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SA combined with a tourniquet resulted in the best improvement in OKS and the highest proportion of satisfactory outcomes with TKA. Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence. Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence. A 37-year-old man presented with pain and macrodactyly of a toe. Imaging and histology demonstrated findings consistent with macrodystrophia lipomatosa (MDL). We compared our findings with control tissue obtained