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Noise from total hip replacements: a case-controlled study.

M C Wyatt1, S Jesani1, C Frampton2

  • 1Wellington Regional Hospital, Riddiford Street, Newtown, Wellington 6021, New Zealand.

Bone & Joint Research
|June 13, 2014
PubMed
Summary
This summary is machine-generated.

Noise from ceramic-on-ceramic total hip replacements occurs threefold more often and significantly impacts patients. This finding has prompted a change in surgical practice regarding hip implant choices.

Keywords:
CeramicNoiseTotal hip replacement

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Area of Science:

  • Orthopedic surgery
  • Biomaterials science
  • Medical device engineering

Background:

  • Total hip replacement (THR) is a common procedure to alleviate hip pain.
  • Articulating surfaces in THR, such as ceramic-on-ceramic (CoC) and ceramic-on-polyethylene (CoP), aim to improve longevity and function.
  • Patient-reported outcomes, including noise, are crucial for evaluating THR success.

Purpose of the Study:

  • To investigate the incidence and impact of audible noise in patients who underwent total hip replacement.
  • To compare noise generation and its effects between ceramic-on-ceramic and ceramic-on-polyethylene bearing surfaces.

Main Methods:

  • A case-controlled study design was employed.
  • Patients receiving either CoC or CoP THR from a single surgeon were compared.
  • Subjective and objective questionnaire scores were utilized to assess patient outcomes and noise perception.

Main Results:

  • The incidence of audible noise was threefold higher in the ceramic-on-ceramic THR group compared to the control group.
  • The impact of this noise was statistically significant for patients, affecting them both subjectively and objectively.
  • This suggests a considerable patient-reported issue associated with CoC articulations.

Conclusions:

  • Ceramic-on-ceramic total hip replacements are associated with a high incidence of audible noise, significantly impacting patients.
  • The findings have led to a modification in surgical practice by the lead surgeon involved in the study.
  • Further research may be warranted to explore the mechanisms and mitigation strategies for noise in CoC implants.