Clicking and Squeaking: In Vivo Correlation of Sound and Separation for Different Bearing Surfaces

Glaser, Diana; Komistek, Richard D.; Cates, Harold E.; Mahfouz, Mohamed R.

doi:10.2106/jbjs.h.00627

Cited by 74 publications

(50 citation statements)

References 18 publications

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“…Alternatively, there are studies that did not report any squeaky hips even after 10 years of follow-up (Table 4). Other explanations for COC squeaking include localized "striped" wear, changes of fluid film lubrication conditions and femoral head microseparation [41][42] . As a ceramic head passes over the wear stripe, it could generate a vibration and the metallic parts (femoral stem and acetabular shell) amplify this vibration by resonating, resulting in an audible sound.…”

Section: Squeakingmentioning

confidence: 99%

Advantages and disadvantages of ceramic on ceramic total hip arthroplasty: A review

Gallo¹,

Goodman²,

Lošťák³

et al. 2012

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Background. Ceramic on ceramic (COC) total hip arthroplasty (THA) was developed to reduce wear debris and accordingly, the occurrence of osteolysis and aseptic loosening especially in younger patients. Based on the excellent tribological behavior of current COC bearings and the relatively low biological activity of ceramic particles, significant improvement in survivorship of these implants is expected. Methods. We used manual search to identify all relevant studies reporting clinical data on COC THAs in PubMed. The objective was to determine whether current COC THA offers a better clinical outcome and survivorship than non-COC THA. Results. Studies with early generation ceramic bearings yielded 68% to 84% mean survivorship at 20 years follow-up which is comparable with the survivorship of non-COC THAs. Studies on current ceramic bearings report a 10-year revision-free interval of 92% to 99%. These outcomes are comparable to the survivorship of the best non-COC THAs. However, there are still concerns regarding fracture of sandwich ceramic liners, squeaking, and impingement of the femoral neck on the rim of the ceramic liner leading to chipping, especially in younger and physically active patients. Conclusion. Current COC THA leads to equivalent but not improved survivorship at 10 years follow-up in comparison to the best non-COC THA. Based on this review, we recommend that surgeons weigh the potential advantages and disadvantages of current COC THA in comparison to other bearing surfaces when considering young very active patients who are candidates for THA.

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Section: Squeakingmentioning

confidence: 99%

Advantages and disadvantages of ceramic on ceramic total hip arthroplasty: A review

Gallo¹,

Goodman²,

Lošťák³

et al. 2012

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…Glaser et al studied the correlation between hip separation and sound production in different bearing surfaces. (Glaser 2008) In their study, among all analyzed subjects, the patients with a metal-on-polyethylene articulating surface experienced the highest magnitude of separation. The ceramic-on-polyethylene group had, on average, relatively low separation values, and these subjects demonstrated much less jerky motion.…”

Section: Clicking and Squeakingmentioning

confidence: 94%

“…(Rodriguez 2008) In all patients with separation, a knocking sound was observed when the femoral head contacted the acetabulum. (Glaser 2008) Mismatched ceramic couples, acetabular component malposition and impingement have been proposed as factors in the development of squeaking. However, not all mismatched and malpositioned components lead to squeaking.…”

Section: Clicking and Squeakingmentioning

confidence: 99%

The Bearing Surfaces in Total Hip Arthroplasty – Options, Material Characteristics and Selection

Hosseinzadeh¹,

Eajazi²,

Shahi³

2012

Recent Advances in Arthroplasty

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“…One study has, however, shown a clear correlation between separation of the bearings and squeaking [43]. Soft tissue impingement or sliding such as a snapping iliotibial band can also generate noise other than squeaks.…”

Section: Other Noisesmentioning

confidence: 99%

Squeaking: Current knowledge and how to avoid it

Imbuldeniya

Pearce

Walter

et al. 2013

Curr Rev Musculoskelet Med

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This review aims to update the reader with current thinking and research related to the well documented phenomenon of squeaking hip arthroplasties. The etiology of squeaking is multifactorial and still not well understood. We aim to share our own experience and views on the combination of factors we believe increases the likelihood of squeaking, along with mechanisms by which the sound may be generated. Recent published findings from other groups are summarized along with an appropriate management algorithm we recommend for this cohort of patients.

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Clicking and Squeaking: In Vivo Correlation of Sound and Separation for Different Bearing Surfaces

Cited by 74 publications

References 18 publications

Advantages and disadvantages of ceramic on ceramic total hip arthroplasty: A review

Advantages and disadvantages of ceramic on ceramic total hip arthroplasty: A review

The Bearing Surfaces in Total Hip Arthroplasty – Options, Material Characteristics and Selection

Squeaking: Current knowledge and how to avoid it

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