Influence of Prosthetic Design on Squeaking After Ceramic-on-Ceramic Total Hip Arthroplasty

被引：55

作者：

Swanson, Todd V. ^{[1
,2
]}

Peterson, David J. ^{[1
,2
]}

Seethala, Raghavendran ^{[3
]}

Bliss, Ryan L. ^{[1
,2
]}

Spellmon, Calvin A. ^{[1
,2
]}

机构：

[1] Desert Orthopaed Ctr, Swanson Hip & Knee Ctr Excellence, Las Vegas, NV 89121 USA

[2] Desert Orthopaed Ctr, Res Inst, Las Vegas, NV 89121 USA

[3] King George Hosp Visakhapatnam, Dept Orthopaed, Visakhapatnam, Andhra Pradesh, India

来源：

JOURNAL OF ARTHROPLASTY | 2010年 / 25卷 / 06期

关键词：

hip arthroplasty; ceramic; squeak; noise; ACETABULAR CUP; WEAR; ANTEVERSION; FRACTURE;

D O I：

10.1016/j.arth.2010.04.032

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Squeaky ceramic-on-ceramic (COC) total hips have received much recent publicity, and implant design may be implicated. We reviewed 270 consecutive COC total hip arthroplasties in 233 patients comparing 4 implant combinations representing 4 manufacturers. A cohort (n = 45) of Stryker Trident acetabular cups paired with Stryker Accolade femoral stems showed a dramatically higher incidence of "problem squeaking"-defined as always audible to others and occurring at least once per week-with a 35.6% incidence of squeaking and 11.1% incidence of problem squeaking. The 3 non-Stryker designs (n = 225) revealed 3.6% squeaking (P < .0001) and 0.44% problem squeaking (P = .006). The Stryker system has a unique design and metallurgy. Our results suggest that although the genesis of squeaking in COC total hips is multifactorial, prosthetic design plays a key role.

引用

页码：36 / 42

页数：7

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