Todd V. Swanson, MD • Raghavendran Seethala, MS • David J. Peterson, PharmD, DO • Ryan Bliss, BBA • Calvin Spellmon, BS • Las Vegas, Nevada
Squeaking ceramic-on-ceramic total hip articulations are a cause for concern. Although used in Europe for almost 40 years, ceramic-on-ceramic hips did not exhibit a significant problem with squeaking until FDA approval of two ceramic hips in 2003.
…Based on the findings of this study, the authors recommend against the use of the Stryker Trident cup with the Accolade stem and the use of short necks in ceramic-on-ceramic total hip arthroplasty. Ceramic-on-ceramic articulations should be used with caution in rheumatoids. Further research will likely elucidate the mechanisms causing problem squeaking in these subgroups of patients.