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Erschienen in: Clinical Orthopaedics and Related Research® 2/2011

01.02.2011 | Symposium: Papers Presented at the Hip Society Meetings 2010

Ceramic-on-Ceramic Total Hip Arthroplasty: Incidence of Instability and Noise

verfasst von: David Schroder, MD, Lindsey Bornstein, BA, Mathias P. G. Bostrom, MD, Bryan J. Nestor, MD, Douglas E. Padgett, MD, Geoffrey H. Westrich, MD

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 2/2011

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Abstract

Background

Alternative bearing materials in THA have been developed to reduce the incidence of osteolysis. Alumina-on-alumina bearings exhibit extremely low wear rates in vitro, but concerns exist regarding component impingement with the potential for dislocation and the occurrence of noise.

Questions/purposes

We determined generation of squeaking and the relationship between squeaking and component position.

Methods

We prospectively entered 436 alumina-on-alumina, cementless, primary THAs in 364 patients into our institutional database. All procedures were performed with the same surgical technique and the same implant. We obtained Harris Hip scores and a noise questionnaire and assessed radiographic component position and loosening. We determined the difference in abduction angle between squeakers and nonsqueakers. Minimum followup was 2 years (average, 3.5 years; range, 2.0–6.2 years).

Results

The mean Harris hip score increased from 51.9 preoperatively to 94.4 at latest followup. Six hips underwent reoperation: four hips (1.1%) for dislocation and two (0.53%) for periprosthetic fracture after trauma. The incidence of noise of any type was 11%, with the most common type of noise being clicking or snapping. Squeaking was reported by 1.9% of patients, with no patient being revised for this phenomenon. We found no association between component position and squeaking.

Conclusions

At average 3 years followup, 98% of ceramic-on-ceramic THAs did not require a revision, with 1.1% of hips having been revised for dislocation. Fewer than 2% of patients reported hearing an audible squeak, with no association found between component position and squeaking.

Level of Evidence

Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
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Metadaten
Titel
Ceramic-on-Ceramic Total Hip Arthroplasty: Incidence of Instability and Noise
verfasst von
David Schroder, MD
Lindsey Bornstein, BA
Mathias P. G. Bostrom, MD
Bryan J. Nestor, MD
Douglas E. Padgett, MD
Geoffrey H. Westrich, MD
Publikationsdatum
01.02.2011
Verlag
Springer-Verlag
Erschienen in
Clinical Orthopaedics and Related Research® / Ausgabe 2/2011
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-010-1574-3

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