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Updated: May 24, 2026

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Hip squeaking: a 10-year follow-up study.

Christophe Chevillotte1, Vincent Pibarot, Jean-Paul Carret

  • 1Department of Orthopedic Surgery, Pavillon T, Hôpital Edouard Herriot, Lyon Cedex 03, France.

The Journal of Arthroplasty
|March 20, 2012
PubMed
Summary
This summary is machine-generated.

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Ceramic-on-ceramic total hip arthroplasty (THA) can produce squeaking in some patients. This study found squeaking to be an isolated phenomenon with no long-term complications after 10 years.

Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science
  • Clinical Outcomes Research

Background:

  • Ceramic-on-ceramic bearings are widely used in total hip arthroplasty (THA) due to their low wear rates.
  • Squeaking is a reported, though infrequent, complication associated with these implants.
  • Understanding the long-term implications of squeaking is crucial for patient counseling and implant selection.

Purpose of the Study:

  • To determine the incidence of squeaking in ceramic-on-ceramic THA after a 10-year follow-up.
  • To investigate potential complications associated with squeaking.
  • To analyze factors potentially related to squeaking.

Main Methods:

  • A cohort of 100 patients who underwent ceramic-on-ceramic THA between 1999 and 2000 was retrospectively evaluated.

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  • Clinical incidence of squeaking was assessed using a patient questionnaire.
  • Implant positioning, wear, loosening, and ceramic fracture were analyzed via X-ray and computed tomography.

    • Main Results:

    • Five out of 100 THAs (5%) reported squeaking, primarily in active, heavier male patients.
    • Squeaking onset occurred at a mean of 66 months post-surgery.
    • No correlation was found between squeaking and malpositioning, wear, loosening, or ceramic fracture; functional scores were comparable to non-squeaking patients.

    Conclusions:

    • Squeaking in ceramic-on-ceramic THA appears to be an isolated phenomenon.
    • The incidence of squeaking does not seem to be associated with adverse long-term complications or implant failure at 10-year follow-up.
    • Further research may elucidate the exact mechanism causing squeaking in specific patient demographics.