Navigation Links
That Squeaking Sound Might Come From Your New Hip
Date:2/18/2011

By Amanda Gardner
HealthDay Reporter

FRIDAY, Feb. 18 (HealthDay News) -- Months after getting a ceramic hip replacement, some patients may be startled to find their artificial joint starts squeaking.

Not everyone who gets a ceramic fitting will end up getting one that squeaks, but those who do are likely to be taller, heavier and younger than their silent counterparts, new research shows.

Fortunately, the squeaks are more of a nuisance than a serious problem, stated the authors of a study to be presented at the annual meeting of the American Academy of Orthopaedic Surgeons, Feb. 15 to 19 in San Diego.

Other experts agree.

"Although it's disconcerting to have noise coming from a hip replacement, there is no significant implication as far as either the quality of the relief from the hip replacement or in terms of its longevity or any other objective measure that would indicate that the squeaking has a deleterious effect," said Dr. Michael Bronson, chief of joint replacement surgery at Mount Sinai Medical Center in New York City.

Dr. Craig Della Valle, associate professor of orthopedic surgery at Rush University Medical Center in Chicago, added: "I don't think there's any data to show that squeaking is harmful to patients. It doesn't seem to have any real consequences."

That said, the noise could indicate that "the bearing surface isn't performing quite the way it should," Della Valle said. "Most of the data seems to indicate that [the squeaking results from] abnormal wear on the bearing surface, and that leads to loss of normal lubrication and that leads to noise."

Three major surfaces are used for hip replacements -- metal-on-plastic, ceramic-on-ceramic and metal-on-metal, said Della Valle.

"All of them have pros and cons and it remains controversial which is the best and for which patients," he said. "Metal-on-[plastic] is kind of the standard and the plastic has changed over time to become more wear -resistant, but historically the big problem with plastic is it wears, hence the interest in 'hard bearings' [such as ceramic] that are more wear-resistant."

The researchers reviewed records on 2,406 hip replacements involving ceramic-on-ceramic bearings that they performed at Mater Hospital in Sydney, Australia, between June 1997 and December 2008. All patients had had osteoarthritis.

The authors identified 74 squeaking hips in 73 patients (some people have both hips replaced), representing 3.1 percent of the group.

Patients with squeaky hips were likely to be a little bit taller: a mean height of about 5 feet 7 inches compared to 5 feet 6 inches. They were also heavier (176.8 pounds versus 168.4 pounds) and younger (average age of 60 versus 65). And, they were significantly more active, all of which suggest the noise is caused by increased mechanical demands, the authors said.

Obesity was not associated with squeaking, the authors said.

Average time to when the squeaking first began was 14 months after the operation. Only 5 percent of patients reported squeaking each time they took a step, and 63 percent said their new hip made noise less than once a day.

Bending caused joints to squeak more than walking, stair climbing or participating in sports, the authors found.

Some people do have a second operation to silence their artificial hip said Della Valle. Another surgery isn't ideal, but a patient might consider it if the joint "squeaks with every step they take," he said.

Experts note that research presented at meetings has not been subjected to the same type of rigorous scrutiny given to research published in peer-reviewed medical journals.

More information

The American Academy of Orthopaedic Surgeons has more on joint replacement surgery.

SOURCES: Michael J. Bronson, M.D., chief, joint replacement surgery, Mount Sinai Medical Center, New York, N.Y.; Craig Della Valle, M.D., associate professor, orthopedic surgery, Rush University Medical Center, Chicago; study presentation, American Academy of Orthopaedic Surgeons, Feb. 15-19, 2011, San Diego, Calif.


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Look-and-Sound-Alike Names Account for Many Painkiller Prescription Errors
2. Microbubble ultrasound and breast biopsies
3. Ultrasound and a blood test can increase survival after myocardial infarction
4. AIUM announces ultrasound practice accreditation in fetal echocardiography
5. AIUM spearheads collaboration to develop guidelines for point-of-care ultrasound applications
6. Accurate diagnosis of prostate cancer with ultrasound
7. Targeted breast ultrasound plays key role in evaluating breast abnormalities in women younger than 40
8. Southampton to conduct UKs first cochlear implant operation to give sound in both ears
9. Hearts sounds can help diagnose heart failure
10. Scientists Unravel Secrets of Sound Sleep
11. Endoscopic ultrasound evaluation is associated with improved outcomes in pancreatic cancer patients
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
That Squeaking Sound Might Come From Your New Hip
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture ... said Christina Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s package ... Final Cut Pro X . Simply select a ProHand generator and drag it ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... On Friday, ... presented a Bronze Wellness at Work award to iHire in recognition of their exemplary ... part of the 7th annual Maryland Workplace Health & Wellness Symposium at the BWI ...
(Date:6/24/2016)... ... ... June 19, 2016 is World Sickle Cell Observance Day. In an effort ... holistic treatments, Serenity Recovery Center of Marne, Michigan, has issued a pain ... Disease (SCD) is a disorder of the red blood cells, which can cause episodes ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. ... accelerated orthodontic treatment. Dr. Cheng has extensive experience with all areas of orthodontics, ... and accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic ...
(Date:6/24/2016)... ... June 24, 2016 , ... EB Medicine presented its first-ever ... Medicine conference in Ponte Vedra Beach, FL. The awards honor the outstanding work ... Practice and Pediatric Emergency Medicine Practice. , “With this award, we recognize ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... NAMUR , Belgium , ...  (NYSE MKT: VNRX), today announced the appointment of ... Board of Directors as a Non-Executive Director, effective ... the Company,s Audit, Compensation and Nominations and Governance ... Board, Dr. Futcher will provide independent expertise and ...
(Date:6/23/2016)... Research and Markets has announced ... Type (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic Chemical), Functionality ... - Global Forecast to 2021" report to their ... global pharmaceutical excipients market is projected to reach USD ... in the forecast period 2016 to 2021. ...
(Date:6/23/2016)... 2016 Research and Markets has announced ... report to their offering. ... a favourable commercial environment for MedImmune to enter. The US ... will serve to drive considerable growth for effective anti-influenza medications. ... cap sales considerably, but development is still in its infancy. ...
Breaking Medicine Technology: