
Arthroscopic Debridement Of Septic Arthritis In India At Affordable Low Cost
Arthroscopic Debridement Of Septic Arthritis
Overview
Arthroscopic debridement of Septic arthritis Causes
Aspiration of knee under non aseptic conditions, infected total knee replacements
ACL reconstruction Treatment
When septic arthritis is detected earlier in a patient and debridement is indicated then it can be done arthroscopically. The scope is inserted through the antero- lateral or anteromedial portals and a shaver is introduced into the suprapatellar pouch to break down soft adhesions. Multiple drains are left in situ and the patient is started on CPM(continuous passive mobilization).
In Chennai, aspiration of the knee in ill equipped theatres by poorly trained surgeons/ gp’s may lead to septic arthritis. Antibiotics are administered for prolonged period…..
How Is The ACL Repaired?
Today ACL reconstruction is essentially an arthroscopic procedure, though many surgeons throughout the world still prefer to open the knee. If this route is chosen, depending on how the ACL is repaired, then the incisions may not be very different from those done arthroscopically.
An arthroscope is a pen-shaped instrument to which a tiny video camera is attached. It contains optical fibers, a light source, and lenses that can magnify images 25 to 30 times. The camera attached to the end of the arthroscope sends images to a video screen. The surgeon looks at the screen and is able to get an exceptionally clear view of the inside of the joint. Because the procedure can be done using an arthroscope, and using small specialized instruments without big incisions and excessive trauma to the tissues, it is really well suited to be an outpatient procedure (one that does not require an overnight stay at the hospital). Most ACL reconstructions are commonly performed as outpatient procedures. However, many doctors prefer to keep patients overnight in the hospital following surgery.
Before actually reconstructing the torn ligament, the surgeon uses the arthroscope to carefully survey the whole joint, looking at and evaluating each key structure. During this portion of the procedure, any additional damage to any of the other knee structures can be identified, and where appropriate, is corrected surgically.
There are a number of choices available to the orthopedic surgeon in determining how best to reconstruct the torn ACL. They all involve a “graft” using something to substitute for the torn ACL.
Each of the available ACL graft tissue choices requires a unique harvesting technique. Furthermore, there are usually different methods used for fixing the grafts in the bone tunnels, depending on the characteristics and properties of the tissue selected. Because of these differences in graft techniques, the type of surgery chosen is frequently made by the surgeon based on his or her experience and comfort level with the chosen technique.
Typically, an ACL reconstruction takes two to two and a half hours. The anesthesia may be general anesthesia or a spinal anesthesia. General anesthesia allows the individual to be asleep through the entire procedure. Spinal anesthesia involves an injection in the back that numbs only the lower body. A medication is also administered with a spinal anesthesia to keep the individual sedated throughout the procedure…..
There are several available operative procedures : -
- Patellar tendon graft procedure.
- Hamstring graft procedure.
- Allograft procedure….
With us each patient is individually evaluated by Specialised Orthopaedic Surgeons working at the We Care India partner hospitals and managed in the context of the underlying background health status and activity level…..
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About the Author
Welcome to World Class Treatment and Surgery by We Care Health Services, India.
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www.indiasurgerytour.com ||
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The surgery and medical treatments offered by We Care Health Services at JCI Accredited / ISO Certified Hospitals are vast and varied; ranging from Heart Surgery in India, Cardiology to Cardio Thoracic surgery, Total Knee / Hip / Ankle / Shoulder Joint Replacement Surgery in India including ACL reconstruction Surgery to Birmingham Hip Resurfacing Surgery in India , Spine Surgery in India like Discectomy / Laminectomy Surgery, Cervical Decompression to Anterior / Posterior Spinal Fusion Surgery in India, Chemotherapy, Radiotherapy, Cancer surgery, Sterotactic Radiotherapy, Autologous / Allogenic Bone Marrow Transplant Surgery to Breast Cancer treatments, Near relative Kidney Transplant Surgery to Dialysis and Kidney Biopsy, Low Cost Liver Transplants Surgery, Hysterectomy (Vaginal / Abdominal) to Ovarian Cystectomy, Hernia repair Surgery to Cholecystectomy, Advanced Neurosurgery in India, Bariatric surgery, Gastric Bypass Surgery in India, Eye Surgery in India, Cornea Transplant, Cataract Surgery to LASIK Eye care Surgery, IVF, ICSI, Egg Donor to Surrogacy, Minimally Invasive surgery or Laparoscopic Surgery to Cochlear Implants, Breast Lift / Tummy Tuck, Face Lift to Low Cost Rhinoplasty Cosmetic Surgery, multi specialty Hospitals in India offering first world treatments with board certified highly qualified medical consultants in attendance at third world prices..
The Other Tunnel Portal! / CSX Power Move
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Life-Like Trains O-S Scale Tunnel – Straight Tunnel $21.99 … |
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HO Single Tunnel Portal, Random Stone $5.75 Random Stone Single HO Tunnel Portal Outside: 5″h x 5 5/8″w Inside: 3 5/8″h x 2 3/4″w… |
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N Single Tunnel Portal, Cut Stone (2) $5.99 Models sturdy rock tunnel portals for any N scale layout… |
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The Model Railroader’s Guide to Bridges, Trestles & Tunnels $12.00 Prolific Kalmbach author Jeff Wilson shows modelers how to re-create numerous types of railroad and highway bridges based on prototype designs. Divided into chapters by bridge type, each chapter shows several prototype examples and demonstrates techniques for modeling, painting, weathering, and installing the models on a layout. Covers the history of railroad bridges, trestles, and tunnels. Includ… |
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Pacific Play Tents 59100 Choo Choo Train 6′ Tunnel $44 Choo Choo All Aboard It s a 6 train tunnel full of fun 6 windows per side make this train tunnel seem very realistic Our conductors face is on the zippered front for added play fun This fun filled Train Tunnel can be used with the Train Station |
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Thomas and Friends Tidmouth Tunnel Playset $14.99 Portable Thomas & Friends Take-n-Play Playset! Features a full oval loop of track and a snap-on Knapford Tunnel. Includes a durable die-cast Thomas vehicle! This portable Take-n-Play Playset is the perfect introduction into Thomas & Friends train play. Fold out the track to reveal a full oval loop of track. The Knapford Tunnel snaps on, and the set also includes a snap-in sign. Take Thomas through the tunnel and around the track for special deliveries! The included Thomas vehicle is a durable die-cast toy that features an easy-connect magnet. Batteries not required. Assembly required. Ages 3 and up. |
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2006 Harley Davidson Softail Night Train 1 of 9189 Produced Diecast Model 1/10 by Franklin Mint $129.99 Brand new 110 scale diecast model of 2006 Harley Davidson Softail Night Train… |
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Kidkraft Metropolis Train and Table Set $229.95 The Kidkraft Metropolis Train and Table Set lets your child take control of an entire city! Complete with a helicopter landing pad, expressway, winding streets, and a mountain with a drive-through tunnel, this set opens up endless possibilities for imaginative play.  The high-quality, wooden table in a lovely espresso finish takes playtime off the floor and closer to eye level. There’s even a rolling trundle underneath to conveniently store train set pieces and other toys! Features: Train table with espresso finish & solid wood frame Large rolling trundle for convenient storage 100-piece train set 2-tier bridge Mountain with drive-through tunnel Airport with helipad Packaged with detailed, step-by-step assembly instructions Sturdy construction Specifications: Dimensions: 46.5" x 32.75" x 16.63" Weight: 85 lbs. Gift Wrap not available. Shipping Note: This item ships directly from the manufacturer within contiguous United States only. Cannot be shipped to AK/HI, PO boxes, US territories, or APO/FPO addresses. |
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Portal Bookends $7 These officially licensed Portal Bookends not only feature test subjects going through orange and blue portals, but they also really, actually, pretty much keep your books in order! The left side features half of a test subject going through an orange portal while the right side features the other half of the test subject coming out the blue portal. Bookends make for a great conversation starter! Imagine all the great conversations this piece will inspire! Don’t be the guy or gal that misses out on this slick pair of Portal bookends. If you happen to be a test subject at Aperture Science, you’re probably going to need these anyway. Bookends measure 5-inches tall x 4-inches wide x 2 1/4-inches long. |
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Seth Modular Playground With Crawl Tunnel – 3.5 Inch Posts $11433 6 total events joined together by a fort connecting crawl tunnel. A variety of climbing and sliding activities on this model invite children to exercise their muscles. Dimensions: 20 x 15. Use Zone 32 x 27. 3.5 Inch Posts. |
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Portal Cookie Cutters $19.99 Ever find yourself baking in the kitchen on a sunny Sunday afternoon and wish you could honor your favorite first-person puzzler in scrumptious cookie form? Wish granted! These Portal Cookie Cutters come in a set of 8 cutters packaged within an awesome Companion Cube tin, and they’re all dishwasher safe and made of bent metal. Shapes included in the tin include Portal, Turret, Running Test Subject, Falling Test Subject, and Companion Cube. Based on Valve’s games, Portal and Portal 2, these cutters are an officially licensed Portal collectible. And if you don’t know how to bake cookies, learn! |
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Kidwise Commercial Grade Single Lane Tunnel Wet Slide – KE-WG-124 $2173.05 Kidwise Outdoor Recreation – Inflatable Slides Commercial Grade Single Lane Tunnel Wet Slide The Single Lane Wet Slide/no Pool is a great unit for your rental business, Church, or institution. Made of heavy duty commercial grade 18oz reinforced PVC Tarpulin material. Our KidWise Units are backed with a One Year Warranty against material defects and workmanship. Rated for 2 Users and a 400lb capacity Made of 18oz reinforced PVC Tarpulin material One Year Warranty against material defects and workmanship Commercial Grade Single Lane Tunnel Wet Slide by Kidwise is known as model number KE-WG-124 |
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Touring Tunnel Muffler Kit $349.59 Touring Tunnel Muffler Kit |
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Portal Turret Flashlight with Sound $6 Standing a sturdy 3 1/2-inches tall, the Portal Turret LED Flash Light with Sound makes for classy home decor. While it doesn’t include working dual machine guns, it will light up the dark places in your world with a bright LED, and explode with sound effects straight from the Portal and Portal 2 games by Valve. Just remember to treat your light with care … because it’s special. The Turret speaks phrases taken from the games, which include: “Are you still there?” “Preparing to dispense product.” “I don’t hate you.” “Target acquired.” “Goodbye.” Bring a bit of Aperture Science home with the Portal Turret LED Flash Light! |
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Portal Warning Sign Coasters $19.99 Watch out! Careful there! Set of 8 Portal Coasters features testing-chamber warning signs. Show your love of the Portal game while protecting your furniture. All things Aperture on your coffee table! Watch out! Careful there! Here’s one approach to making sure your guests are careful while they’re on your property. The Portal Warning Sign Coaster Set contains 8 unique coasters that you can use to warn houseguests of their impending doom. Based on the Portal video game, they’ll also protect your IKEA/Grandma/tax-return furniture from condensation disasters and look spiffy while doing it! Each coaster measures 3 3/4-inches long x 3 3/4-inches wide, and the set comes with a black storage container to stack them in. Show your love of Portals, Testing, Companion Cubes, Turrets, and all things Aperture with the Portal Warning Sign Coasters! Ages 13 and up. |
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Portal Wheatley Flashlight $6 While Wheatley from Portal might be a bit dim, the Portal Wheatley LED Flash Light certainly is not. This mighty mini is finely detailed, with movable handles. On top of the core is a button, and when you press it, Wheatley’s blue eye comes to life and lights your way! Just like the real Wheatley, this flashlight will come in handy as you try escape a darkened testing facility. Of course, you’ll want to be sure to have him firmly in hand should you pass by the Central AI Chamber. We really don’t need him taking over the Enrichment Center again, do we? Includes 3x “AG13 (LR44)” batteries. |
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Kidwise Commercial Grade Dual Lane Tunnel Slide and Splash with Pool – KE-WG-122 $3245 Kidwise Outdoor Recreation – Inflatable Slides Commercial Grade Dual Lane Tunnel Slide and Splash with Pool The Dual Lane Slide and Splash w/Pool is a great unit for your rental business, Church, or institution. Made of heavy duty commercial grade 18oz reinforced PVC Tarpulin material. Our KidWise Units are backed with a One Year Warranty against material defects and workmanship. Rated for 2-4 Users and a 500lb capacity Made of 18oz reinforced PVC Tarpulin material One Year Warranty against material defects and workmanship Commercial Grade Dual Lane Tunnel Slide and Splash with Pool by Kidwise is known as model number KE-WG-122 |
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The North Face Men’s Short Sleeve Tunnel To Tunnel Tee $24.95 The North Face Men’s Short Sleeve Tunnel To Tunnel Tee |
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This Train! $1.85 “By Russell L. Robinson. For 3-part mixed choir and piano. Concert, Multicultural, Spiritual. Octavo. Published by Heritage Music Press” |
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Beastie Boys Train Sticker $4.99 TRAIN – STICKER |
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Portal Weighted Companion Cube Plush $20.99 Don’t leave your companion behind! Weighted Companion Cube Plush from Valve’s hit video game Portal. Your friend in the game is now your friend in real life! Your friend in the Portal game is now your friend in real life. The Companion Cube is your friend and tool to help clear the puzzles, and it should never be left behind! This Weighted Companion Cube Plush measures 6-inches tall x 6-inches wide x 6-inches long. Take it home with you! Ages 14 and up. Portal is a smash-hit, Game of the Year award-winning, physics-based puzzle game in which you must navigate your way through a series of three-dimensional puzzles to escape an abandoned research facility, all while a deranged Artificial Intelligence attempts to kill you. No pressure… no pressure at all! |
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Portal 2 PotatOs Science Kit $24.99 Some of your fondest memories from Portal 2 were of carrying PotatOS around the testing facility. You felt so close to her; it was almost like you two were friends. If you missed the children’s Science Fair at Aperture Labs, no worries! The Portal 2 PotatOS Science Kit packages nearly everything you need. The science kit even includes a miniature science fair poster with brand new content from Valve’s writing team! Sure, you might have to track down your own potato, but it should be easy enough to come by. Press a button on the PotatOS unit and you’ll hear 1 of 17 audio clips meant to crush your fragile ego. The yellow light blinks when PotatOS speaks. Yes, this thing really works! The Portal 2 PotatOS Science Kit includes 1 main PotatOS unit, 2 tall wire guides, 2 round head pins, 3 rubber bands, 6 U-shaped staples, instructions, and a miniature science fair poster. Get yourself this officially licensed Portal product today! |
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Munsters House Model Kit $39.99 Welcome to 1313 Mockingbird Lane, home to your favorite family of monsters – The Munsters! The Munsters House is (1:87 scale) to match other plastic buildings and train layouts. Approximately 6-inches tall upon completion. Please note that this is a skill level 3 model kit that requires paint and glue needed for final assembly. Experienced modelers only! |
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Total Security Kit-100 Vpn Tunnel $868.99 TOTAL SECURITY KIT 100 VPN TUNNEL |
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Super Pet Play Tunnel $10.99 Super Pet Play Tunnel Play Tunnel is the perfect playtime accessory for guinea pigs and ferrets. The tunnel provides critters with a comfortable spot to snuggle and nap after fun and play. Play Tunnel comes with four strong clips so you can safely attach inside any wire pet home. Play Tunnel is made from a soft cotton fabric that is machine washable ensuring your pet will always have a clean place to snooze. Available in a variety of assorted colors. 15.5″ long, 7″ wide. |
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Dyna-Flex Power Ball Lighted Model, Amber $31.68 Features of the Dyna-Flex Power Ball Lighted Model: Aids in the prevention of repetitive strain injuries and carpal tunnel syndrome. Get the edge in golf, tennis, bowling or any sport that requires control and a strong grip. This ultimate executive relaxer is challenging and fun. Improves coordination and builds strength. |
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Alpinestars Portal Messenger Bag Black $79.95 Alpinestars Portal Messenger Bag Black For day to day use or for lightweight travel the portal messenger bag will accommodate light loads for leisure or business. secure padded laptop sleeve and compartmentalized interior keeps your tools safe and organized. Features: * Durable ballistic nlylon * Tough 600d polyester contrast * Internal laptop pocket * Internal organizer * Airmesh padded shoulder strap * Contoured rubber zipper pulls * Two external pockets sized for manila folders * Internal accessories organizer * Under flap pocket internal organizer * Haul handle w removable key fob * Black reflective feature on flap * Rubberized reflective branding * Alpinestars red logo lining * 22 litre capacity * 30 x 46 x 18cm |
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Portal Companion Cube Cookie Jar $29.99 What could possibly make you love your Companion Cube more? How about filling it with cookies with the Portal Companion Cube Cookie Jar?! After a long day of testing, nothing tastes better than fresh baked cookies. But how can you eat all alone? Well now there’s no reason to feel lonely. We’ve got your cookies and your companion right here! The Companion Cube Cookie Jar is an upgrade to the most incredible companion ever. Within this spacious cube you will find room for all of your favorite baked delicacies. The Companion Cube Cookie Jar also serves as an amazing candy bowl sure to bring your friends and fellow test subjects around to your desk day in and out. The Companion Cube Cookie Jar is an officially licensed Portal 2 collectible, and the fine craftsmanship of this ceramic cookie jar will surprise and delight every seasoned test subject. |
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Light Lifting $11.19 Two long-distance runners race a cargo train through the darkness of a rat-infested tunnel beneath the Detroit River…. |
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Portal Test Candidate Full-Zip Hooded Sweatshirt $59.99 Are you a fan of Portal? Full-Zip Hooded Portal Sweatshirt from the popular Portal video game. The zipper pull is a silver-colored 2D Companion Cube! Are you a fan of Portal? If so, you’re going to want one of these! This light-grey, full-zip, hooded sweatshirt is 100% cotton. It has two front pockets, ribbed cuffs and bottom, and the zipper pull is a silver-colored 2D Companion Cube! The manufacturer recommends that you turn the hooded sweatshirt inside out before washing in cold water. Tumble dry low. Be forewarned: this will shrink if you wash it in warm water or dry it on hot. If you anticipate accidentally doing that (or if you plan on eating a lot of cake!), you may want to order a size up. |
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10′ Open Tunnel $100.99 The 10’ Open Tunnel play set offers an agility tunnel that will entertain your pet while training. This tunnel is made with an extremely durable Ripstop fabric. Use it to construct an obstacle course for your pet to run through, and include a curve for added challenge. The 10’ Open Tunnel is lightweight and easy to assemble. A carrying case is included for portability or storage purposes. Make training fun with a tunnel obstacle course! Easy to assemble Lightweight and portable Made with durable Ripstop fabric Carrying case Assembly and training guide Training Level: Beginner |
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Vox Night Train 50 Nt50h 50W Tube Guitar Amp Head $699 The powerful, all-tube Night Train 50 guitar amp head offers two channels for traditional and high-gain sounds.The VOX Night Train Series projects a powerful personality with its mirror-finish metallic exterior and serious all-tube sound. Now welcome the new 50-watt model, the Night Train 50 head. Unlike the existing Night Train (15W) modelor even the AC15 and AC30 Custom Seriesthe Night Train 50 features EL34 tubes in the power stage, producing a tight, robust sound. Of course, the Night Train 50 also covers the traditional VOX sound, and its rich array of sonic variation makes it such a great and versatile choice for so many guitarists.Stadium-class sound; all tube designThe Night Train 50 features an all-tube, Class AB amplifier design delivering 50 Watts of power. The preamp stage is equipped with four 12AX7 vacuum tubes; with two EL34 pentode power tubes. This unique tube complement allows the Night Train 50 to capture the traditional VOX chime sound, as well as creating a powerful high-gain sound that will revolutionize your ideas about VOX amps.Two-channel design offers sonic varietyThe Night Train 50 features a two-channel design. The BRIGHT channel provides the inimitable VOX chime sound; the high-gain GIRTH channel utilizes an extra pre-amp tube for more crunch. The Night Train 50 will more than satisfy the guitarist seeking a versatile amplifier, and can meet the demands of a broad range of musical styles and playing techniques. Each channel offers Bass, Middle, Treble, and Gain controls for sculpting your sound. The BRIGHT channel provides a THICK mode that bypasses the EQ to boost the gain and make the sound even thicker. The Master section includes the traditional Master Volume and the VOX Tone Cut control, plus a new TIGHT switch. The TIGHT mode applies to both channels; it attenuates the low-frequency range to tighten the low end, providing even more sonic possibilities.Optional footswitch delivers performance controlAn optional VOX VFS2A footswitch is also available. With it, you can switch between the GIRTH channel and the BRIGHT channel as you play. This switch can also be used to turn the BRIGHT channel’s THICK mode on and off in performance, vastly increasing the versatility of this single amp in performance by giving you three distinct voices. The Night Train 50 provides a convenient FX loop for adding your favorite effects. The FX loop (-10 dB) is true bypass to keep your tone intact.All-tube, two channel head featuring Class AB amplifier constructionStylish design with eye-catching mirror finish4 – 12AX7 preamp tubes2 EL34 power stage tubesBRIGHT channel provides the traditional VOX chime, plus a THICK switch which bypasses the EQ for more gainGIRTH channel delivers an energetic, powerful, high-gain toneMaster TIGHT switch cuts the low end to tighten the overall soundFX loop with tone-saving true bypassOptional VFS2A footswitch lets you switch between channels or turn the BRIGHT channel’s THICK mode on and off |
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Melissa And Doug Stacking Train $16.99 Melissa And Doug Stacking Train |
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Airflow Bumble Bee Train $339 Airflow Bumble Bee Train |
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Airflow Lil Red Train $339 Airflow Lil Red Train |
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Train Invitation – Box of 10 $27.49 Train Invitation – Box of 10 |
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Butterfly Tent And Tunnel Combo $68.99 This vibrant colored inchButterfly inch tent is so durable it can be used indoors or outdoors. Combination comes complete with its own 4 tunnel with a dual zippered front tunnel closure. Two extra large mesh panels for maximum ventilation as well as a dual zippered front entrance. |
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Bazoongi Kids RP-MCT, Tunnel replacement poles $22.49 Replacement G3 poles for the Multi-Color Tunnel (11121). |
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Hohner MP-371 Train Whistle $6.99 Hohner MP-371 Train Whistle |
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Ludwig LE-545 Train Whistle $78.99 Ludwig LE-545 Train Whistle |
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Ludwig Le-545 Train Whistle $78.99 Ludwig LE-545 Train Whistle |
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Hohner Mp-371 Train Whistle $6.99 Hohner MP-371 Train Whistle |
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Educo ED-4001 Tunnel Mountain $84.96 Children will just love the Educo Tunnel Mounted ED4001 bead and wire play center This beaded mountain of graceful blue and yellow arches green zig-zags and curling loops tower over a giant red tunnel An excellent play center for 2-6 children to play t |
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3′ Closed Tunnel $100.99 The 3’ Closed Tunnel is a training and exercise play set. The tunnel is made of a durable Ripstop fabric, and comes with a detachable chute. With the chute separated, the end will not be visible and your dog will have to learn to run through without clear visibility, creating a challenging obstacle course. The tunnel set is lightweight and easy to assemble. With this tunnel training set, your dog will have hours of fun! Easy to assemble Lightweight and portable Detachable chute Made with durable Ripstop fabric Carrying case Assembly instructions and training guide included Training level: Beginner |