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Review Question - QID 211427

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QID 211427 (Type "211427" in App Search)
Figure A is the radiograph of a 32 year-old male presenting for evaluation of ongoing left knee pain. He sustained an ACL rupture 4 years ago while playing soccer. He refused surgical intervention at that time. He has trialed conservative management including multiple courses of physical therapy and an ACL brace. He underwent a partial medial meniscetomy 2 years ago by another surgeon, but he now notes increased subjective instability. On examination, he has a BMI of 30, grade 3 Lachman, active and passive knee motion of 20-130 degrees, and no varus thrust during ambulation. Which of the following is a contraindication to performing a proximal tibial valgus osteotomy with ACL reconstruction in this patient?
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