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Dr. El-Yussif uses a flouroscopic X-ray machine called a "C-arm" during his posterior hip replacements.  The use of this machine helps him verify the implant positioning, implant size, as well help determine offset and leg lengths.  Essentialy, the use of this technology theoreticaly helps with the outcome of the hip replacement.  The use of the flouroscopic X-ray machine is not commonly used with posterior approach hip replacments.