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M. Friedman, Terri A. Zachos, Daniela Sanchez, Akhil Tawari, Harish Kempegowda, Scott Ryan, Anna Michalowski are declare that they have no competing interests. Daniel S. Horwitz has a conflict outside of this submitted work: Design consultant and royalties from Zimmer Biomet, consulting fees from Depuy Synthes.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This project is IRB approved at both Geisinger and Tufts Medical Center.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"This project qualified for a waiver of consent.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"All authors have reviewed the manuscript and give consent for it to be published.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}]}}