Squeaky Hip?
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Neil O

Santa Barbara, CA

#1 Apr 11, 2006
I had a total hip replacement (ceramic) 2.5 years ago and for the last 6 months it has developed a worsening squeak when I walk, sometimes a grinding sound when I turn and bend. My Dr. says it has been reported only about 60 times and it usually goes away in a few months. Mine is getting worse. Anyone ever heard of this?
Ray H

Palo Alto, CA

#2 May 11, 2006
Hi Neil, I have indded heard of this (and am hearing it as I walk). The reseach I have done says that they are finding it in about 0.5% of ceramic on ceramic implants. I see the surgon tomorrow (5/12/06) and will let you know what he finds.
Lilly

Bucyrus, OH

#3 May 15, 2006
HI Neil,

I'm having the same problem. But my squeak started Aug of 05. It does lighten up at times but then it's worst. My doctor said the same thing it'll go any. It's being more and more noticable.
dianne b

Australia

#4 May 16, 2006
Neil O wrote:
I had a total hip replacement (ceramic) 2.5 years ago and for the last 6 months it has developed a worsening squeak when I walk, sometimes a grinding sound when I turn and bend. My Dr. says it has been reported only about 60 times and it usually goes away in a few months. Mine is getting worse. Anyone ever heard of this?
Yes - i had a total hip replacement 2.50 years ago and suddenly i have this delightful squeak and occasional grinding sound. Due to visit surgeon in 4 weeks.
dianne b

Australia

#5 May 16, 2006
Yes - i had a total hip replacement 2.50 years ago and suddenly i have this delightful squeak and occasional grinding sound. Due to visit surgeon in 4 weeks.
Neil O

Santa Barbara, CA

#6 May 17, 2006
Now we are getting somewhere. Thanks for the responses. So maybe it is more widespread than my surgeon knows about. I will be seeing him next week also.

I hear the sound with every step, almost all the time now. To prevent it I have to limp and put less weight on my new hip. Sometimes I get a grinding sound when I stand on that leg and lift something. The more weight, the louder the sound.

Does anyone know of any other sources of information about this?
Neil O

Santa Barbara, CA

#7 May 17, 2006
Ray H wrote:
Hi Neil, I have indded heard of this (and am hearing it as I walk). The reseach I have done says that they are finding it in about 0.5% of ceramic on ceramic implants. I see the surgon tomorrow (5/12/06) and will let you know what he finds.
I would love to hear what you Dr. said. Where did you find the data about the percentage?
Neil O

Santa Barbara, CA

#8 May 17, 2006
Lilly wrote:
HI Neil,
I'm having the same problem. But my squeak started Aug of 05. It does lighten up at times but then it's worst. My doctor said the same thing it'll go any. It's being more and more noticable.
My squeak started about the same time and has gradually and steadily worsened.
Tom B

Deerfield, IL

#9 May 19, 2006
Me too.
I have a Stryker ceramic and titanium hip replacement and have had it since 10/2/03 I first noticed the squeak while making love, it worsened: and going up stairs is actually quite noisy. With one foot on a chair, raising my weight with the replaced hip, it sounds like a rusty gate hinge and emits a about a 2 octave range.
Here is the response I got from Stryker when I Emailed them about my sonorus astabularium:

A few patients with ceramic-on-ceramic hips report that in certain situations, they hear a noise, or squeaking, emanating from the hip. Surgeons have also reported on patients who reported noise during very specific activities, such as rising from a chair or walking up stairs, and that often the noise will disappear spontaneously. The number of reports is low in relation to the number of components implanted.

The reported noise has never been shown to be a mode a failure of the components. However, the perception of the noise is a concern because it affects patients quality of life. While Stryker Orthopaedics has not been able to identify the cause of the reported noise, we are continuing to evaluate all reports and keeping a dialogue with clinicians.

Regards,

Stryker
Tom B

Deerfield, IL

#10 May 19, 2006
Neil O wrote:
Now we are getting somewhere. Thanks for the responses. So maybe it is more widespread than my surgeon knows about. I will be seeing him next week also.
I hear the sound with every step, almost all the time now. To prevent it I have to limp and put less weight on my new hip. Sometimes I get a grinding sound when I stand on that leg and lift something. The more weight, the louder the sound.
Does anyone know of any other sources of information about this?
Me too.
I have a Stryker ceramic and titanium hip replacement and have had it since 10/2/03 I first noticed the squeak while making love, it worsened: and going up stairs is actually quite noisy. With one foot on a chair, raising my weight with the replaced hip, it sounds like a rusty gate hinge and emits a about a 2 octave range.
Here is the response I got from Stryker when I Emailed them about my sonorus astabularium:

A few patients with ceramic-on-ceramic hips report that in certain situations, they hear a noise, or squeaking, emanating from the hip. Surgeons have also reported on patients who reported noise during very specific activities, such as rising from a chair or walking up stairs, and that often the noise will disappear spontaneously. The number of reports is low in relation to the number of components implanted.

The reported noise has never been shown to be a mode a failure of the components. However, the perception of the noise is a concern because it affects patients quality of life. While Stryker Orthopaedics has not been able to identify the cause of the reported noise, we are continuing to evaluate all reports and keeping a dialogue with clinicians.

Regards,

Stryker
Ross

Natural Bridge, Australia

#11 May 20, 2006
I too have a ceramic prosthesis (1.5 years old) that in recent weeks has developed an annoying squeak particularly when bending and straightening. I have had some hip discomfit also since the squeak began. I am seeking a visit with my surgeon in a few weeks but have just been doing some searching to see if this is a common problem. Anyone had any definitive answers from their surgeons....or advice on how to prevent or stop the squeak?
Neil O

Santa Barbara, CA

#12 May 21, 2006
My Dr. has researched this issue and talked to the manufacturer and others involved in the testing of the ceramic on ceramic hips. He had never heard of this until my case presented itself. He says pretty much what has been said above. The company has told him that a squeak has developed in fewer than 100 cases (perhaps underestimated?), that it usually goes away, and that it has not caused a failure of a hip. There is no way to reduce or manage the sound. He says that there are no existing studies on this issue. I will be seeing my Dr. this week and may get more info.

My hip has been squeaking for 10 months now. It has gotten steadily louder and more frequent. It squeaks when I lean over, when I lift up my leg to put my pants on, when I lift something heavy, and when I walk. It now squeaks on almost every step as I walk unless I take very small steps. I have started limping at my office to try to keep the sound quiet in order not to draw attention to myself. I enjoy walking less than I used to. I cannot do certain exercises at the gym (like squats) because of the noise.

It is interesting to hear other stories and realize that this is a more common problem than it seems. The reason I got the ceramic hip is because it was supposed to last a lifetime. Now I'm thinking about having it replaced.
Sammy

Gwynn Oak, MD

#13 May 23, 2006
Here is a May 3, 2006 article from www.Macleans.ca

Hip replacement may cause squeaking

Australian surgeons find that some of their patients emit a high-pitched noise when they walk

A small percentage of people who receive a ceramic total hip replacement will emit a painless high-pitched noise when they walk or bend over, according to Australian surgeons.
In some cases, recipients may find this squeaking so bothersome they opt to have the implants replaced, according to Dr. Gary O'Toole, a New York-based orthopedic surgeon and former fellow with Sydney Hip and Knee Surgeons in Australia.

From 1997 to 2005, the surgeons encountered 13 cases of squeaking among nearly 2,400 patients who received a first ceramic-on-ceramic hip replacement. These implants replace the ball-and-socket joint of the hip with corresponding parts made from a very hard, smooth type of ceramic.

The chances that someone would develop a squeaky hip were low, at only one-half of one per cent. But one patient, a schoolteacher, couldn't tolerate the squeaking and requested a re-operation.

"Every time there was any kind of quietness in the classroom and she was walking up and down the classroom aisle, she squeaked, and she was a subject of ridicule among the students," O'Toole says.

"Most of the patients have a lifestyle whereby they can accommodate the squeak."

Squeaking started anywhere from four to 50 months after surgery, and could occur while bending, immediately upon starting to walk or after prolonged walking.

Patients who squeaked while bending could avoid the problem by favouring the affected hip. For example, patients whose left hip squeaked when they bent over with the left foot forward could usually prevent the squeak by placing the right foot forward while bending.

O’Toole and his colleagues report that suboptimal positioning of the hip implants caused some but not all cases of squeaking. The schoolteacher’s hip was in "perfect" orientation, but she had signs of wear on her implants, possibly caused by soft tissue interfering with the motion of the joint.
Sammy

Gwynn Oak, MD

#14 May 23, 2006
Q&A from Dance Magazine, May 2005

I'M HAVING SQUEAKING ISSUES! AFTER A TOTAL HIP REPLACEMENT WITH A CERAMIC-LINED TITANIUM SOCKET AND TITANIUM "BONE" WITH CERAMIC BALL, MY HIP LITERALLY SQUEAKS LOUD ENOUGH FOR MY STUDENTS TO HEAR IT WHEN I TEACH. THERE'S NO PAIN AND MY SURGEON HAS FOUND NOTHING WRONG IN FOLLOW-UP X-RAYS. YET IT MAKES ME NERVOUS AND IS EMBARRASSING WHILE TEACHING. WHAT CAN I DO?--MARLA HANSEN, BOISE, IDAHO

I'm so sorry. It's bad enough for dancers to have hip replacements without the extra stress of strange side effects like squeaking. Though there's little information on this problem, Dr. Jack Henry, past president of the Southern Orthopedic Association, says that a ceramic on ceramic (or metal on metal) hip replacement can rattle. The good news is that you aren't in pain, which is a possible complication with all replacements.
Linda Hamilton
Mason

United States

#15 May 30, 2006
My wife had a total hip replacement in June 2005. In May of this year, she came in from light yard work complaining that something had slipped and she was squeaking, which she was. After an emergency room visit, we returned to her surgeon's office. His report:X-rays show "the femoral component appears to be well seated as well as her cup but here is a superior migration of the head and wear of the liner. This is an interval change from last year. Assessment & Plan: Premature wearing of the liner. This is unusual in that she has only had it in a year. She does have a cramic head and it is larger. It is a 32 mm head. In my opinion she will need revision of this. Hopefully just a revison of the liner and the head ball but we would have to be prepared to revise the other components as well. I think she owuld be best served by a revsion specialist and we will set that up for her in Atlanta." She is still squeaking and has been instructed to take small steps to avoid a possible total dislocation. Needless to say, we are quite upset. The implants were DePuy Summit size 4 stem and Pinnacle cup size 48, 32 mm ceramic head ball, and extended offset ten degree posterior linced acetabular liner. Any feedback would be welcome.
Pam W

Littleton, CO

#16 Jun 3, 2006
I too have the squeaking hip. I had bilateral totals hips with the ceramic component. The squeaking is quite loud and very annoying. My problems is compounded by a nerve injury that left me with a foot drop post-op. This problems is miserable and would like to hear options that don't require revision surgery. I've already had an additional surgery because of the foot drop that was unsuccessful; another hip surgery would be devastating to me at this point.
John Tyrrell

United States

#17 Jun 16, 2006
I received a totally titanium hip replacement last July and am scheduled to replace the other hip in two weeks. I was looking forward to losing my pain forever, but yesterday the first new hip started squeaking. Today the noise is louder and sounds like an old rusty swing set when I walk of bend down and rise again. Can anything be done to correct this condition?
John Tyrrell

United States

#18 Jun 16, 2006
I forgot to mention that there is soreness in the new hip since the squeaking began. I was told the total titanium hips should last a lifetime. I'm angry and looking for recourse. Any suggestions.
Melissa

AOL

#19 Jun 20, 2006
I just left surgeons office telling me I need new hip joint and that resurfacing is not for me, also he does not do that procedure. Ceramic is the choice for younger patients like myself, however, he informed me of the squeaking problem that has been disturbing to him and let me hear another patient with the squeaky hip...it was disturbing to say the least after hearing all of the other complications that can arise from total hip surgery. He is trying Synvisc to lubricate joint, and if that fails will do revision. So, what am I having?? Not sure,maybe ceramic on polyethylene? ANYONE have that combo???
Neil O

Santa Barbara, CA

#20 Jun 25, 2006
John,
I would be surprised if this did not end with a class action lawsuit against the manufacturer. It is obviously a flaw that they know about, and most people are not being warned of the risk. In fact, it does not look like the manufacturers are even studying the problem as fas as I can tell. It is a growing problem that will gain attention over time.

Melissa,

My surgeon said if I want to replace the hip in order to stop the squeaking he would now use ceramic on polyethylene. No chance of squeaking there.

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