Hip Pelvis.  2014 Jun;26(2):92-98. 10.5371/hp.2014.26.2.92.

Meta-analysis of the Incidence and Risk Factors for Squeaking after Primary Ceramic-on-ceramic Total Hip Arthroplasty in Asian Patients

• Lee TH
• Moon YW
• Lim SJ
• Park YS

• KMID: 2054170
• DOI: http://doi.org/10.5371/hp.2014.26.2.92

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.

Keyword

Total hip arthroplasty; Ceramic-on-ceramic bearing; Squeaking; Noise; Meta-analysis

MeSH Terms

Acetabulum
Arthroplasty, Replacement, Hip*
Asian Continental Ancestry Group*
Hip
Humans
Incidence*
Noise
Risk Factors*

Figure

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  Fig. 1 Literature search in databse.

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  Fig. 2 Summary of result of squeaking incidence in Asian.

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  Fig. 3 Summary of result of squeaking incidence in Western.

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