“…New or unpredicted complications have recently been identified that are inherent to these new bearing surfaces, such as metal hypersensitivity with MOM bearings [7] and smaller polyethylene debris size with highly crosslinked compared to conventional polyethylene. Despite overall lower wear rates, these complications can ultimately lead to high rates of osteolysis in the long term [15] and squeaking with hard-on-hard bearing surfaces [6,8,12,13,16,20,24,25]. The purposes of our study were to find (1) the incidence of squeaking in COC THA, (2) when it usually begins, (3) associated activities that trigger it, (4) its natural history, and (5) the outcome of revision THA for squeaking.…”