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South African Orthopaedic Journal (SAOJ) Copyright held by SAOA. Copyright of the articles is held by the authors. The work is licensed under a Creative Commons Attribution-Non-Commercial Works 4.0 South Africa License (CC BY NC). Material submitted for publication in the SAOJ is accepted provided it has not been published elsewhere. SAOJ does not hold itself responsible for statements made by the authors. The opinions expressed in this publication are those of the authors. They do not purport to reflect the opinions or views of the SAOA or its members.