Meta-analysis of the Incidence and Risk Factors for Squeaking after Primary Ceramic-on-ceramic Total Hip Arthroplasty in Asian Patients
Hip & Pelvis 2014³â 26±Ç 2È£ p.92 ~ p.98
ÀÌÅÂÇå(Lee Tae-Hun) - Pohang St. Mary¡¯s Hospital Department of Orthopedic Surgery
¹®¿µ¿Ï(Moon Young-Wan) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Orthopedic Surgery
ÀÓ½ÂÀç(Lim Seung-Jae) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Orthopedic Surgery
¹Ú¿¬¼ö(Park Youn-Soo) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Orthopedic Surgery
Abstract
Purpose: The purpose of this study was to assess the squeaking incidence and risk factors after primary ceramic-on-ceramic total hip arthroplasty (THA) in Asian patients using meta-analysis.
Materials and Methods: We performed a meta-analysis of published data on the squeaking incidence and risk factors from 2000 to 2013. Eight studies in Asians were analyzed for both squeaking incidence and risk factors and 25 studies in Western patients were analyzed for squeaking incidence. The data collected were: patient factors, surgical factors and implantation factors.
Results: The overall incidence of hip squeaking was 2.7% in Asians and 3.1% in Westerners. This difference was not statistically significant. The only significant risk factor was an increase in the acetabular cup abduction angle. Of the factors, the cup abduction angle was the only significant risk factor for the occurrence rate of squeaking, and the occurrence rate tended to increase with increasing angle.
Conclusion: The incidence of squeaking in Asians after primary ceramic-on-ceramic THA is 2.7% and is similar to that in Westerners. The increased cup abduction angle is associated with squeaking; therefore, surgeons should be careful not to implant the cup at a too steep abduction angle.
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Total hip arthroplasty, Ceramic-on-ceramic bearing, Squeaking, Noise, Meta-analysis
KMID :
1028220140260020092
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