Squeaking is a well-recognized complication for hardon-hard bearings.The nature of squeaking is not yet completely understood however it is considered a multifactorial phenomenon.Patient,implant,and surgical factors p...Squeaking is a well-recognized complication for hardon-hard bearings.The nature of squeaking is not yet completely understood however it is considered a multifactorial phenomenon.Patient,implant,and surgical factors play a role in squeaking.It is believed that mechanisms damaging the fluid film lubrication in which these bearings function optimally have a critical role.Such mechanisms include edge loading,stripe wear,impingement,third body particles and ceramic fracture.The resonance of metallic parts can produce noise in the human audible range hence the implant metallurgic composition and design may play a role.Implant positioning can facilitate impingement and edge loading enhancing the occurrence of squeaking.The recent introduction of large heads(> 36 mm) 4th generation ceramic-on-ceramic bearing may accentuate the conditions facilitating noise formation; however the current literature is insufficient.Clinically,squeaking may manifest in extreme hip positions or during normal gait cycle however it is rarely associated with pain.Evaluations of patients with squeaking include clinical and radiographic assessments.Computer tomography is recommended as it can better reveal ceramic breakage and implant malposition.The treatments for most squeaking patients include reassurance and activity modification.However for some,noise can be a problem,requiring further surgical intervention.In the occurrence of ceramic fracture,implant failure,extreme components malposition,instability and impingement,surgery should be advised.This review will aim to discuss the current literature regarding squeaking.展开更多
Objective： 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 audi...Objective： 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. Data Sources： The data analyzed in this review were based on articles from PubMed and Web of Science. Study Selection： The articles selected for review were original articles and reviews found based on the following search terms： “total hip arthroplasty”, “ceramic-on-ceramic”, “hip squeaking”, and “hip noise.” Results： The mechanism of the squeaking remains unknown. The possible explanations included stripe wear, edge loading, a third body, fracture of the ceramic liner, and resonance of the prosthesis components. Squeaking occurrence is influenced by patient, surgical, and implant factors. Conclusions： Most studies indicated that squeaking after CoC THA was the consequence of increasing wear or impingement, caused by prosthesis design, patient characteristics, or surgical factors. However, as conflicts exist among different articles, the major reasons for the squeaking rernain to be identified.展开更多
文摘Squeaking is a well-recognized complication for hardon-hard bearings.The nature of squeaking is not yet completely understood however it is considered a multifactorial phenomenon.Patient,implant,and surgical factors play a role in squeaking.It is believed that mechanisms damaging the fluid film lubrication in which these bearings function optimally have a critical role.Such mechanisms include edge loading,stripe wear,impingement,third body particles and ceramic fracture.The resonance of metallic parts can produce noise in the human audible range hence the implant metallurgic composition and design may play a role.Implant positioning can facilitate impingement and edge loading enhancing the occurrence of squeaking.The recent introduction of large heads(> 36 mm) 4th generation ceramic-on-ceramic bearing may accentuate the conditions facilitating noise formation; however the current literature is insufficient.Clinically,squeaking may manifest in extreme hip positions or during normal gait cycle however it is rarely associated with pain.Evaluations of patients with squeaking include clinical and radiographic assessments.Computer tomography is recommended as it can better reveal ceramic breakage and implant malposition.The treatments for most squeaking patients include reassurance and activity modification.However for some,noise can be a problem,requiring further surgical intervention.In the occurrence of ceramic fracture,implant failure,extreme components malposition,instability and impingement,surgery should be advised.This review will aim to discuss the current literature regarding squeaking.
文摘Objective： 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. Data Sources： The data analyzed in this review were based on articles from PubMed and Web of Science. Study Selection： The articles selected for review were original articles and reviews found based on the following search terms： “total hip arthroplasty”, “ceramic-on-ceramic”, “hip squeaking”, and “hip noise.” Results： The mechanism of the squeaking remains unknown. The possible explanations included stripe wear, edge loading, a third body, fracture of the ceramic liner, and resonance of the prosthesis components. Squeaking occurrence is influenced by patient, surgical, and implant factors. Conclusions： Most studies indicated that squeaking after CoC THA was the consequence of increasing wear or impingement, caused by prosthesis design, patient characteristics, or surgical factors. However, as conflicts exist among different articles, the major reasons for the squeaking rernain to be identified.
