Squeaking sound in total hip arthroplasty using ceramic-on-ceramic bearing surfaces

An estimation of the incidence of squeaking and revision surgery for squeaking in ceramic-on-ceramic total hip replacement

“…56 The recent meta-analysis by Stanat and Capozzi 56 used 12 studies, including two series that were re-reported in later publications. 18,57 The incidence of squeaking in CoC THR has been variably reported, ranging from 0% to 37.5% in a subset of Korean patients, 58 and as high as 35.6% in patients receiving Accolade femoral components. 39 Squeaking in THR has been observed to be variable, with a small proportion of patients in some studies describing a change in frequency and even cessation of the squeak over time.…”

A review of squeaking in ceramic total hip prostheses

“…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% to 24.6% [14,17,18,[28][29][30][31][32][33][34][35][36][37][38][39][40][41][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].…”

“…It has been reported that thirteen squeaker hips out of fourteen stopped squeaking at the last follow up, which its duration was 69.5 months [30], indicating that it could be a temporary pattern. There was no significant difference in patient satisfaction between those with squeaking and silent hips, which showed that squeaking is usually well-tolerated by patients [46].…”

“…Taller, heavier and younger patients with higher levels of activity are significantly more likely to have hips that squeak [36,45,46,53]. Although prevalence of squeaking was also found to be associated with obesity and BMI (body mass index) [30,35,36], Sexton and co-workers reported that they were not associated with audible vibration of THA [46].…”

“…Edge loading, third body particle, friction, type of motion activity Fan and Chen [113] Mechanical study A torsional vibration and a flexural vibration of the femoral component Acetabular component Sander et al [84] Mechanical study Edge loading, the right combination of load vector and bearing surface conditions, (abduction and contact force) Chevillotte et al [151] Clinical study Trident acetabular cup, anteversion, Metal transfer, stripe wear Age, gender, height, weight Buttaro et al [152] Clinical study Hip implant design Chevillotte et al [55] Clinical study Gender, weight, height, activity level, Age, BMI, neck length, HHS Haq et al [35] Clinical study BMI, acetabular opening angle, limb length shortening Age, acetabular anteversion Kuo et al [37] Clinical study Age, head size, range of motion Gender, height, weight, BMI, cup size, quality of life, neck length, inclination Sexton et al [46] Clinical study Height, weight, age, femoral offset, inclination, anteversion, medialisation Femoral head size, patient satisfaction, BMI, HHS (Harris hip score) Hothan et al [57] Mechanical study Stem design, assembled stem, axial load Cup design, bearing clearance Hothan et al [69] Mechanical study Cup design, assembled cup Fan et al [112] Mechanical study Friction-induced vibration due to mode-coupling, the femoral stem, neck and head Ceramic insert Bernasek et al [50] Clinical study Gender, inclination Choi et al [54] Clinical study Head size, gender Age, height, weight, BMI, cup size, neck length, abduction Cogan et al [33] Clinical study Association between noise and dissatisfaction Age, height, weight, BMI, alumina insert thickness Ki et al [30] Clinical study BMI (body mass index), cup design (Osteonics cup) Inclination, anteversion, Parvizi et al [18] Clinical study Neck impingement, Trident acetabular cup, combination of Trident acetabular component and Accolade stem…”