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.
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.

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
  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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