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. 2019 Jan 24;10:2151459318821461. doi: 10.1177/2151459318821461

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© The Author(s) 2019

This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

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Figure 3. — Pre- and postoperative radiographs of a 73-year-old female who presented with a rigid flatfoot deformity and painful degenerative arthritis of the talonavicular joint (stage 3 PTTI). Intraoperatively, a tear of the posterior tibialis tendon was noted. Left foot Achilles tendon lengthening, talonavicular joint arthrodesis, and medializing calcaneal osteotomy were performed, with improvement in the patient’s deformity and clinical status. PTTI indicates posterior tibialis tendon insufficiency.