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001, medians ranged 1.70 to 0.09), Pt (p=0.021, 0.55 to 0.0 and Au (p less then 0.001, 1.01 to 0.0; and increased for Ti (p=0.018, 2.49 to 5.84). Total Ti release was greater than other ions combined for G (p=0.012, 9.86 vs 2.3 and N (p less then 0.001, 13.59 vs 5.7, but not P (p=0.141, 8.21 vs 3.53). Total Ti release did not differ between groups (p=0.36), but was less variable across Group P. On average, total ion release was 13.77 (8.91 to 26.03 IQR) ppb across the 12-month simulation. Tribocorrosion of titanium implants coupl