title: Squeaking in third- and fourth-generation ceramic-on-ceramic total hip arthroplasty: meta-analysis and systematic review.
abstract: Postoperative squeaking in ceramic-on-ceramic total hip arthroplasty is a recently emerging phenomenon. We performed a meta-analysis of published data to examine patient and procedural risk factors. Twelve studies (6137 patients, total) were analyzed, with 150 patients (2.4%) complaining of squeaking. The only significant patient risk factor was increasing body mass index (P = .03, n = 2957). There was no significance found with patient age, sex, height, weight, or procedural laterality for squeak incidence. For implant type, the presence of a Stryker Accolade femoral stem (beta-titanium; Stryker Orthopedics, Mahwah, NJ) was significantly found to increase squeak (P < .0001, n = 4654). The presence of a raised metallic lip on the acetabular component was not found to be associated with squeak. Acetabular cup position was also not found to have a significant bearing on the incidence of squeaking.
authors.affiliation: Stony Brook University Medical Center, Department of Orthopaedics, Stony Brook, New York 11794-8181, USA.
authors.forename: Scott J C
authors.initials: SJ
authors.lastname: Stanat
authors.forename: James D
authors.initials: JD
authors.lastname: Capozzi
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D002516:Ceramics; D006622:Hip Prosthesis; D006801:Humans; D009622:Noise; D011474:Prosthesis Design; D011475:Prosthesis Failure