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

Owen, Denise; Russell, Nicholas; Smith, Paul N.; Walter, William K.

doi:10.1302/0301-620x.96b2.32784

Cited by 101 publications

(59 citation statements)

References 71 publications

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“…In these patients, there was no difference in clinical scores and no revisions performed for squeaking. Our findings are similar to those of Owen et al [55] who performed a meta-analysis on 16,828 patients with ceramic bearings and found that while the incidence of squeaking was 4.2%, the incidence of revision for squeaking was 0.2%. There have been other reports with higher rates of reported squeaking [56].…”

Section: Discussionsupporting

confidence: 92%

Midterm Results of Delta Ceramic-on-Ceramic Total Hip Arthroplasty

Hamilton¹,

McAuley

Blumenfeld³

et al. 2015

The Journal of Arthroplasty

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Section: Discussionsupporting

confidence: 92%

Midterm Results of Delta Ceramic-on-Ceramic Total Hip Arthroplasty

Hamilton¹,

McAuley

Blumenfeld³

et al. 2015

The Journal of Arthroplasty

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“…There are also complications specific to some implants. Squeaking has been well documented in CoC components; however, specific risk factors remain in debate [27,42,48]. Ceramic liners can also fracture during surgical implantation, which leads to a wasted expensive implant [50].…”

Section: Discussionmentioning

confidence: 99%

There Are No Differences in Short- to Mid-term Survivorship Among Total Hip-bearing Surface Options: A Network Meta-analysis

Wyles

Jiménez-Almonte

Murad

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Total hip arthroplasty (THA) is increasingly being performed in patients with long life expectancies and active lifestyles. Newer implant bearing surfaces, with superior wear characteristics, often are used in this cohort with the goal of improving longevity of the prosthesis, but comparisons across the numerous available bearing surfaces are limited, so the surgeon and patient may have difficulty deciding which implants to use. Questions/purposes The purpose of this study was to answer the following question: Is there a short-to mid-term survivorship difference between common THA bearings used in patients younger than age 65 years? Methods We conducted a systematic review to identify randomized clinical trials (RCTs) published after 2000 that reported survivorship of ceramic-on-ceramic (CoC), ceramic-on-highly crosslinked polyethylene (CoPxl), or metalon-highly crosslinked polyethylene (MoPxl) bearings. To qualify for our review, RCTs had to have a minimum 2-year followup and study patients were required to have an average age younger than 65 years. Direct-comparison meta-analysis and network meta-analysis were performed to combine direct and indirect evidence. IN, USA). One of the authors certifies that he (RTT), or a member of his immediate family, has received or may receive payments or benefits, during the study period, an amount of less than USD 10,000 from MAKO Surgical Corp, USD 10,000 to USD 100,000 from DePuy Orthopaedics, Inc, and less than USD 10,000 from Wright Medical Technology, Inc. One of the authors certifies that he (RJS), or a member of his immediate family, has received or may receive payments or benefits, during the study period, an amount of USD 10,000 to USD 100,000 from Biomet Inc. 123Clin Orthop Relat Res (2015) 473:2031-2041 DOI 10.1007 Clinical Orthopaedics and Related Research ® A Publication of The Association of Bone and Joint Surgeons® the three implant types, demonstrating the following probabilities of most effective implant with 95% credible intervals (CrI): CoC = 64.6% (0%-100%); CoPxl = 24.9% (0%-100%); and MoPxl = 9.9% (0%-100%). The CrIs ranged from 0% to 100% for all three bearing surfaces. Direct-comparison meta-analysis allowed for pooling of five RCTs, including 779 THAs, whereas network metaanalysis (before post hoc analysis) enabled pooling of 18 RCTs, including 2599 THAs. Conclusions Current published evidence does not support survivorship differences among commonly used bearing surfaces in patients younger than age 65 years undergoing THA at short-to mid-term followup. Long-term RCT data will be needed to determine if a survivorship benefit is realized in younger, more active patients over time. Level of Evidence Level I, therapeutic study.

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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]. Squeaking is also recognized to take some time to manifest [29,30].…”

Section: Discussionmentioning

confidence: 99%

“…Squeaking is also recognized to take some time to manifest [29,30]. Although it has little clinical implication, the squeaking phenomenon is estimated to result in revision of CC bearings 0.2% of the time [31]. Several mechanisms have been described to explain squeaking [31].…”

Section: Discussionmentioning

confidence: 99%