An estimation of the incidence of squeaking and revision surgery for squeaking in ceramic-on-ceramic total hip replacement: a meta-analysis and report from the Australian Orthopaedic Association National Joint Registry

Bone Joint J. 2014 Feb;96-B(2):181-7. doi: 10.1302/0301-620X.96B2.32784.


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%.

Keywords: Arthroplasty; Ceramic; Hip; Meta-analysis; Revision; Squeak.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Arthroplasty, Replacement, Hip*
  • Australia / epidemiology
  • Ceramics*
  • Hip Prosthesis* / adverse effects
  • Humans
  • Incidence
  • Orthopedics*
  • Postoperative Complications / epidemiology*
  • Postoperative Complications / etiology
  • Prosthesis Design
  • Prosthesis Failure
  • Registries*
  • Reoperation
  • Societies, Medical*
  • Surface Properties
  • Time Factors