Influence of Prosthetic Design on Squeaking after Ceramic-on-Ceramic Total Hip Arthroplasty

Swanson, Todd V.; Peterson, David J.; Seethala, Raghavendran; Bliss, Ryan; Spellmon, Calvin A.

doi:10.1016/j.arth.2010.01.040

Cited by 13 publications

(19 citation statements)

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“…13,14 However, squeaking has been considered a relevant complication after ceramic-on-ceramic THAs since 2007. 7,15 Factors reported to be related to squeaking include patient, 15 surgical, 6 postoperative ROM, 16,17 and implant factors, 18,19 and those inherent to the bearing surface itself, such as microseparation, 8 lubrication disruption, 20 metal transfer, and a third-body mechanism. 21 The exact etiology of squeaking remains unclear and may be multifactorial.…”

Section: Discussionmentioning

confidence: 99%

“…This design may lead to earlier femoral neck impingement and joint subluxation, which may cause metal transfer to the ceramic head. 19 However, the Lineage Acetabular Cup system (Wright Medical Technology, Inc), which has a ceramic insert seated flush to the titanium shell, was used in the current study. Swanson et al 19 reported a 0% (0/29 patients) incidence of squeaking using the Lineage Acetabular Cup.…”

Section: Discussionmentioning

confidence: 99%

“…19 However, the Lineage Acetabular Cup system (Wright Medical Technology, Inc), which has a ceramic insert seated flush to the titanium shell, was used in the current study. Swanson et al 19 reported a 0% (0/29 patients) incidence of squeaking using the Lineage Acetabular Cup. Another study reported a 6% incidence of squeaking using a cup with an elevated titanium rim design.…”

Section: Discussionmentioning

confidence: 99%

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Ceramic-on-ceramic Total Hip Arthroplasty: Incidence and Risk Factors of Bearing Surface–related Noises in 125 Patients

Kuo¹,

Liu²,

Chen³

et al. 2012

Orthopedics

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The ceramic-on-ceramic bearing surface has high wear resistance and good biocompatibility in total hip arthroplasty (THA). However, the postoperative noise problem has been an important issue. The purpose of this retrospective study was to determine the incidence and risk factors of bearing surface-related noises in patients with third-generation ceramic-on-ceramic THAs. One hundred twenty-five patients (143 hips) with ceramic-on-ceramic THAs were included in the study and followed to obtain noise and functional results. Patient factors, including sex, age, height, weight, body mass index, diagnosis, and postoperative range of motion, and surgical factors, including cup inclination, ceramic head size and length, and size of cup related to noises, were recorded. Mean follow-up was 4.2 years (range, 2-10 years). Mean Harris Hip Score was 94 points (range, 68-100 points) at latest follow-up. One (0.8%) patient had radiological evidence of osteolysis, and 4 (3.2%) patients had hip dislocation. No hip sustained a fracture of the ceramic component. Eight (6.4%) patients developed noise at their hips, including clicking in 4, grinding in 2, and snapping in 2. No patient developed squeaking hips or underwent revision surgery because of noisy hips. Younger patients (P=.01), a diagnosis of osteonecrosis (P=.014), a 28-mm ceramic head (P=.042), and a higher hip range of motion postoperatively (P=.001) were related to noise in ceramic-on-ceramic THAs. The study showed third-generation ceramic-on-ceramic THAs had a low incidence of noise problems. However, long-term follow-up is necessary to determine the clinical relevance.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ceramic-on-ceramic Total Hip Arthroplasty: Incidence and Risk Factors of Bearing Surface–related Noises in 125 Patients

Kuo¹,

Liu²,

Chen³

et al. 2012

Orthopedics

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“…Trident acetabular cups paired with Stryker Accolade femoral stems showed a dramatically higher incidence of squeaking. They concluded that prosthetic design plays a key role in squeaking occurrence [35]. Another significant cause of squeaking is cup design that results in premature femoral neck-acetabular component rim impingement such as the presence of modular ceramic liner designs that are placed within a titanium encasement with extended rims [29,34].…”

Section: Swanson Et Al Reviewed 233 Patients Comparing 4 Implant Commentioning

confidence: 99%

Clinical and Radiological Outcome of the Newest Generation of Ceramic-on-Ceramic Hip Arthroplasty in Young Patients

Reuven

Manoudis

Aoude

et al. 2014

Advances in Orthopedic Surgery

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Ceramic-on-ceramic articulations have become an attractive option for total hip arthroplasty in young patients. In this study, we retrospectively evaluated the short- to midterm clinical and radiographic results in 51 consecutive patients (61 hips) using the newest generation of ceramic implants. Results obtained in our study showed positive clinical and radiological outcomes. Both HHS and UCLA activity scores doubled after surgery and tended to increase over time. There was one infection requiring a two-stage revision and a case of squeaking that began 2 years postoperatively after a mechanical fall. The overall survival rate of the implants was 98.4% at six years with revision for any reason as the end point. Based on these results, fourth generation ceramics offer a viable option for young and active patients.

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“…Обращает на себя внимание ряд исследований по изучению оптимальных конструкций имплантатов и методик ЭТС для пациентов с ревматическими поражениями тазобедренного сустава [50][51][52]. В качестве информации и с целью повышения осведомленности населения о результатах ЭТС используют положительные данные динамики качества жизни до и после оперативного лечения [53].…”

unclassified

Topical problems of endoprosthetic replacement of the hip joint in rheumatic diseases (according to the data of the foreign literature 2006-2011)

Макаров¹,

Павлов²

2012

rsp

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Influence of Prosthetic Design on Squeaking after Ceramic-on-Ceramic Total Hip Arthroplasty

Cited by 13 publications

References 0 publications

Ceramic-on-ceramic Total Hip Arthroplasty: Incidence and Risk Factors of Bearing Surface–related Noises in 125 Patients

Ceramic-on-ceramic Total Hip Arthroplasty: Incidence and Risk Factors of Bearing Surface–related Noises in 125 Patients

Clinical and Radiological Outcome of the Newest Generation of Ceramic-on-Ceramic Hip Arthroplasty in Young Patients

Topical problems of endoprosthetic replacement of the hip joint in rheumatic diseases (according to the data of the foreign literature 2006-2011)

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