Squeaking arising from a ceramic-on-ceramic (CoC) total hip replacement (THR) may cause patient concern and in some cases causes patients to seek revision surgery. We performed a meta-analysis to determine the incidence of squeaking and the incidence of revision surgery for squeaking. A total of 43 studies including 16 828 CoC THR that reported squeaking, or revision for squeaking, were entered into the analysis. The incidence of squeaking was 4.2% and the incidence of revision for squeaking was 0.2%. The incidence of squeaking in patients receiving the Accolade femoral stem was 8.3%, and the incidence of revision for squeaking in these patients was 1.3%.
Cite this article: Bone Joint J 2014;96-B:181–7.
The authors wish to thank Dr Terry Neeman for her help and advice with the statistical analysis.
No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
This article was primary edited by G. Scott and first-proof edited by D. Rowley.
- Received July 13, 2013.
- Accepted October 22, 2013.
- ©2014 The British Editorial Society of Bone & Joint Surgery