Squeaking in large diameter ceramic-on-ceramic bearings in total hip arthroplasty

Stephen M. Tai*, Selin Munir, William L. Walter, Simon J. Pearce, William K. Walter, Bernard A. Zicat

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

59 Citations (Scopus)


We analyzed the results of 206 consecutive total hip arthroplasties performed using large diameter ceramic-on-ceramic bearings. At an average follow-up of 28. months, the mean Harris Hip Score improved from 54 to 92. Fifteen (7.3%) hips were noted to squeak. There was no significant difference between silent and squeaking hips with regards to age, weight, height, BMI, range of movement, femoral head diameter, leg length, and offset or center of rotation. No correlation was present between incidence of squeaking and increasing cup inclination and anteversion. 5.2% of cups orientated within Lewinnek's safe zone squeaked. No hips required revision for squeaking. While large diameter ceramic bearings may produce squeaking, our early results of surgery using large head ceramic bearings are encouraging. However, long-term follow-up is required.

Original languageEnglish
Pages (from-to)282-285
Number of pages4
JournalJournal of Arthroplasty
Issue number2
Publication statusPublished - 1 Feb 2015
Externally publishedYes


  • Cementless
  • Ceramic-on-ceramic
  • Cup orientation
  • Large diameter
  • Squeaking


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