Review on squeaking hips
Review on squeaking hips作者机构：Specialist Orthopaedic GroupMater Clinic Silesco Pty LtdMater Clinic Australia
出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)
年 卷 期：2015年第6卷第10期
页 面：812-820页
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Squeaking Total hip arthroplasty Ceramicon-ceramic Lubrication Edge loading Metal-on-metal
摘 要：Squeaking is a well-recognized complication for hardon-hard *** nature of squeaking is not yet completely understood however it is considered a multifactorial ***,implant,and surgical factors play a role in *** is believed that mechanisms damaging the fluid film lubrication in which these bearings function optimally have a critical *** mechanisms include edge loading,stripe wear,impingement,third body particles and ceramic *** resonance of metallic parts can produce noise in the human audible range hence the implant metallurgic composition and design may play a *** positioning can facilitate impingement and edge loading enhancing the occurrence of *** recent introduction of large heads( 36 mm) 4th generation ceramic-on-ceramic bearing may accentuate the conditions facilitating noise formation; however the current literature is ***,squeaking may manifest in extreme hip positions or during normal gait cycle however it is rarely associated with *** of patients with squeaking include clinical and radiographic *** tomography is recommended as it can better reveal ceramic breakage and implant *** treatments for most squeaking patients include reassurance and activity *** for some,noise can be a problem,requiring further surgical *** the occurrence of ceramic fracture,implant failure,extreme components malposition,instability and impingement,surgery should be *** review will aim to discuss the current literature regarding squeaking.
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