Squeaking in third and fourth generation ceramic on ceramic total hip arthroplasty meta analysis and systematic review.
Ceramic on ceramic hip squeaking.
The squeaking in ceramic on ceramic tha could be related to a poor accuracy of the 3d hip anatomy reconstruction which generates a posterior impingement and so anterior edge loading because of an excessive global anteversion.
One specific concern especially with ceramic hip replacements is that the artificial joint is prone to make a squeaking noise.
The articles selected for review were.
The present study aimed to review the characteristics and influencing factors of squeaking after ceramic on ceramic coc total hip arthroplasty tha and to analyze the possible mechanisms of the audible noise.
The exact cause of the squeaking is unknown but stripe wear found on used ceramic parts suggests that the noise may begin when these parts rub together.
The 3d anatomy of the squeaking hip should be analyzed with a ct scan and the hip revision has to be strongly considered.
Squeaking in ceramic on ceramic coc total hip arthroplasty tha was investigated with an acoustic monitoring device to distinguish between squeaking emanating from the trunnion morse taper tmt connection versus the articular surface.
The incidence of hip squeak associated with ceramic on ceramic bearings has been variably reported ranging from 0 7 to 20 9.
Walter wl o toole gc walter wk et al.
Squeaking occurrence is influenced by patient surgical and implant factors.
Squeaking in ceramic on ceramic hips.
The possible explanations included stripe wear edge loading a third body fracture of the ceramic liner and resonance of the prosthesis components.
The data analyzed in this review were based on articles from pubmed and web of science.
The importance of acetabular component orientation.
Some patients who have received artificial hips with ceramic components have complained that the hips make a squeaking sound.