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Total knee arthroplasty in a patient with skeletal fluorosis

Although fluorinated water has benefited the population, discrepancies exist concerning the allowable concentration. Currently, the Environmental Protection Agency lists the maximum contaminant level goal at 4 mg/L and the secondary maximum contaminant level at 2 mg/L of fluoride in drinking water. It was found that even 2mg/L of fluoride in drinking water could be associated with stage 2 and 3 skeletal fluorosis. Therefore, joint stiffness and arthritis may be experienced. Reversing skeletal fl