A review of squeaking in ceramic total hip prostheses

Ehsan Askari*, Paulo Flores, Danè Dabirrahmani, Richard Appleyard

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    34 Citations (Scopus)


    The occurrence of audible squeaking in some patients with ceramic-on-ceramic (CoC) hip prostheses is a cause for concern. Great effort has been dedicated to understand the mechanics of the hip squeaking to gain a deeper insight into factors contributing to sound emission from CoC hip articulation. Disruption of fluid-film lubrication and friction were reported as the main potential cause, while patient and surgical factors, and design and material of hip implants, were also identified as leading factors. This article summarizes the recent available literature on this subject to provide a platform for future research and development. Moreover, high wear rates and ceramic liner fracture as viable consequences of hip squeaking are discussed.

    Original languageEnglish
    Article number3846
    Pages (from-to)239-256
    Number of pages18
    JournalTribology International
    Publication statusPublished - Jan 2016


    • Ceramic total hip arthroplasty
    • Squeaking
    • Fluid-film lubrication
    • Friction
    • Multibody dynamics methodology
    • Complex eigenvalue method


    Dive into the research topics of 'A review of squeaking in ceramic total hip prostheses'. Together they form a unique fingerprint.

    Cite this