Primary Total Hip Arthroplasty With Ceramic-On-Ceramic Articulations: Analysis of a Single-Center Series of 1,083 Hips at a Minimum of 10-Year Follow-Up

Ceramic-on-Ceramic Total Hip Arthroplasty: I Can Hear You

“…Therefore, only studies with longer-term follow-up would be expected to have a similar incidence of squeaking. There are only two other studies that report squeaking with a 4th generation CoC articulation and have a mean follow-up of 10 years or longer [ 23 , 24 ]. With 4th generation CoC bearings, Chatelet et al.…”

“…reported squeaking in 18% of THAs at 11.1 years of follow-up [ 24 ] and Niu et al. found a 12.1% incidence of squeaking at 11 years following cementless THA [ 23 ]. This study’s incidence of squeaking of 28% at 10.5 years of follow-up is higher than the other 2 studies.…”

CORR Insights®: A Nomogram That Characterizes a Patient’s Odds of Developing Squeaking After Fourth-generation Ceramic-on-ceramic THA

“…Of course, there are other considerations, but age seems like an especially helpful parameter to consider. If this bearing surface is used in young patients, we must be prepared to face ceramic fractures and squeaking (though revision for squeaking is uncommon [7]), because these patients are the most active. By contrast, older patients may not benefit in light of the cost of this expensive bearing surface.…”