Clinical Orthopaedics and Related Research®

, Volume 468, Issue 2, pp 413–417 | Cite as

Incidence of ‘Squeaking’ After Ceramic-on-Ceramic Total Hip Arthroplasty

  • Kenny Mai
  • Christopher Verioti
  • Kace A. Ezzet
  • Steven N. Copp
  • Richard H. Walker
  • Clifford W. ColwellJr.Email author
Symposium: Papers Presented at the Hip Society Meetings 2009


The incidence of hip “squeak” associated with ceramic-on-ceramic bearings has been variably reported, ranging from 0.7% to 20.9%. We determined the patients’ perception of squeaking in 306 patients (336 hips) in whom ceramic-on-ceramic total hip arthroplasties (THAs) were performed between 1997 and 2005. A questionnaire regarding hip noise was obtained by telephone. With a minimum followup of 2 years (mean, 3.9 years; range, 2–10 years), 290 patients (320 or 95% of the THAs) completed the questionnaire. Patients reported hip noise in 55 of the 320 THAs (17%); noise was perceived as squeak in 32 of the 320 (10%). Most squeaking hips (29 of 32) were pain-free and symptom-free. One patient was unhappy with his squeaking hip without pain. Our data suggest a much higher incidence of squeak as perceived by patients than previously reported.

Level of Evidence: Level II, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.


Femoral Component Acetabular Component Wear Scar Prosthetic Component Edge Loading 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



We thank Julie C. McCauley, MPHc, for assistance with statistics and Mary E. Hardwick, MSN, RN, for assistance with editing.

Supplementary material

(MPG 5521 kb)


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Copyright information

© The Association of Bone and Joint Surgeons® 2009

Authors and Affiliations

  • Kenny Mai
    • 1
  • Christopher Verioti
    • 3
  • Kace A. Ezzet
    • 2
  • Steven N. Copp
    • 2
  • Richard H. Walker
    • 2
  • Clifford W. ColwellJr.
    • 2
    • 3
    Email author
  1. 1.Hanford Orthopaedics, IncHanfordUSA
  2. 2.Division of Orthopaedic SurgeryScripps ClinicLa JollaUSA
  3. 3.Shiley Center for Orthopaedic Research and Education at Scripps ClinicLa JollaUSA

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