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

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

doi:10.1016/j.arth.2010.04.032

Cited by 73 publications

(68 citation statements)

References 28 publications

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“…However, a higher incidence of subsidence has been reported particularly in male patients [20], as well as an association with the problem of squeaking with ceramicon-ceramic bearings [41]. More importantly, it was the impression of one of us that some of the stems were subsiding early on, with some patients requiring revision surgery for aseptic loosening with no grossly identifiable surgical deficiencies.…”

Section: Introductionmentioning

confidence: 99%

High Incidence of Migration with Poor Initial Fixation of the Accolade® Stem

White

Carsen

Rasuli

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Numerous cementless femoral stem design variations are in clinical use. Because initial implant instability and micromotion are associated with aseptic loosening of the femoral component, migration analysis provides an early assessment of implant survivorship. Questions/purposes We determined the (1) migration pattern of the Accolade 1 cementless femoral stem; (2) clinical factors predisposing to stem migration; (3) selfreported patient outcomes; and (4) our current rate of aseptic stem loosening. Methods We retrospectively analyzed 81 femoral stems for aseptic migration using Ein-Bild-Roentgen-Analysefemoral component analysis. Postoperatively, patients completed the WOMAC and SF-12 questionnaires. We assessed radiographic factors potentially associated with subsidence: indices of bone shape and quality, canal fill of the implant, and radiographic signs of loosening. Minimum followup was 24 months (mean, 29 months; range, 24-48 months). Results The average subsidence at 24 months was 1.3 mm (range, 0-1.5 mm). In the first 2 years, 36% of stems subsided more than 1.5 mm. Large stem size was associated with subsidence. Radiolucent lines ([ 1.5 mm in three zones) were present in 10% of stems and associated with lower questionnaire scores. The 5-year survivorship for aseptic loosening of the 367 stems was 97% with revision as end point and 95% for radiographic failure.

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Section: Introductionmentioning

confidence: 99%

High Incidence of Migration with Poor Initial Fixation of the Accolade® Stem

White

Carsen

Rasuli

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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“…It is an audible sound that emanates from the hip with movement [29]. It has been reported to have an incidence rate of 2.4%, 36% and 4.2% in different studies when Acolade femoral stems are excluded (a stem showing higher incidence of squeaking related to design) [29][30][31].…”

Section: Discussionmentioning

confidence: 98%

Midterm Outcomes of the Recently FDA Approved Ceramic on Ceramic Bearing in Total Hip Arthroplasty Patients Under 65Years of Age

Aoude¹,

Antoniou²,

Epure³

et al. 2015

The Journal of Arthroplasty

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“…However, published investigations began to report the phenomenon of noise associated with hard-on-hard bearings [1,2,8,14,24]. The cause of noise generation in hardon-hard bearings is an area of much debate, because some studies have pointed toward component design [30,31], others have reported decreased acetabular inclination and anteversion to be risk factors in CoC implants [24], whereas increased acetabular inclination has been noted as a risk factor in MoM implants [4]. Additional potential causes include loss of bearing surface lubrication [7,32] and femoral component neck geometry [23].…”

Section: Discussionmentioning

confidence: 99%

Hard-on-Hard Bearings Are Associated With Increased Noise Generation in Young Patients Undergoing Hip Arthroplasty

Nam

Barrack

Johnson

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Patient-perceived noise from prostheses after total hip arthroplasty (THA) does occur, yet questions remain including the overall frequency of this finding, demographic and prosthesis-related factors, and the association of noise generation with patient-reported outcomes. Questions/purposes The purposes of this study were (1) to determine the frequency with which patients report noise coming from the hip after THA; (2) to identify patient and prosthesis-related factors associated with noise generation; and (3) to ascertain if noise generation is associated with pain or functional impairment after THA. Methods A five-center study was designed to quantify the degree of residual symptoms and functional deficits in patients undergoing THA. Three centers were academic practices, whereas two centers were private practices that provided training programs for orthopaedic residents and fellows. Each contributing surgeon was fellowship-trained and specialized in joint replacement. Inclusion criteria for this study were (1) men between 18 and 60 years old and women between 18 and 55 years old; (2) patients requiring primary hip surgery as a result of noninflammatory arthritis such as osteoarthritis, traumatic arthritis, or avascular necrosis; (3) a UCLA activity score of 6 or more before they were limited by pain; and (4) patients who had undergone a primary THA within 1 to 4 years before the start of the study and had a minimum of 1 year of clinical followup. Attempts were made to contact all identified patients meeting these inclusion criteria. Data were collected by an independent, third-party survey center blinded to the implant design and bearing surface used who administered questionnaires about residual symptoms, function, and pre-and postoperative activity levels using previously published survey instruments. Patients were specifically queried regarding perceived noise from their THA. We retrospectively identified 1242 eligible patients. Of the 1242 patients, 105 were found to have exclusions during the screening section of the questionnaire: postoperative infection (six THAs), fracture (two), dislocation (seven), or revision (17); limited activity level because of an operation on the opposite hip (34); and premorbid UCLA score of less than 6 (39). In addition, 128 individuals refused to participate, 156 were never available, 108 were not found as a result of a bad address/phone number, 48 were contacted but did not complete the interview, nine Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained. had died, and six had a language barrier. This left 682 of the 1137 eligible patients with completed surveys (60% response rate). The mean age was 50 ± 8 years at the time of surgery with 63% being men, and they were contacted at a mean of 3 ± 1 years postoperatively. Bearing surfaces (femoral head...

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

Cited by 73 publications

References 28 publications

High Incidence of Migration with Poor Initial Fixation of the Accolade® Stem

High Incidence of Migration with Poor Initial Fixation of the Accolade® Stem

Midterm Outcomes of the Recently FDA Approved Ceramic on Ceramic Bearing in Total Hip Arthroplasty Patients Under 65Years of Age

Hard-on-Hard Bearings Are Associated With Increased Noise Generation in Young Patients Undergoing Hip Arthroplasty

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