Research Article| Volume 27, ISSUE 8, P1575-1579, September 2012

No Significant Squeaking in Total Hip Arthroplasty

A Series of 413 Hips in the Asian People
Published:March 29, 2012DOI:


      Some studies have reported the presence of audible squeaking in ceramic-on-ceramic total hip arthroplasty (THA), and several factors such as implant malposition or poor soft tissue recovery have been described as the cause. Our purpose was to determine the squeaking rate in the Asian population with a consecutive series of ceramic-on-ceramic THA. From 2003 to 2009, 413 THAs were performed by a single surgeon using a minimally invasive modified anterior-lateral approach. Using both questionnaire and physical examination, no squeaking was identified in any cases with a minimum of 2-year follow-up. Complications occurred in 4 patients. The results of this study suggested squeaking phenomenon after ceramic-on-ceramic THA may be eliminated.


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        • Wroblewski B.M.
        • Siney P.D.
        • Dowson D.
        • et al.
        Prospective clinical and joint simulator studies of a new total hip arthroplasty using alumina ceramic heads and cross-linked polyethylene cups.
        J Bone Joint Surg Br. 1996; 78: 280
        • Bierbaum B.E.
        • Nairus J.
        • Kuesis D.
        • et al.
        Ceramic-on-ceramic bearings in total hip arthroplasty.
        Clin Orthop Relat Res. 2002; : 158
        • D'Antonio J.
        • Capello W.
        • Manley M.
        • et al.
        Alumina ceramic bearings for total hip arthroplasty: five-year results of a prospective randomized study.
        Clin Orthop Relat Res. 2005; : 164
        • Garino J.P.
        Modern ceramic-on-ceramic total hip systems in the United States: early results.
        Clin Orthop Relat Res. 2000; : 41
        • Schroder D.
        • Bornstein L.
        • Bostrom M.P.
        • et al.
        Ceramic-on-ceramic total hip arthroplasty: incidence of instability and noise.
        Clin Orthop Relat Res. 2011; 469: 437
        • Parvizi J.
        • Adeli B.
        • Wong J.C.
        • et al.
        A squeaky reputation: the problem may be design-dependent.
        Clin Orthop Relat Res. 2011; 469: 1598
        • Walter W.L.
        • Yeung E.
        • Esposito C.
        A review of squeaking hips.
        J Am Acad Orthop Surg. 2010; 18: 319
        • Restrepo C.
        • Post Z.D.
        • Kai B.
        • et al.
        The effect of stem design on the prevalence of squeaking following ceramic-on-ceramic bearing total hip arthroplasty.
        J Bone Joint Surg Am. 2010; 92: 550
        • Restrepo C.
        • Matar W.Y.
        • Parvizi J.
        • et al.
        Natural history of squeaking after total hip arthroplasty.
        Clin Orthop Relat Res. 2010; 468: 2340
        • Chevillotte C.
        • Trousdale R.T.
        • Chen Q.
        • et al.
        The 2009 Frank Stinchfield Award: “Hip squeaking”: a biomechanical study of ceramic-on-ceramic bearing surfaces.
        Clin Orthop Relat Res. 2010; 468: 345
        • Jarrett C.A.
        • Ranawat A.S.
        • Bruzzone M.
        • et al.
        The squeaking hip: a phenomenon of ceramic-on-ceramic total hip arthroplasty.
        J Bone Joint Surg Am. 2009; 91: 1344
        • Walter W.L.
        • Waters T.S.
        • Gillies M.
        • et al.
        Squeaking hips.
        J Bone Joint Surg Am. 2008; 90: 102
        • Restrepo C.
        • Parvizi J.
        • Kurtz S.M.
        • et al.
        The noisy ceramic hip: is component malpositioning the cause?.
        J Arthroplasty. 2008; 23: 643
        • Keurentjes J.C.
        • Kuipers R.M.
        • Wever D.J.
        • et al.
        High incidence of squeaking in THAs with alumina ceramic-on-ceramic bearings.
        Clin Orthop Relat Res. 2008; 466: 1438
        • Glaser D.
        • Komistek R.D.
        • Cates H.E.
        • et al.
        Clicking and squeaking: in vivo correlation of sound and separation for different bearing surfaces.
        J Bone Joint Surg Am. 2008; 90: 112
        • Walter W.L.
        • O'Toole G.C.
        • Walter W.K.
        • et al.
        Squeaking in ceramic-on-ceramic hips: the importance of acetabular component orientation.
        J Arthroplasty. 2007; 22: 496
        • Nevelos J.E.
        • Ingham E.
        • Doyle C.
        • et al.
        Wear of HIPed and non-HIPed alumina-alumina hip joints under standard and severe simulator testing conditions.
        Biomaterials. 2001; 22: 2191
        • Graw B.P.
        • Woolson S.T.
        • Huddleston H.G.
        • et al.
        Minimal incision surgery as a risk factor for early failure of total hip arthroplasty.
        Clin Orthop Relat Res. 2010; 468: 2372
        • Wall S.J.
        • Mears S.C.
        Analysis of published evidence on minimally invasive total hip arthroplasty.
        J Arthroplasty. 2008; 23: 55
        • Ackland M.K.
        • Bourne W.B.
        • Uhthoff H.K.
        Anteversion of the acetabular cup. Measurement of angle after total hip replacement.
        J Bone Joint Surg Br. 1986; 68: 409
        • Capello W.N.
        • D'Antonio J.A.
        • Feinberg J.R.
        • et al.
        Ceramic-on-ceramic total hip arthroplasty: update.
        J Arthroplasty. 2008; 23: 39