Skip to main content

Advertisement

SpringerLink
Log in

Quietschen als Revisionsursache einer Kompositkeramikpfanne

Squeaking as a cause for revision of a composite ceramic cup

  • Kasuistiken
  • Published:
Der Orthopäde Aims and scope Submit manuscript

Zusammenfassung

Bislang sind Quietschphänomene bei Hüfttotalendoprothesen lediglich bei Hart/Hart-Paarungen wie Keramik/Keramik oder Metall/Metall beobachtet worden. Wir berichten über den Fall einer Patientin, bei der mehrfache Wechsel eines Keramikkopfs in Kombination mit einer Kompositkeramikpfanne (Polyurethan/Keramik) nach 6 Jahren zu einem revisionspflichtigen Quietschen führten. Als ursächlich ist hier eine sekundäre Formveränderung des Inlays mit Einklemmung des Kopfs und resultierender Reibungserhöhung beschrieben. Dies sollte bei der Beurteilung und Beratung von Patienten mit quietschenden Hüfttotalendoprothesen als mögliche Ursache berücksichtigt werden, sofern Polyurethankeramikkomponenten verwendet wurden.

Abstract

Squeaking in total hip arthroplasty (THA) has been observed only in hard-on-hard bearings, such as ceramic-on-ceramic or metal-on-metal. We report the case of a patient with a squeaking THA who had undergone multiple femoral head revisions combined with a composite ceramic cup (polyurethane, ceramic). Squeaking started 6 years postoperatively and acetabular revision was necessary to resolve the issue. Secondary deformation of the inlay resulted in clamping of the femoral head and increased friction. This should be considered when assessing and advising patients with squeaking THA when composite ceramic components are involved.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3

Literatur

  1. Brockett CL, Harper P, Williams S et al (2008) The influence of clearance on friction, lubrication and squeaking in large diameter metal-on-metal hip replacements. J Mater Sci Mater Med 19:1575–1579

    Article  PubMed  CAS  Google Scholar 

  2. Chevillotte C, Trousdale RT, Chen Q et al (2010) The 2009 Frank Stinchfield Award: „Hip squeaking“: a biomechanical study of ceramic-on-ceramic bearing surfaces. Clin Orthop Relat Res 468:345–350

    Article  PubMed  Google Scholar 

  3. Keurentjes JC, Kuipers RM, Wever DJ, Schreurs BW (2008) High incidence of squeaking in THAs with alumina ceramic-on-ceramic bearings. Clin Orthop Relat Res 466:1438–1443

    Article  PubMed  CAS  Google Scholar 

  4. Kleinhans JA, Jakubowitz E, Seeger JB et al (2009) Macroscopic third-body wear caused by porous metal surface fragments in total hip arthroplasty. Orthopedics 32:364

    Article  PubMed  Google Scholar 

  5. Mai K, Verioti C, Ezzet KA et al (2010) Incidence of ‚squeaking‘ after ceramic-on-ceramic total hip arthroplasty. Clin Orthop Relat Res 468:413–417

    Article  PubMed  Google Scholar 

  6. Restrepo C, Matar WY, Parvizi J et al (2010) Natural history of squeaking after total hip arthroplasty. Clin Orthop Relat Res 468:2340–2345

    Article  PubMed  Google Scholar 

  7. Scholz J, Grundei H, Klingbeil K (2000) ESKA-Ceram – a new material in hip endoprosthetics. Biomed Tech (Berl) 45:377–379

    Google Scholar 

  8. Taylor S, Manley MT, Sutton K (2007) The role of stripe wear in causing acoustic emissions from alumina ceramic-on-ceramic bearings. J Arthroplasty 22:47–51

    Article  PubMed  Google Scholar 

  9. Walter WL, O’Toole GC, Walter WK et al (2007) Squeaking in ceramic-on-ceramic hips: the importance of acetabular component orientation. J Arthroplasty 22:496–503

    Article  PubMed  Google Scholar 

  10. Walter WL, Waters TS, Gillies M et al (2008) Squeaking hips. J Bone Joint Surg [Am] 90(suppl 4):102–111

    Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

  1. Department Orthopädie, Unfallchirurgie und Paraplegiologie, Universitätsklinikum Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Deutschland

    U.J. Schlegel

  2. Institut für Biomechanik, Technische Universität Hamburg-Harburg, Hamburg, Deutschland

    N. Bishop & M.M. Morlock

  3. Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Klinikum der Universität zu Köln, Köln, Deutschland

    R. Sobottke & P. Eysel

  4. Centrum für Muskuloskeletale Chirurgie, Orthopädische Klinik, Charité-Universitätsmedizin Berlin, Berlin, Deutschland

    C. Perka

Authors
  1. U.J. Schlegel
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. N. Bishop
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. Sobottke
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. C. Perka
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. P. Eysel
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. M.M. Morlock
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to U.J. Schlegel.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schlegel, U., Bishop, N., Sobottke, R. et al. Quietschen als Revisionsursache einer Kompositkeramikpfanne. Orthopäde 40, 812–816 (2011). https://doi.org/10.1007/s00132-011-1743-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00132-011-1743-4

Schlüsselwörter

Keywords

Search

Navigation