Carpinello, J.
In August 1990, petitioner twisted his left knee while descending a staircase during the performance of his duties as a firefighter. Petitioner, who suffered from a history of knee injuries and progressive degenerative knee conditions, subsequently received arthroscopic and reconstructive surgery on his left knee in order to repair torn cartilage and a preexisting ligament injury. He returned to work in the spring of 1991 and
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