The influence of component design, bearing clearance and axial load on the squeaking characteristics of ceramic hip articulations

Hothan, Arne; Huber, Gerd; Weiss, Cornelius; Hoffmann, Norbert; Morlock, Michael M.

doi:10.1016/j.jbiomech.2010.12.012

Cited by 57 publications

(49 citation statements)

References 17 publications

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“…low-order bending and torsional eigenmodes (probably 1st-3rd) are excited. This is in good correlation with the frequencies of squeak that are found in vivo and in lab experiments (Hothan et al, 2008(Hothan et al, , 2011Walter et al, 2008).…”

Section: Discussionsupporting

confidence: 80%

“…Stanat and Capozzi (in press) and Restrepo et al (2010) showed that the type of stem used in vivo is of importance, they found a significantly higher rate of squeak with stems being made of beta-titanium, with a certain neck and stem design (Restrepo et al, 2010) or a particular combination of stem and cup (Swanson et al, 2010). Similarly, the stem design was shown to have an important influence when being tested in vitro (Hothan et al, 2011). Specific cups seem not to be of importance in vivo (Stanat and Capozzi, in press) or in vitro (Hothan et al, 2011).…”

Section: Introductionmentioning

confidence: 98%

“…Similarly, the stem design was shown to have an important influence when being tested in vitro (Hothan et al, 2011). Specific cups seem not to be of importance in vivo (Stanat and Capozzi, in press) or in vitro (Hothan et al, 2011). Also the implant's position was speculated to play a role in causing squeak Walter et al, 2007Walter et al, , 2010, other studies showed that mean anteversion and inclination of squeaking hip replacements were not statistically different from those of control groups (Jarrett et al, 2009;Restrepo et al, 2008;Stanat and Capozzi, in press).…”

Section: Introductionmentioning

confidence: 99%

“…A third group of influence factors is related to the frictional contact. Roughening of the ceramic surfaces in form of stripe wear after edge loading (Restrepo et al, 2008;Taylor et al, 2007), particulate debris (Chevillotte et al, 2010;Corten and MacDonald, 2010;Walter et al, 2008) and metallic transfer (Chevillotte et al, 2010;Restrepo et al, 2008), often following from neck-rim impingement, also may play a role, for example through a disturbed fluid film lubrication (Chevillotte et al, 2010;Jarrett et al, 2009;Rieker et al, 1998) or increased friction forces (Hothan et al, 2011). Numerical techniques also suggest that primarily increased levels of friction are necessary to excite audible vibrations (Weiss et al, 2009.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Friction-induced whirl vibration: Root cause of squeaking in total hip arthroplasty

Weiss

Hothan

Huber

et al. 2012

Journal of Biomechanics

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Friction-induced whirl vibration: Root cause of squeaking in total hip arthroplasty

Weiss

Hothan

Huber

et al. 2012

Journal of Biomechanics

Self Cite

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“…From a patient point of view, squeaking is usually not painful [16]. The intensity of the squeaking offset [19], vibration of the stem [20], microfractures [14], head size [11] and short neck lengths [15].…”

Section: Discussionmentioning

confidence: 99%

Clicking of a Total Hip Arthroplasty due to Posterior Impingement: An Unusual Situation and Review of the Literature about Common Noises in Total Hip Arthroplasties

A¹

2013

Orthop Muscul Syst

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Introduction: The success of ceramic implants is attributed to the excellent properties of this material associated with superior wear rates and a chemically inert nature which grants it biocompatibility and greater longevity compared with the traditional metal-on-polyethylene bearing surface. However, there have been an increasing number of reports on audible noises that seemed linked to these hard bearing surfaces, leading some to believe the implant material or design was still to blame.

show abstract

Concomitant evolution of wear and squeaking in dual‐severity, lubricated wear testing of ceramic‐on‐ceramic hip prostheses

Sanders

Tibbitts

Brannon

2012

Journal Orthopaedic Research

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Ceramic-on-ceramic hip bearings were tested in short-term wear tests with a systematically varied contact force. Continuous vibration and intermittent surface roughness measurements were obtained to elucidate potential causes of in vivo hip joint squeaking. The three-phase test comprised alternating cycles of edge loading and concentric articulation, always using ample serum lubricant. A 50,000-cycle wear trial in which the contact force during concentric articulation was distant from the head’s wear patch yielded no squeaking and practically no liner roughening. In 10-cycle trials of an edge-worn head coupled with a pristine liner, the contact force was varied in magnitude and point of application; immediate, recurrent squeaking occurred only when the contact force exceeded a critical threshold value and was centered upon the head’s wear patch. In a 27,000-cycle wear trial with the contact force applied near the margin of the head’s wear patch, recurrent squeaking emerged progressively as the liner’s inner surface was roughened via its articulation with the worn portion of the head. The results reveal key conditions that yield recurrent squeaking in vitro in various scenarios without resorting to implausible dry conditions. A fundamental theory explains that hip squeaking is induced by myriad stress waves emanating from asperity collisions; yet, the root cause is edge loading.

show abstract

The influence of component design, bearing clearance and axial load on the squeaking characteristics of ceramic hip articulations

Cited by 57 publications

References 17 publications

Friction-induced whirl vibration: Root cause of squeaking in total hip arthroplasty

Friction-induced whirl vibration: Root cause of squeaking in total hip arthroplasty

Clicking of a Total Hip Arthroplasty due to Posterior Impingement: An Unusual Situation and Review of the Literature about Common Noises in Total Hip Arthroplasties

Concomitant evolution of wear and squeaking in dual‐severity, lubricated wear testing of ceramic‐on‐ceramic hip prostheses

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