Retrieval analysis of squeaking alumina ceramic-on-ceramic bearings.

This multicentre study analysed 12 alumina ceramic-on-ceramic components retrieved from squeaking total hip replacements after a mean of 23 months in situ (11 to 61). The rates and patterns of wear seen in these squeaking hips were compared with those seen in matched controls using retrieval data from 33 'silent' hip replacements with similar ceramic bearings. All 12 bearings showed evidence characteristic of edge-loading wear. The median rate of volumetric wear was 3.4 mm(3)/year for the acetabular component, 2.9 mm(3)/year on the femoral heads and 6.3 mm(3)/year for head and insert combined. This was up to 45 times greater than that of previously reported silent ceramic-on-ceramic retrievals. The rate of wear seen in ceramic components revised for squeaking hips appears to be much greater than in that seen in retrievals from 'silent' hips.

[1]  C. Ranawat,et al.  The squeaking hip: a cause for concern-agrees. , 2007, Orthopedics.

[2]  H. J. Clarke,et al.  Incomplete seating of the liner with the Trident acetabular system: a cause for concern? , 2007, The Journal of bone and joint surgery. British volume.

[3]  Kate Sutton,et al.  The role of stripe wear in causing acoustic emissions from alumina ceramic-on-ceramic bearings. , 2007, The Journal of arthroplasty.

[4]  W. Mihalko,et al.  Polyethylene Liner Dissociation With the Harris-Galante II Acetabular Component , 2001, Clinical orthopaedics and related research.

[5]  Susanna Stea,et al.  Early diagnosis of ceramic liner fracture. Guidelines based on a twelve-year clinical experience. , 2006, The Journal of bone and joint surgery. American volume.

[6]  Matteo Bruzzone,et al.  The squeaking hip: a phenomenon of ceramic-on-ceramic total hip arthroplasty. , 2009, The Journal of bone and joint surgery. American volume.

[7]  J Fisher,et al.  Analysis of retrieved alumina ceramic components from Mittelmeier total hip prostheses. , 1999, Biomaterials.

[8]  Kai-Nan An,et al.  The 2009 Frank Stinchfield Award: “Hip Squeaking”: A Biomechanical Study of Ceramic-on-ceramic Bearing Surfaces , 2010, Clinical orthopaedics and related research.

[9]  W. Walter,et al.  The role of patient factors and implant position in squeaking of ceramic-on-ceramic total hip replacements. , 2011, The Journal of bone and joint surgery. British volume.

[10]  Duncan Dowson,et al.  The lubrication of metal-on-metal total hip joints: A slide down the Stribeck curve , 2001 .

[11]  B. W. Schreurs,et al.  High Incidence of Squeaking in THAs with Alumina Ceramic-on-ceramic Bearings , 2008, Clinical orthopaedics and related research.

[12]  M A Tuke,et al.  Wear and acetabular component orientation in third generation alumina-on-alumina ceramic bearings: an analysis of 33 retrievals [corrected]. , 2007, The Journal of bone and joint surgery. British volume.

[13]  Camilo Restrepo,et al.  The effect of stem design on the prevalence of squeaking following ceramic-on-ceramic bearing total hip arthroplasty. , 2010, The Journal of bone and joint surgery. American volume.

[14]  A Shimmin,et al.  Early results of primary Birmingham hip resurfacings. An independent prospective study of the first 230 hips. , 2005, The Journal of bone and joint surgery. British volume.

[15]  J. Frommer,et al.  Kinetics and Energetics in Nanolubrication , 2004 .

[16]  M. Bostrom,et al.  Incidence of Ceramic Liner Malseating in Trident® Acetabular Shell , 2009, Clinical orthopaedics and related research.

[17]  T. Muneta,et al.  Case reports - Fracture of a ceramic acetabular insert after ceramic-onceramic THA–a case report , 2003, Acta orthopaedica Scandinavica.

[18]  W. Walter,et al.  Third-generation alumina-on-alumina ceramic bearings in cementless total hip arthroplasty. , 2007, The Journal of bone and joint surgery. American volume.

[19]  P. Lewis,et al.  Retrieval study of tibial baseplate fracture after total knee arthroplasty. , 2005, The Journal of arthroplasty.

[20]  John Charnley,et al.  Low Friction Arthroplasty of the Hip: Theory and Practice , 1978 .

[21]  W. Walter,et al.  Edge loading in third generation alumina ceramic-on-ceramic bearings: stripe wear. , 2004, The Journal of arthroplasty.

[22]  C. Hing,et al.  The results of primary Birmingham hip resurfacings at a mean of five years. An independent prospective review of the first 230 hips. , 2007, The Journal of bone and joint surgery. British volume.

[23]  S. Kurtz,et al.  The noisy ceramic hip: is component malpositioning the cause? , 2008, The Journal of arthroplasty.

[24]  Susan Morgan,et al.  Comparison of friction and lubrication of different hip prostheses , 2000 .

[25]  P. D. Di Cesare,et al.  Catastrophic failure of the acetabular component in a ceramic-polyethylene bearing total hip arthroplasty. , 1998, The Journal of arthroplasty.

[26]  Michael Tanzer,et al.  The Otto Aufranc Award. Wear and lubrication of metal-on-metal hip implants. , 1999, Clinical orthopaedics and related research.

[27]  W. Walter,et al.  Squeaking in ceramic-on-ceramic hips: the importance of acetabular component orientation. , 2007, The Journal of arthroplasty.

[28]  William L. Walter,et al.  Orientation and wear of the acetabular component in third generation alumina-on-alumina ceramic bearings: AN ANALYSIS OF 33 RETRIEVALS , 2007 .

[29]  Arne Hothan,et al.  The influence of component design, bearing clearance and axial load on the squeaking characteristics of ceramic hip articulations. , 2011, Journal of biomechanics.

[30]  R. Trousdale,et al.  Fracture of a Ceramic Femoral Head after a Revision Operation. A Case Report* , 1997, The Journal of bone and joint surgery. American volume.

[31]  G Willmann,et al.  Mismatched wear couple zirconium oxide and aluminum oxide in total hip arthroplasty. , 2001, The Journal of arthroplasty.

[32]  W. Walter,et al.  Osteolysis in third-generation alumina ceramic-on-ceramic hip bearings with severe impingement and titanium metallosis. , 2008, The Journal of arthroplasty.

[33]  Harlan C. Amstutz,et al.  Metal on Metal Bearings in Hip Arthroplasty , 1996, Clinical orthopaedics and related research.

[34]  J. Bono,et al.  Severe polyethylene wear in total hip arthroplasty. Observations from retrieved AML PLUS hip implants with an ACS polyethylene liner. , 1994, The Journal of arthroplasty.

[35]  B. Snyder,et al.  Predicting fracture through benign skeletal lesions with quantitative computed tomography. , 2006, The Journal of bone and joint surgery. American volume.