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CASE REPORT
Catastrophic failure of ceramic-on-ceramic total hip arthroplasty presenting as squeaking hip
  1. David Malem,
  2. Mathias Thomas Nagy,
  3. Sabyasachi Ghosh,
  4. Bhavik Shah
  1. Department of Trauma and Orthopaedic Surgery, Kettering General Hospital, Kettering, UK
  1. Correspondence to Dr Mathias Thomas Nagy, dr.nagy{at}gmx.net

Summary

A 68-year-old woman with osteoarthritis had a ceramic-on-ceramic left total hip arthroplasty, including ceramic femoral head and acetabular liner. At 5 years after surgery, the patient developed onset of a very loud squeaking noise, which could be heard 25 m from her, associated with limited hip movement. Findings at revision surgery included a broken ceramic femoral head component, complete wear of the ceramic acetabular component, and black wear debris. Squeaking hip after ceramic-on-ceramic total hip arthroplasty may be associated with catastrophic failure of the arthroplasty components.

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