The Pennsylvania Supreme Court has denied a company’s efforts to further reduce a $27 million verdict that had been awarded to a woman who needed four knee surgeries after taping a promotional video showing the success of her initial knee replacement.

The justices on Tuesday declined to take up the appeal in Polett v. Public Communications. The decision keeps in place lower court rulings that previously reduced the verdict to $21.5 million, which included $20.6 for Margo Polett and $900,000 for Daniel Polett.

Kline & Specter attorney Shanin Specter, who is representing the plaintiff, Margo Polett, said in an emailed statement that, with interest, the judgment now stands at just under $23 million.

“The Poletts are glad that this 10-year legal odyssey is over, unless, of course, Zimmer appeals to the U.S. Supreme Court and then the International Court of Justice in The Hague,” Specter said.