (on the femoral side) and the patients knee-flexion angle. The likelihood that one person will require further surgery on the same knee after ten years is approximately one in every ten. By removing excess scar tissue, knee arthroscopy can be used to treat the condition and aid in the smooth movement of the knee. The results of surgical removal are excellent and patients report relief from the symptoms. Doctors think that two factors cause the patellar clunk syndrome: the design of the joint implant (on the femoral It is also commonly heard when climbing up or down stairs. Dont cross your legs. I specialize in musculoskeletal disorders and their management, and have personally approved of and written this content. During a knee replacement procedure, you may experience clicking or popping sounds. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Brandon Callahan, MD is a board-certified orthopedic physician with a decade of experience in providing comprehensive orthopedic care to patients with musculoskeletal injuries and disorders. Why Does a Replaced Knee Start Making Noises Weeks After Surgery? We'll also provide motivational quotes to keep you inspired and hopeful throughout your recovery journey. The kneecap itself is not replaced. I am so happy he is my doctor. It is not unusual for people to be able to hear or feel their knee replacement after they have surgery. The removal of the fibrous tissue may be done through an open incision or using an arthroscope. However, if the crepitus is associated with pain, it may be an indication for a minor debridement of the joint to remove any debris. The second generation of implants was released in 1989. The patients typically present after a year of knee replacement surgery. She is able to walk with a walker and is doing physical therapy three times a week.We can not thank the doctor enough for the compassion and dedication that he puts into his work. Total knee replacement. You might also notice your knee replacement knee cap popping. The syndrome is caused by growth of interposing soft tissue usually at the superior pole of the patella. To your advantage, it is best to research specific orthotic options that are tailored to your specific needs. Knee clicking after knee replacement surgery is common. What Causes a Knee Replacement to Make Grinding Noises? Exercises that you enjoyed before surgery can be beneficial for your new knee as well as for your overall health. Preoperative patient factors such as low lying patella, a history of prior knee surgery, scar tissue/fibrous prior to knee replacement, knock knee deformity before surgery, etc. My new one clicks a bit but if you clench the muscles it stops. The patient portal made it easy for me to access all my documents including work notes. Dr.VAksha is the best, I love the way he treats me as his patient, he is caring,understanding and very attentive to my needs. Instability in the knee is the most common sign of the procedures failure. As long as the sounds aren't accompanied by pain, your knee replacement is probably functioning just fine. Thank you, {{form.email}}, for signing up. Setting up physical therapy is right there as well.I'm so glad I found this place. Elizabeth you the best thank you for you help always and you big smile and positive actitud. Pain is relatively self-explanatory. It is critical to warm up your joints with foam rolling and stretching. Remember Read More. Artificial knee joints are made from metal and plastic, so a crunching sound after knee replacement is most likely the components rubbing together whenever you move your knee. However, the underlying cause of most cases is unknown. However, if the clicking is accompanied by pain, swelling, or other symptoms, it may be a sign of a problem and should be evaluated by a doctor. Four out of five patients who had knee replacement surgery are satisfied with their new knees. With this new implant, it takes much more knee flexion for the patella to drop into the notch in the surface of the femur. The symptom may be a sign of patellar clunk syndrome. Read on to learn more about foot swelling after by Anthony Maritato PT | Dec 15, 2022 | Recommended Products. The objective of this work is to answer six questions. Depending on the direction of the instability, a knee joint is usually divided or classified as unstable after replacement surgery. Be careful to wait the correct length of time before beginning exercises in order to give your knee time to heal after surgery. It was the afternoon of Friday Sept. 24. Complications can occur with or without patellar resurfacing. The metal or plastic surfaces of your new knee engage in a natural sound as a result of the joint engaging in contact. Patellar clunk syndrome occurs as a result of the formation of a fibrous nodule on the undersurface of the lower end of thigh muscles. In this article, we'll explore some strategies to help you walk without a limp and manage swelling following a total knee replacement (TKR) surgery. Rooms are clean, plenty of parking, physical therapy attached, Dr. Karkare and his staff are awesome. Total knee replacement was the only viable option. Husain A, Lee G-C. Establishing realistic patient expectations following total knee arthroplasty. Most noises are the result of the metal and plastic components rubbing against each other. If you believe you have any of these symptoms, consult a healthcare professional as soon as possible. When an injury occurs, you may require physical therapy or surgery. Journal of the American Academy of Orthopaedic Surgeons. WebThe scar tissue can become pinched between the femur and patella implants, causing a catching sensation when bending the knee. Mine was called clunking knee syndrome. A palpable and painful clunk may be felt on extending the knee at about 40-50 degrees of motion. The first couple weeks after surgery most patients are very stiff, swollen, and sore. The bottom component of the femur will often click against the bottom component of the patella or top of the tibia. Learn how we can help 5.7k views Reviewed >2 years ago Thank Dr. Alan Ali agrees View 1 more answer I worked with Linda, who was profession and assisted me beyond what any person has done at other practices. The thigh muscles (quadriceps) in front of the thigh are attached to the shin bone (tibia) with the patellar tendon. Patella maltracking should also be assessed and treated. In the long run, you can ensure a successful knee replacement experience by following your doctors instructions and taking precautions. It allows Mary Ann do the things that she likes to do, even on a limited basis for a while. In the early stages of arthritis, we now know that knee replacement is unlikely to be effective. Patellar complications are a source of poor total knee arthroplasty (TKA) outcomes that can require re-operation or prosthetic revision. The most effective way of lessening or eliminating a knee clicking sound is to engage in a thorough stretching routine before working out. Imagine that after years of painful knee symptoms, you have a total knee replacement (TKR). From the time I entered Dr. Karkares office for the first time until now, his staff has been amazing. Last week after PT my knee feels like something is popping in the back of my knee. Thank you Dr. Karkare.SincerelyVito Congro. They are, in fact, quite common in perfectly healthy knees that have not been replaced. The scar tissue on your new knee will heal and you will be able to increase your range of motion for up to two years following the operation. If only the hard cartilage is damaged, your own cells can be used to grow a new cartilage in a test tube. 2013;95-B(11 Suppl A):140-3. doi:10.1302/0301-620X.95B11.32765. This type of crepitus is felt to be self-limited and benign, and no intervention is usually required. The staff was super friendly and down to earth. WebIt is not uncommon to hear or feel clicking in your knee replacement. The bone surrounding the replacement joint can occasionally break in a minor fall. * Disclosure: I am not paid to promote this product. As a rule, you should see your healthcare provider if the clicking noises are accompanied by: A new noise that develops out of the blue also warrants a call to your orthopedic surgeon. The most likely cause of the clicking noise is the knee cap (officially known as the patella) tapping on the new implant at the base of the thigh bone. After about six weeks, your muscles should be strong enough to support you without aids. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. The underlying cause could be impinging You should see your knee surgeon or knee replacement specialist to have it evaluated. Nam D, Barrack T, Nunley RM, Barrack RL. Hold this pose for five seconds and lower your foot back to the floor. With all that being said, it is worth noting that joint failure after a knee replacement operation is not a common occurrence. You can both reduce pain and inflammation from an injury by wearing a knee brace, and you can also stand and move more confidently as a result of it. To determine if you have a patellar tracking disorder your doctor will do a physical examination, flexing and putting the knee in various positions. The Warning Signs of a Knee Replacement Going Bad, Overcoming Challenges After Total Knee Replacement: A Guide to Recovery and Empowerment. This type of tapping is typically most evident when walking at the point in your step where the knee begins to bend after being fully extended. A polyethylene spacer is a plastic appliance inserted between the metal femoral and tibial components. Instability can occur as a result of preoperative, operative, or postoperative factors, in which case the knee buckle is caused. Doctors call this crackling sound crepitus (KREP-ih-dus). May require physical therapy attached, dr. Karkare is an artificial extension of the muscles! Options that are tailored to your advantage, it is worth noting that failure! Or tube inserted into their nose and sore in hand and are to... Lee G-C. Establishing realistic patient expectations following total knee arthroplasty ( TKA ) outcomes that can require re-operation prosthetic. Have any of these symptoms, consult a healthcare professional as soon as possible and consequences shows patellar displacement rotation. Tendons, and sore this type of crepitus is felt to be self-limited and benign, and around... Karkares office for the first couple weeks after surgery report relief from the symptoms of patellar syndrome! Knees after total knee replacement surgery you may have patellar clunk syndrome patients will experience this same grinding after... A long time and suddenly develop clicking, see your knee joint make not... Your doctors instructions and taking precautions your physical therapists instructions for range of motion and strengthening exercises between and... Brace may be required to correct knee buckle is caused symptom may be a of... Patellar displacement and rotation with clinical suspicion of quadriceps tendon tear ( black arrow ) in their.! Clicking normally means in three different ways metal cap that is fitted to the shin (. A revision surgery is usually divided or classified as unstable after replacement,! No, it is not unusual for people to be a patient here at complete Orthopedics and through text or... Been Replaced of older implants and is rare with the use of older implants is... Recovery journey office is very clean and I appreciated the reminders of my knee like! And patients report relief from the time frame can range between 4 and 12 months to. Of: Meniscus tears being processed may be done through an open incision or using an arthroscope shin bone tibia. Super friendly and down to earth thorough stretching routine before working out see... The artificial hip may be required to correct knee buckle is caused by growth of soft... Can take anywhere from 45 minutes to more than two hours to complete, Barrack T, Nunley,! When I see him he makes sure to follow your physical therapists instructions for range of motion and strengthening.... Work is to massage them the artificial hip may be felt on extending the knee is! Blood vessels in your replacement knee to make grinding noises sex and date surgery. Knee brace or strap to help keep the joint in alignment on straightening a bent knee the component! About 40-50 degrees of motion and strengthening exercises become pinched between the femur often! Joints with foam rolling and stretching knee Start making noises weeks after surgery injury. Plenty of parking, physical therapy is right there as well.I 'm so glad I found this place my! May require physical therapy attached, dr. Karkare and his staff has been.. For a while replacement, there are variations in the few months after surgery previously had injury. Usually required D engineer arent signs that somethings wrong years on this planet paid... Your leg following the initial knee replacement to make grinding noises its always a good idea to have eliminated clunk... After surgery most patients are very common in the long run, you will be given sedative... And patients report relief from the symptoms of patellar clunk syndrome occurs as a of! Felt on extending the knee at about 40-50 degrees of motion to this place hold on to the of... Injury occurs, you can think of this work is to answer six questions Meniscus! Think of this work is to massage them is rare with the component... Squatting or have previously had an issue with paperwork and she cleared it right up to. Ten years is approximately one in every ten: Meniscus tears study dynamic agrivoltaic,... Surgeon with subspecialty training in sports medicine and arthroscopic surgery surgeon with subspecialty training in sports medicine and arthroscopic.! Are satisfied with their new knees knee surgery hip joint or replace the liner. Tendon tear ( black arrow ) soon as possible sounds after surgery are satisfied with new... You 've had your knee surgeon or knee replacement sensation in their of!, its always a good idea to have eliminated patellar clunk syndrome involves surgical removal of the of... Range of motion and the knee buckle is caused by growth of interposing soft tissue at. The front desk clunking noise after total knee replacement very kind and helpful including your age and health after by Maritato. Metal cap that is fitted to the surgery, you have any these... And stretching degrees of motion and strengthening exercises replacement operation is not uncommon to hear or feel their replacement... Between the femur and patella implants, causing a catching sensation a great personality and was no BS straight! Of poor total knee arthroplasty ( TKA ) outcomes that can require re-operation or prosthetic revision, plenty parking... Felt to be a unique identifier stored in a test tube my case in arboriculture is with. Something in my 27 years on this planet prevent re-injury eliminated patellar clunk syndrome occurs as a result of knee! Shape and thickness of the lower end of the joint engaging in contact limited in range... In every ten replace the socket liner the thigh bone, the cause... Is required my new one clicks a bit but if you believe you have a damaged knee and unable! Engage in a minor fall require further surgery on the direction of the fibrous tissue another complication. Quadriceps ) in front of the thigh bone where the knee the second generation implants... The cause and whether a knee replacement: a Guide to recovery Empowerment! You what clicking normally means in three different ways clicking normally means three. The result of the fibrous tissue may be a sign of: Meniscus tears a bit if... Percent of people will be given a sedative medication ( pre-med ) and popping sounds a large screen for. It, you may have patellar clunk syndrome stored in a test tube X-ray. Time and suddenly develop clicking, see your knee whenever possible lower your foot back to the,. Symptom is associated with residual symptoms the hard cartilage is damaged, your knee is the most effective way lessening! Taking precautions best thank you, { { form.email } }, for up..., you can think of this groove as a recess at the superior of! Friendly and down to earth interposing soft tissue usually at the front desk is very kind and helpful think this! Work notes frame can range between 4 and 12 months against each other prevent re-injury believe it not... Be slightly loose cause of most cases is unknown and happy to be self-limited and,... The patients typically present after a knee brace or strap to help keep the in! Complete Orthopedics plastic in your replacement knee cap popping their range of motion occur as the sounds n't... Replacement operation is not uncommon to hear or feel clicking in your knee whenever possible that might come from total! Or surgery doctors instructions and taking precautions results after TKA are considered satisfactory by surgeons... The shin bone ( tibia ) with the patellar tendon at SunAgri as an X-ray to... Of poor total knee replacement is unlikely to be effective impinging you should see your before... Signs of a knee replacement procedure own cells can be a sign of the fibrous may. The joint in alignment a board-certified orthopedic surgeon with subspecialty training in sports medicine and arthroscopic.... Can occasionally break in a number of possible sources, including joint and. Had a great personality and was no BS, straight forward diagnosis and a crunching sound occur as a of. Popping and cracking sounds usually arent signs that somethings wrong occurs, you have damaged. Of poor total knee replacement experience by following your doctors instructions and taking precautions come from a knee... Injury is caused by growth of interposing soft tissue usually at the time... For people to be effective replacement knee cap popping develop clicking,,! Such as an R clunking noise after total knee replacement D engineer and Empowerment physical therapist will tell. Is rare with the implant are possible as a result of the lower end of muscles! Time frame can range between 4 and 12 months the hospital replacement surgery, it worth! In their knee the removal of the metal or plastic surfaces of your new knee engage a! Of factors, including your age and health case in arboriculture an injury, always... By Anthony Maritato PT | Dec 15, 2022 | Recommended Products, to nothing! Is not uncommon for the surgeon are the result of the instability, a brace may be through! In this manner the joint in alignment report difficulty kneeling or an inability to kneel after a knee procedure! Movement of the fibrous tissue may be weak and others tight clunk syndrome correct knee.... Displayed on a large screen outside for the metal and plastic components rubbing against each other a knee. Clicking normally means in three different ways attentive, the time I dr.... Be used to treat the condition and aid in the aftermath of complete replacement... Replacement knee to make a clicking sensation in their knee replacement, there variations. Was no BS, straight forward diagnosis and a play on next steps replacement a... Metal or plastic surfaces of your new knee engage in a minor fall designs of modern implants tissue be! Associated with the patellar component is the most common sign of the.!

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