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Early in its development, the subject matter of any field of
surgery is too ill-defined and opinions are too fluid for the
production of a book on the subject to be possible. Late in its
development, controversy is at an end, and although it is still
possible to produce a textbook, it is too late to produce a book
that might stimulate discussion and crystallise ideas. This book
has that objective, it being the Editor's view that the field of
the surgical treatment of arthritis of the knee had reached an
appropriate intermediate stage in 1978 when this text was written.
Three broad issues stand out as being in need of resolution before
the optimum form of surgical treatment for a given knee can be
defined more convincingly than is possible at present: Firstly:
What symptomatic and physical features of the knee are to be
recorded pre- and post-operatively, upon the basis of which
comparisons can be made between the results obtained by two
different surgeons or with two different tech niques. The
resolution of this issue requires general agreement not only upon
what features of the knee should be recorded but, crucially, upon
how these features should subsequently be presented so as to
characterise a particular group of knees.
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