Squeaking in Ceramic-on-Ceramic Hips. The Importance of Acetabular Component Orientation

William L. Walter*, Gary C. O'Toole, William K. Walter, Andrew Ellis, Bernard A. Zicat

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

261 Citations (Scopus)


Audible squeaking in total hip replacements with ceramic-on-ceramic bearings is a rare problem. Acetabular component orientation was compared for 17 squeaking hips and 17 matched controls. Ninety-four percent of control hips were in a range of 25° ± 10° anteversion and 45° ± 10° inclination, but only 35% of squeaking hips were in this range (P = .0003). Eight hips squeak with bending. Four hips squeak with walking, and 5 hips squeak after prolonged periods of walking. Hips that squeaked with walking had acetabular components that were more anteverted (40°) than hips that squeaked with bending (19°) (P = .001) or prolonged walking (18°) (P = .020). The hips started squeaking after an average of 14 months. Patients with squeaking hips were younger, heavier, and taller than patients with silent hips.

Original languageEnglish
Pages (from-to)496-503
Number of pages8
JournalJournal of Arthroplasty
Issue number4
Publication statusPublished - Jun 2007
Externally publishedYes


  • alumina
  • ceramic
  • hip
  • squeak


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