Revision hip arthroplasty for ceramic-on-ceramic squeaking hips does not compromise the results

The Journal of Arthroplasty
Wadih Y MatarWilliam J Hozack

Abstract

Squeaking is a complication that may occur after ceramic-on-ceramic total hip arthroplasty (THA) that can be intolerable enough for some patients to seek revision THA. This prospective case series of 11 hips is the first to report on the results of these patients. All patients underwent isolated head and liner exchange to a metal-on-highly cross-linked polyethylene using the direct lateral approach. Mean age was 45.5 years, and body mass index was 30.0 kg/m(2). Hips were revised at an average of 40.1 months postindex THA. Retrieval analysis showed 7 of 7 liners/heads with edge loading wear and 5 of 7 liners with signs of neck-rim impingement. Short Form-36 mental dimension, Western Ontario McMaster Osteoarthritis Index, and Harris Hip Score (HHS) showed a statistically significant improvement (P < .05). All squeaking was eliminated after revision THA. There were no morbidities or complications after the revision surgery rendering isolated head-and-liner exchange to a metal-on-highly cross-linked polyethylene a relatively benign procedure.

References

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Citations

Mar 20, 2012·The Journal of Arthroplasty·Christophe ChevillotteOlivier Guyen
Apr 14, 2016·The Journal of Arthroplasty·Steven M KurtzBryan D Springer
Jul 1, 2015·The Journal of Arthroplasty·William G HamiltonDouglas A Dennis
Apr 2, 2013·The Journal of Arthroplasty·Takahiko KiyamaOrmonde M Mahoney
Feb 5, 2014·The Bone & Joint Journal·A RajpuraT N Board
Aug 6, 2013·Orthopaedics & Traumatology, Surgery & Research : OTSR·C DacheuxJ Girard
Jun 6, 2013·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Jan-M BrandtEric R Bohm
Jul 13, 2018·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Gurpreet SinghBrent Lanting
Jan 29, 2011·Clinical Orthopaedics and Related Research·Javad ParviziRichard H Rothman
Jun 20, 2013·The Journal of Bone and Joint Surgery. American Volume·Ryan M BaxterMarla J Steinbeck
May 26, 2012·The Journal of Bone and Joint Surgery. British Volume·J R T Jeffers, W L Walter
Jun 2, 2011·Expert Review of Medical Devices·Michael G ZywielMichael A Mont
Apr 1, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Jonathan A BarrowTim N Board

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