Influence of Prosthetic Design on Squeaking after Ceramic-on-Ceramic Total Hip Arthroplasty
| Autor: | David J. Peterson, Calvin A. Spellmon, Ryan L. Bliss, Raghavendran Seethala, Todd V. Swanson |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Ceramics medicine.medical_specialty Adolescent Arthroplasty Replacement Hip Total hip replacement Dentistry Prosthesis Design Osteoarthritis Hip Arthritis Rheumatoid Young Adult Humans Medicine Orthopedics and Sports Medicine Aged Retrospective Studies business.industry Data Collection Incidence Implant design Middle Aged Prosthesis Failure Surgery Hip arthroplasty Cross-Sectional Studies Female Hip Prosthesis Implant Noise business Total hip arthroplasty |
| Zdroj: | The Journal of Arthroplasty. 25:e32 |
| ISSN: | 0883-5403 |
| DOI: | 10.1016/j.arth.2010.01.040 |
| Popis: | Squeaky ceramic-on-ceramic (COC) total hips have received much recent publicity, and implant design may be implicated. We reviewed 270 consecutive COC total hip arthroplasties in 233 patients comparing 4 implant combinations representing 4 manufacturers. A cohort (n = 45) of Stryker Trident acetabular cups paired with Stryker Accolade femoral stems showed a dramatically higher incidence of "problem squeaking"--defined as always audible to others and occurring at least once per week--with a 35.6% incidence of squeaking and 11.1% incidence of problem squeaking. The 3 non-Stryker designs (n = 225) revealed 3.6% squeaking (P.0001) and 0.44% problem squeaking (P = .006). The Stryker system has a unique design and metallurgy. Our results suggest that although the genesis of squeaking in COC total hips is multifactorial, prosthetic design plays a key role. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect