Tae-Hun Lee1, Young-Wan Moon2, Seung-Jae Lim2, Youn-Soo Park2. 1. Department of Orthopedic Surgery, Pohang St. Mary's Hospital, Pohang, Korea. 2. Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Abstract
PURPOSE: The purpose of this study was to assess the squeaking incidence and risk factors after primary ceramic-on-ceramic total hip arthroplasty (THA) in Asian patients using meta-analysis. MATERIALS AND METHODS: We performed a meta-analysis of published data on the squeaking incidence and risk factors from 2000 to 2013. Eight studies in Asians were analyzed for both squeaking incidence and risk factors and 25 studies in Western patients were analyzed for squeaking incidence. The data collected were: patient factors, surgical factors and implantation factors. RESULTS: The overall incidence of hip squeaking was 2.7% in Asians and 3.1% in Westerners. This difference was not statistically significant. The only significant risk factor was an increase in the acetabular cup abduction angle. Of the factors, the cup abduction angle was the only significant risk factor for the occurrence rate of squeaking, and the occurrence rate tended to increase with increasing angle. CONCLUSION: The incidence of squeaking in Asians after primary ceramic-on-ceramic THA is 2.7% and is similar to that in Westerners. The increased cup abduction angle is associated with squeaking; therefore, surgeons should be careful not to implant the cup at a too steep abduction angle.
PURPOSE: The purpose of this study was to assess the squeaking incidence and risk factors after primary ceramic-on-ceramic total hip arthroplasty (THA) in Asian patients using meta-analysis. MATERIALS AND METHODS: We performed a meta-analysis of published data on the squeaking incidence and risk factors from 2000 to 2013. Eight studies in Asians were analyzed for both squeaking incidence and risk factors and 25 studies in Western patients were analyzed for squeaking incidence. The data collected were: patient factors, surgical factors and implantation factors. RESULTS: The overall incidence of hip squeaking was 2.7% in Asians and 3.1% in Westerners. This difference was not statistically significant. The only significant risk factor was an increase in the acetabular cup abduction angle. Of the factors, the cup abduction angle was the only significant risk factor for the occurrence rate of squeaking, and the occurrence rate tended to increase with increasing angle. CONCLUSION: The incidence of squeaking in Asians after primary ceramic-on-ceramic THA is 2.7% and is similar to that in Westerners. The increased cup abduction angle is associated with squeaking; therefore, surgeons should be careful not to implant the cup at a too steep abduction angle.
Entities:
Keywords:
Ceramic-on-ceramic bearing; Meta-analysis; Noise; Squeaking; Total hip arthroplasty
Authors: Kenny Mai; Christopher Verioti; Kace A Ezzet; Steven N Copp; Richard H Walker; Clifford W Colwell Journal: Clin Orthop Relat Res Date: 2010-02 Impact factor: 4.176
Authors: William G Hamilton; James P McAuley; Douglas A Dennis; Jeffrey A Murphy; Thomas J Blumenfeld; Joel Politi Journal: Clin Orthop Relat Res Date: 2009-09-19 Impact factor: 4.176
Authors: William L Walter; Gary C O'toole; William K Walter; Andrew Ellis; Bernard A Zicat Journal: J Arthroplasty Date: 2007-03-28 Impact factor: 4.757
Authors: J Philippe Kretzer; Maximilian Uhler; Sebastian Jäger; Therese Bormann; Robert Sonntag; Mareike Schonhoff; Stefan Schröder Journal: Orthopade Date: 2021-02-25 Impact factor: 1.087