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Scientific Exhibits   |    
Clicking and Squeaking: In Vivo Correlation of Sound and Separation for Different Bearing Surfaces
Diana Glaser, Dipl-Ing, PhD1; Richard D. Komistek, PhD1; Harold E. Cates, MD2; Mohamed R. Mahfouz, PhD1
1 Center for Musculoskeletal Research, Department of Mechanical, Aerospace, and Biomedical Engineering, University of Tennessee, 301 Perkins Hall, Knoxville, TN 37996. E-mail address for D. Glaser: DGlaser@utk.edu
2 Tennessee Orthopaedics Clinic, 9430 Park West Boulevard Suite 130, Knoxville, TN 37923
The Journal of Bone & Joint Surgery.  2008; 90:112-120  doi:10.2106/JBJS.H.00627
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Extract

Fluoroscopy has proven to be an accurate method to determine in vivo motions1 and has enabled the extraction of accurate three-dimensional hip-joint kinematics unaffected by erroneous skin movements1,2. Previously, fluoroscopy was used to determine that the femoral head of a total hip prosthesis slides within the acetabular cup, leading to separation of certain aspects of the articular geometry3-5. This finding has often been referred to as hip separation, where there is a loss of contact area, leaving only edge contact. Although separation has been well documented, it has not been correlated to clinical complications nor has a more in-depth understanding of the cause and effect been developed.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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