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Tried to ask this in another thread but it got lost in a bunch of useless posts. So my question to the attendings is, are you still doing triples on all of your end stage/severe PTTD patients who would be candidates for the procedure? And why? We've heard the case for abandoning the triple and performing a medial double (STJ and TNJ) from a couple of different lecturers, just curious as to why someone might disagree.