Squeaking After Third-Generation Ceramic-on-Ceramic Total Hip Arthroplasty
Section snippets
Materials and Methods
The study was approved by the institutional review board of our hospital. Between 1999 and 2007, a total of 1002 consecutive third-generation CoC THAs were performed at our center by a single surgeon (TRY). There were 682 male patients and 320 female patients. We retrospectively reviewed charts and records of all patients and identified 15 patients who complained of squeaking at any time after their arthroplasty. Of these 15 patients, 14 were available for clinical and radiologic examination,
Results
The incidence of squeaking was found to be 1.5% (15/1002) in our group of patients. Two patients had intermittent squeaking, whereas the other 12 experienced continuous squeaking (Table 1). Hips started to squeak after a mean period of 6 months after the surgery (range, 1-11 months).
The only patient-related demographic factor that was found to be associated with squeaking was a high BMI. Mean BMI in the patient group was 25.8 kg/m2 (range, 19.6-32.3 kg/m2) (Table 2). This was significantly
Discussion
The incidence of squeaking in our group of patients was low (1.5%) and comparable with those of Walter et al [8] who reported an incidence of 0.5% (13/2397). Similarly, Restrepo et al [7] reported a low incidence of 2.7% (28/999). They believed that because they did not solicit their patients to report this finding or problem, some patients with minor squeak may have gone unreported. However, Keurentjes et al [6] reported an incidence of 21% (9/43). They used an ABG II femoral stem (Stryker,
Acknowledgment
The authors thank Hyun Yang Kim for assisting with the statistical analysis of the data and Azlina Amir Abbas for assisting in preparing the manuscript.
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Cited by (22)
Сomparative analysis of large diameter bearing ceramic monoblock acetabular components
2022, Journal of OrthopaedicsCitation Excerpt :One of the unpleasant concomitant effects after arthroplasty using CoC pairs is possible acoustic phenomena in the area that arthroplasty was performed. It has been noted that these acoustic phenomena are more often observed in younger, taller, and heavier patients, as well as in more active patients.5,6,18,46 It is believed that creaking in an audible frequency range occurs due to forced vibration due to the action of the friction force and resonant frequencies of the implant components.
Articular Noise After THA Using Delta CoC Bearings Has Little Impact on Quality of Life
2021, Journal of ArthroplastyCitation Excerpt :Although several authors also found squeaking or noise to be associated with younger age [14,26,40], its association with BMI remains unclear. Conversely to our findings, several authors found that higher BMI was associated with greater occurrence of noise [16,22,42,43], whereas others found no significant relationship [15,17,27,44]. The authors believe that patients with low BMI, as well as younger patients, tend to have greater physical activity, which could exacerbate noise occurrence.
Ceramic Matrix Composites in Total Hip Arthroplasty
2021, Encyclopedia of Materials: CompositesIncrease in Benign Squeaking Rate at Five-Year Follow-Up: Results of a Large Diameter Ceramic-on-Ceramic Bearing in Total Hip Arthroplasty
2018, Journal of ArthroplastyCitation Excerpt :In contrast to our current study, he found a significant decreased cup anteversion and inclination in squeaking hips compared to silent hips. That reflects the findings in literature concluding that cup malpositioning is a cause of squeaking [5,21–24]. Our results show a substantial increase in the squeaking incidence from 7.3% to 17.4% with the DM articulation at the 5-year follow-up.
Noise production in ceramic-on-ceramic total hip arthroplasty is associated with lower patient satisfaction and hip scores
2016, Journal of OrthopaedicsCitation Excerpt :We found that patients who experience noise have lower satisfaction levels, with a negative correlation between increased noise frequency and worsening satisfaction. This contradicts previous evidence presented by Chevillotte,12 Schroder2 and Haq.15 We also observed lower Oxford Hip, WOMAC and SF-12 scores.
A review of squeaking in ceramic total hip prostheses
2015, Tribology InternationalCitation Excerpt :In-vitro, squeaking was also reported by Charnley [27] during the friction analysis of this bearing couple. In fact, hip squeaking has been reported with a wide prevalence rate of 1–24.6% [14,17,18,28–42]. However, it has been reported that no evidence of squeaking observed in their cohort of patients and only eight of patients (6.4%) underwent grinding and clicking noises [37].
The Conflict of Interest statement associated with this article can be found at doi:10.1016/j.arth.2011.10.001.