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Letters to the Editor   |    
Total Knee Arthroplasty for Patellofemoral Arthritis
Alan C. Merchant, MD1
1 2500 Hospital Drive, Building 7Mountain View, CA 94040kneemd@aol.com
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The author did not receive grants or outside funding in support of his research or preparation of this work. He did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the author is affiliated or associated.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2003 Nov 01;85(11):2253-2255
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To The Editor:After reading "Total Knee Arthroplasty for Patellofemoral Arthritis" (2002;84:1977-81), by Mont et al., I was reminded of the aphorism attributed to Mr. D.L. Evans many years ago: "That a major operation may be successful is not itself an indication to perform it."1 The authors reported excellent results (the mean Knee Society score was 93 points, with an average follow-up of eighty-one months) in an older population of patients (fifty-nine to eighty-eight years old), but the question remains: Are less destructive and risky operations than total knee arthroplasty available to treat isolated patellofemoral arthritis in this age-group?
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