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

Aoude, Ahmed; Antoniou, John; Epure, Laura M.; Huk, Olga L.; Zukor, David J.; Tänzer, Michael

doi:10.1016/j.arth.2015.03.028

Cited by 35 publications

(27 citation statements)

References 32 publications

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“…Then, we found 17 articles might satisfy the inclusion criteria through full text reading, but one did not explicitly report the patients’ number using the fourth-generation ceramics [ 14 ], and one got conclusions from the same population [ 15 ], and one was a case report [ 5 ]. Finally, the remaining 14 articles were included for meta-analyses [ 16 – 29 ]. The flowchart of literature selection was shown in Additional file 1 : Figure S1.…”

Section: Resultsmentioning

confidence: 99%

Squeaking in fourth-generation ceramic-on-ceramic total hip replacement and the relationship with prosthesis brands: meta-analysis and systematic review

Zhao

Yan

et al. 2018

J Orthop Surg Res

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BackgroundPostoperative squeaking in patients who applied the fourth-generation ceramic bearing in primary hip replacement has not been reported systematically; we aim to study the squeaking incidence in the fourth-generation ceramic bearing and related risk factors for squeaking, and we also attempt to explore the relationship between squeaking and prosthetic brands.MethodsThe PubMed, Embase, and Cochrane library were searched, and 14 articles were finally included. Patients’ demographic data, surgical-related information, and prosthesis data were extracted. The occurrence rate of squeaking was calculated by meta-analysis, and subgroup analysis was performed based on prosthetic brands and follow-up time. Regression analysis was further applied to investigate the relationship between various risk factors and squeaking.ResultsThe squeaking incidence in patients with the fourth-generation ceramic bearing was 3%. Age, gender, body mass index, and abduction and anteversion angles of acetabular cup might have no influence on squeaking. The squeaking incidence was significantly high with the presence of Delta Motion cup (DePuy, Warsaw, Indiana) and Secure-Fit stem (Stryker, Kalamazoo, MI), and the overall incidence of DePuy femoral stem was relatively small except for the Summit femoral stem. And there was no significant difference of squeaking incidence between less than 5-year and more than or equal to 5-year follow-up subgroups.ConclusionsIn our study, squeaking in the fourth-generation ceramic bearing occurred at a rate of 3%; occurrence rate was high when the Delta Motion cup was applied. We hope for more relevant researches to focus on this issue.Electronic supplementary materialThe online version of this article (10.1186/s13018-018-0841-y) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Squeaking in fourth-generation ceramic-on-ceramic total hip replacement and the relationship with prosthesis brands: meta-analysis and systematic review

Zhao

Yan

et al. 2018

J Orthop Surg Res

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“…Implants with ceramic bearing surfaces are widely used in total hip arthroplasty (THA) and the preferred choice for younger and more active patients because they are: i) more resistant to wear, ii) have less periprosthetic osteolysis-caused loosening, and iii) improved implant survival rates 1 2 3) . Although ceramic liner and femoral head breakage was reported in the early years 4 5 6) , the risk of breakage has dramatically decreased with the distribution of the fourth-generation ceramic-on-ceramic (CoC) bearings, following the third-generation CoC bearings manufactured by hot isostatic pressing and laser marking 7 8) . However, squeaking sounds have been reported following THA performed using the fourth-generation ceramic bearings 9 10 11) .…”

Section: Introductionmentioning

confidence: 99%

Total Hip Arthroplasty Using Ceramic-on-ceramic Bearing Surfaces: Long-term Assessment of Squeaking Sounds

Kim

Chung

2018

Hip & Pelvis

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PurposeThis study was performed to characterize the natural history of squeaking sounds that occur following total hip arthroplasty (THA) using ceramic-on-ceramic bearing surfaces and its potential correlation with clinical and/or radiological results.Materials and MethodsThis study included 47 patients who underwent THA between April 1999 and April 2005, and had at least 10 years of follow up from the time of the operation. Squeaking sounds were detected in 10 out of the 47 cases (21.3%). Squeaking-associated factors (i.e., cause, time of onset, inducing motions, and continuity of the sound) were assessed.ResultsSqueaking sounds: i) were detected an average of 46.2 months after operation, ii) occurred more frequently in patients with a high body mass index (BMI) compared to those with low BMI, and iii) most frequently detected when deep flexion of hip joint followed extension. In all 10 cases, the squeaking sound remained through the follow up period; 6 cases experienced no change in frequency and pitch, 4 cases experienced a decrease in frequency and pitch over time. The cause(s) of changes to squeaking sounds could not be determined.ConclusionThe frequency and pitch of the squeaking sounds changed over time in a subset of patients. The squeaking sound did not appear to correlate with clinical results or survival of the prosthesis.

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“…At the time THAs were performed during this investigation, MoM and CoC bearings were thought to have numerous potential advantages versus a traditional, MoP bearing [11,13,27,33]. 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].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, published reports began to note the phenomenon of noise associated with hard-on-hard bearings [1,2,8,14,24]. However, prior reports have been limited by the potential for observer bias, the variability in which noise generation was assessed, and a lack of correlation with patient-reported outcomes.…”

Section: Introductionmentioning

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

Cited by 35 publications

References 32 publications

Squeaking in fourth-generation ceramic-on-ceramic total hip replacement and the relationship with prosthesis brands: meta-analysis and systematic review

Squeaking in fourth-generation ceramic-on-ceramic total hip replacement and the relationship with prosthesis brands: meta-analysis and systematic review

Total Hip Arthroplasty Using Ceramic-on-ceramic Bearing Surfaces: Long-term Assessment of Squeaking Sounds

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

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