The Squeaking Phenomenon in Ceramic-on-Ceramic Bearings

  • Alexandra PokornyEmail author
  • Karl Knahr


The growing demand for total hip arthroplasties in an increasingly younger, more active group of patients has led to new challenges for tribological properties of implants.


Acoustic Emission Wear Rate Acetabular Component Prosthetic Design Cementless Fixation 
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.


  1.  1.
    Back, D.L., Dalziel, R., Young, D., Shimmin, A.: Early results of primary Birmingham hip resurfacings. An independent prospective study of the first 230 hips. J. Bone Joint Surg. Br. 87(3), 324–329 (2005)PubMedGoogle Scholar
  2.  2.
    Boehler, M., Knahr, K., Plenk Jr., H., Walter, A., Salzer, M., Schreiber, V.: Long-term results of Uncemented Alumina Acetabular implants. J. Bone Joint Surg. Br. 76-B, 53–59 (1994)Google Scholar
  3.  3.
    Boutin, P.: Total arthroplasty of the hip by fritted aluminium prosthesis. Experimental study and 1st clinical applications. Rev. Chir. Orthop. Reparatrice Appar. Mot. 58, 29–46 (1972); FrenchGoogle Scholar
  4.  4.
    Brockett, C.L., et al.: The influence of clearance on friction, lubrication and squeaking in large diameter metal- on- metal hip replacements. J. Mater. Sci. Mater. Med. 19(4), 1575–1579 (2008)PubMedCrossRefGoogle Scholar
  5.  5.
    Chevillotte, C., Trousdale, R.T., Chen, Q., Guyen, O., An, K.: The 2009 Frank Stinchfield Award. “Hip squeaking”. A biomechanical study of ceramic-on-ceramic bearing surfaces. Clin. Orthop. Relat. Res. 468, 345–350 (2010)PubMedCrossRefGoogle Scholar
  6.  6.
    Clarke, I., Manley, M.T.: How do alternate bearing surfaces influence wear behavior? J. Am. Acad. Orthop. Surg. 16(Suppl 1), S86–S93 (2008)PubMedGoogle Scholar
  7.  7.
    Dumbleton, J.H., Manley, M.T.: Metal-on-metal total hip replacement. What does the literature say? J. Arthroplasty 20(2), 174–188 (2005)PubMedCrossRefGoogle Scholar
  8.  8.
    Esposito, C., Walter, W.L., Campbell, P., Roques, A.: Squeaking in metal-on-metal hip resurfacing arthroplasties. Clin. Orthop. Relat. Res. 468, 2333–2339 (2010)PubMedCrossRefGoogle Scholar
  9.  9.
    Glaser, D., Komistek, R.D., Cates, H.E., Mahfouz, M.R.: Clicking and squeaking: in vivo correlation of sound and separation for different bearing surfaces. J. Bone Joint Surg. Am. 90, 112–120 (2008)PubMedCrossRefGoogle Scholar
  10. 10.
    Griss, P., Heimke, G.: Five years’ experience with ceramic-metal-composite hip endoprostheses. I. Clinical evaluation. Arch. Orthop. Trauma. Surg. 98, 157–164 (1981)PubMedCrossRefGoogle Scholar
  11. 11.
    Hamadouche, M., Boutin, P., Daussange, J., Bolander, M.E., Sedel, L.: Alumina-on-alumina total hip arthroplasty: a minimum 18.5 year follow up study. J. Bone Joint Surg. Am. 84, 69 (2002)PubMedGoogle Scholar
  12. 12.
    Hamilton, W., McAuley, J., Dennis, D., Blumenfeld, T., Politi, J.: THA with delta ceramic. Clin. Orthop. Relat. Res. 468, 358–366 (2010)PubMedCrossRefGoogle Scholar
  13. 13.
    Holzmann, P., Eggli, S., Ganz, R.: Metal-on-metal: all things bright and beautiful in opposition. Orthopedics 25, 932 (2002)PubMedGoogle Scholar
  14. 14.
    Jarrett, C.A., Ranawat, A.S., Bruzzone, M., Blum, Y.C., Rodriguez, J.A., Ranawat, C.S.: The squeaking hip: a phenomenon of ceramic-on-ceramic total hip arthroplasty. J Bone Joint Surg. Am. 91, 1344–1349 (2009)PubMedCrossRefGoogle Scholar
  15. 15.
    Lusty, P.J., Tai, C.C., Sew-Hoy, R.P., Walter, W.L., Walter, W.K., Zicat, B.A.: Third generation alumina-on-alumina ceramic bearings in cementless total hip arthroplasty. J. Bone Joint Surg. Am. 89, 2676–2683 (2007)PubMedCrossRefGoogle Scholar
  16. 16.
    Matar, W.Y., Restrepo, C., Javad, P., Kurtz, S.M., Hozack, W.J.: Revision hip arthroplasty for ceramic-on-ceramic squeaking hips does not compromise the results. J. Arthroplasty 25(6 Suppl), 81–86 (2010). Epub 15 Jul 2010PubMedCrossRefGoogle Scholar
  17. 17.
    Mittelmeier, H.: Report on the first decennium of clinical experience with a cementless ceramic total hip replacement. Acta Orthop. Belg. 51, 367–376 (1985)PubMedGoogle Scholar
  18. 18.
    Nevelos, J., Ingham, E., Doyle, C., Streicher, R., Nevelos, A., Walter, W., Fisher, J.: Microseparation of the centers of alumina-alumina artificial hip joints during simulator testing produces clinically relevant wear rates and patterns. J. Arthroplasty 15, 793–795 (2000)PubMedCrossRefGoogle Scholar
  19. 19.
    Restrepo, C., Post, Z., Kai, B., Hozack, W.: The effect of stem design on the prevalence of squeaking following ceramic-on-ceramic bearing total hip arthroplasty. J. Bone Joint Surg. Am. 92, 550–557 (2010)PubMedCrossRefGoogle Scholar
  20. 20.
    Salzer, M., Knahr, K., Locke, H., et al.: A bioceramic endoprosthesis for the replacement of the proximal humerus. Arch. Orthop. Trauma. Surg. 93, 169–184 (1979)PubMedCrossRefGoogle Scholar
  21. 21.
    Salzer, M., Zweymüller, K., Locke, H., et al.: Further experimental and clinical experience with aluminium oxide endoprostheses. J. Biomed. Mater. Res. 10, 847–856 (1976)PubMedCrossRefGoogle Scholar
  22. 22.
    Schroder, D., Bornstein, L., Bostrom, M.P.G., Nestor, B.J., Padgett, D.E., Westrich, G.H.: Ceramic-on-ceramic total hip arthroplasty. Incidence of instability and noise. Clin. Orthop. Relat. Res. 469(2), 437–442 (2011). Epub 18 Sep 2010PubMedCrossRefGoogle Scholar
  23. 23.
    Swanson, T., Peterson, D.J., Seethala, R., Bliss, R., Spellmon Jr., C.A.: Influence of prosthetic design on squeaking after ceramic-on-ceramic total hip arthroplasty. J. Arthroplasty 25(6 Suppl), 36–42 (2010)PubMedCrossRefGoogle Scholar
  24. 24.
    Tipper, J.L., Firkins, P.J., Besong, A.A., Barbour, P.S.M., Nevelos, J., Stone, M.H., Ingham, E., Fisher, J.: Characterisation of wear debris from UHMWPE on zirconia ceramic, metal-on-metal and alumina ceramic-on-ceramic hip prostheses generated in a physiological anatomical hip joint simulator. Wear 250, 120–128 (2001)CrossRefGoogle Scholar
  25. 25.
    Toni, A., Traina, F., Stea, S., Sudanese, A., Visentin, M., Bordini, B., Squarzoni, S.: Early diagnosis of ceramic liner fracture. Guidelines based on a twelve-year clinical experience. J. Bone Joint Surg. Am. 88(Suppl 4), 55–63 (2006)PubMedCrossRefGoogle Scholar
  26. 26.
    Walter, W., Insley, G.M., Walter, W.K., Tuke, M.A.: Edge loading in third generation alumina ceramic-on-ceramic bearings. J. Arthroplasty 19, 402–413 (2004)PubMedCrossRefGoogle Scholar
  27. 27.
    Walter, W., Waters, T.S., Gillies, M., Donohoo, S., Kurtz, S.M., Ranawat, A.S., Hozack, W.J., Tuke, M.A.: Squeaking hips. J. Bone Joint Surg. Am. 90, 102–111 (2008)PubMedCrossRefGoogle Scholar
  28. 28.
    Weiss, C., Gdaniec, P., Hoffmann, N., Hothan, A., Huber, G., Morlock, M.: Squeak in hip endoprosthesis systems: An experimental study and a numerical technique to analyse design variants. Med. Eng. Phys. 32(6), 604–609 (2010). Epub 16 Mar 2010PubMedCrossRefGoogle Scholar
  29. 29.
    Walter, W., et al.: Squeaking in ceramic-on-ceramic hips: The importance of acetabular component orientation. J. Arthroplasty 22(4), 496–503 (2007)Google Scholar
  30. 30.
    Capello, W.N., D’Antonio, J.A., Feinberg, J.R., et al.: Ceramic-on-ceramic total hip arthroplasty: update. J. Arthroplasty 23(7 Suppl), 39–43 (2008)PubMedCrossRefGoogle Scholar
  31. 31.
    Restrepo, C., Parvizi, J., Kurtz, S.M., Sharkey, P.F., Hozack, W.J., Rothman, R.H.: The noisy ceramic hip: is component malpositioning the cause? J. Arthroplasty 23, 643–649 (2008)PubMedCrossRefGoogle Scholar
  32. 32.
    Grimm, et al.: Annual AAOS meeting Podium No.  199 (2009)Google Scholar

Copyright information

© Springer Berlin Heidelberg 2011

Authors and Affiliations

  1. 1.2nd Orthopaedic DepartmentOrthopaedic Hospital Vienna-SpeisingViennaAustria

Personalised recommendations