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AAPM 2025 - 67th Annual Meeting & Exhibition of the American Association of Physicists in Medicine

3D MRI Helps Young Athletes with ACL Tears Return to Sports

By MedImaging International staff writers
Posted on 16 Feb 2011

New technology has made it possible for surgeons to reconstruct anatomic anterior cruciate ligament (ACL) tears in young athletes without disturbing the growth plate.

John Xerogeanes, MD, chief of the Emory Sports Medicine Center, and colleagues in the laboratory of Allen R. Tannenbaum, PhD, professor in the Wallace H. Coulter department of biomedical engineering at Georgia Institute of Technology (Atlanta, GA, USA) and Emory University (Atlanta, GA, USA), have developed three-dimensional (3D) magnetic resonance imaging (MRI) technology that allows surgeons to preoperatively plan and perform anatomic ACL surgery.

ACL tears are one of the most common injuries in children who participate in sports including football, basketball, soccer, and gymnastics. Conventional treatment for ACL injuries in children has been rehabilitation, wearing a brace, and staying out of athletics until the child stops growing--typically in the mid-teens--and ACL reconstruction surgery could then safely be performed. "The problem with doing surgery on a young child is that if you damage the growth plate, you can cause a growth disturbance,” said Dr. Xerogeanes, an associate professor in the department of orthopedics at Emory University School of Medicine.

The ACL is one of the four major ligaments in the knee, similar to a rubber band, attached at two points to keep the knee stable. To replace the ligament, surgeons create a tunnel in the upper and lower knee bones, slide the new ACL between those two tunnels, and attach it at both ends. (The new ligament is typically taken from either a hamstring tendon or an allograft tissue, which is donor material.)

Dr. Xerogeanes explained that prior to using the 3D MRI scanning, ACL operations were performed with extensive use of X-rays in the operating room, and left too much to chance when working around growth plates. With this new technology, surgeons can actually see from one point to the other on either side of the knee, and can accurately position the tunnels where they will place the new ligament. The surgery can be done in less time than the traditional surgery, and with confidence that the growth plates in young patients will not be damaged.

Children who undergo this type of operation will still have at least one year of recovery time, advised Dr. Xerogeanes. The upside is that it does allow them to pursue normal activity eventually.

Dr. Xerogeanes and his colleagues at Emory are performing the anatomic ACL reconstruction technique on adult patients as well as pediatric patients. He hopes that another advantage of this new anatomic procedure will be that it helps prevent re-injury in the future for all athletes who have suffered from ACL tears.

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63 (522.85194396973): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

64 (51.975250244141): select jos_twitters.link from jos_twitters where cat=10

65 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

66 (37.193298339844): select jos_google_plus.link from jos_google_plus where cat=10

67 (35.04753112793): select jos_linkedin.link from jos_linkedin where cat=10

68 (37.908554077148): SELECT fid FROM jos_deeppockets WHERE id=294733428 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294733428 AND published='1' LIMIT 1

69 (33.140182495117): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

70 (299.93057250977): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733428 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (200.98686218262): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733428 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (53.167343139648): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (117.06352233887): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (934.83924865723): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (298.97689819336): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (64.849853515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (62.942504882812): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733428 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733428 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (36.001205444336): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

105 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

106 (57.220458984375): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294733428 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (47.206878662109): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294733428 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

109 (47.206878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

110 (57.93571472168): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294733428 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (479.93659973145): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294733428 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (657.08160400391): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (422.95455932617): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

115 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

116 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

117 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

118 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

119 (45.7763671875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

120 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

121 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

122 (267.98248291016): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 24625.062942505): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

124 (437.02125549316): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733428 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733428 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 8275.9857177734): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (235.08071899414): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (52.928924560547): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (37.908554077148): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (61.03515625): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (41.961669921875): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (332.83233642578): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (85.115432739258): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (77.009201049805): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (50.783157348633): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (396.0132598877): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (246.04797363281): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (197.17216491699): SELECT name FROM jos_deeppockets WHERE id=212

138 (36.954879760742): SELECT name FROM jos_deeppockets WHERE id=212

139 (648.02169799805): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (481.12869262695): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

142 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

143 (!!!!! 9140.0146484375): TRUNCATE TABLE jos_trademed_module

144 (112.05673217773): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294733428 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (54.836273193359): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294733428 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (964.87998962402): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

149 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

150 (!!!!! 1271.9631195068): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

151 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

152 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

153 (46.014785766602): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733428 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733428 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (33.855438232422): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

155 (31.948089599609): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

156 (37.193298339844): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

158 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733428 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733428 AND published='1' LIMIT 1

159 (62.942504882812): select jos_twitters.link from jos_twitters where cat=10

160 (37.908554077148): select jos_facebook.link from jos_facebook where cat=10

161 (40.054321289062): select jos_google_plus.link from jos_google_plus where cat=10

162 (37.193298339844): select jos_linkedin.link from jos_linkedin where cat=10

163 (396.0132598877): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1311.0637664795): insert into jos_banners_delta values (14615,'2025-06-27 15:48:09','216.73.216.249','view'),(14202,'2025-06-27 15:48:09','216.73.216.249','view'),(14203,'2025-06-27 15:48:09','216.73.216.249','view')

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