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Review Question - QID 220821

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QID 220821 (Type "220821" in App Search)
A 45-year-old male presents to your clinic 10 years after a left knee dislocation following a skiing accident. He was managed with multiple reconstructive surgeries to his knee, but ever since the accident, he has had difficulty walking. He feels that his foot slaps every time he takes a step, and he needs to wear a brace to ambulate effectively. He has been researching tendon transfers and asks if he would be a candidate. Which of the following is a contraindication to tendon transfers if present in this patient?