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Journal of Orthopaedic Science
Published in: Journal of Orthopaedic Science 1/2011

01-01-2011 | Original article

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

Authors: Sung-Chan Ki, Byung-Hak Kim, Ji-Hoon Ryu, Dae-Hyun Yoon, Young-Yool Chung

Published in: Journal of Orthopaedic Science | Issue 1/2011

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Abstract

Purpose

To evaluate the causes and frequency of the squeaking sound in ceramic-on-ceramic THA.

Materials and methods

This study included 61 hips of 50 patients who underwent ceramic-on-ceramic THA in our hospital from March 1999 to April 2005. The average age at the time of operation was 57.6 years. The average duration of follow-up was 69.5 months. Three different acetabular components were used: Osteonics (Stryker, USA: 24 cases), Bicontact (Aesculap, Germany: 27 cases) and ABG (Howmedica, UK: 10 cases).

Results

Fourteen (22.9%) of the 61 cases had a squeaking sound, and this sound started a mean of 47.57 months after the operation. Except in one case, the squeaking sound remained until the last follow-up. There was no difference in acetabular component position between the squeaking and nonsqueaking groups. The squeaking sound was found to be related to the BMI (body mass index) and cup design. It occurred frequently in patients with high BMI who had received a total hip arthroplasty using an Osteonics cup. Among 11 of the patients, squeaking occurred while squatting, and in 3 patients while walking. Six patients suffered from mild restrictions on their activities of daily living, and 8 had more than moderate restrictions with squeaking sounds.

Conclusion

A squeaking sound in THA using ceramic-on-ceramic surfaces is not a rare complication, and often affects the patient’s behavior.
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Metadata
Title
Squeaking sound in total hip arthroplasty using ceramic-on-ceramic bearing surfaces
Authors
Sung-Chan Ki
Byung-Hak Kim
Ji-Hoon Ryu
Dae-Hyun Yoon
Young-Yool Chung
Publication date
01-01-2011
Publisher
Springer Japan
Published in
Journal of Orthopaedic Science / Issue 1/2011
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI
https://doi.org/10.1007/s00776-010-0005-3

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