Department of Orthopaedic Surgery, Fukuoka Sano Hospital, Yame, Fukuoka, Japan.
J Arthroplasty. 2013 Jun;28(6):1015-20. doi: 10.1016/j.arth.2012.10.014. Epub 2013 Mar 27.
Squeaking is a recognized complication of total hip arthroplasty with ceramic on ceramic bearings but the etiology has not been well identified. We evaluated 183 hips in 148 patients who had undergone ceramic-on-ceramic noncemented total hip arthroplasties at one center between 1997-2007 by standardized telephone interviews and radiographic review. Audible squeaking was reported from 22 hips (12% of 183) of 19 patients. Prevalence of squeaking was associated with younger age; obesity; lateralized cup position; use of beta titanium alloy femoral components and shortened head length options; and higher reported activity level, greater pain, and decreased satisfaction at the time of the interview. Squeaking was described as having little personal significance by most patients. Squeaking might be preventable in part through medialization of the acetabular cup and avoidance of the use of shortened femoral necks.
嘎吱响是全陶瓷对陶瓷髋关节置换术后公认的并发症，但病因尚未明确。我们通过标准化的电话访谈和影像学评估，对 1997 年至 2007 年间在一个中心接受陶瓷对陶瓷非骨水泥全髋关节置换术的 148 名患者的 183 髋进行了评估。19 名患者的 22 髋（183 髋的 12%）报告有嘎吱响。嘎吱响的发生率与年龄较小、肥胖、侧置杯位、使用β钛合金股骨部件和缩短头长选项以及更高的报告活动水平、更大的疼痛和在访谈时降低的满意度有关。大多数患者认为嘎吱响对个人影响不大。通过髋臼杯向内侧移位和避免使用缩短的股骨颈，部分可以预防嘎吱响。
