{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T08:33:03Z","timestamp":1769157183062,"version":"3.49.0"},"reference-count":21,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"8","license":[{"start":{"date-parts":[[2011,8,1]],"date-time":"2011-08-01T00:00:00Z","timestamp":1312156800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:p> Ceramic-on-ceramic bearings in hip replacement have low rates of wear and are increasingly being used in young adults. Our aim was to determine the incidence of audible phenomena or other bearing-related complications. <\/jats:p><jats:p> We retrospectively analysed 250 ceramic-on-ceramic hip replacements in 224 patients which had been implanted between April 2000 and December 2007. The mean age of the patients at operation was 44 years (14 to 83) and all the operations were performed using the same surgical technique at a single centre. <\/jats:p><jats:p> At a mean follow-up of 59 months (24 to 94), the mean Oxford hip score was 40.89 (11 to 48). There were six revisions, three of which were for impingement-related complications. No patient reported squeaking, but six described grinding or clicking, which was usually associated with deep flexion. No radiological evidence of osteolysis or migration of the components was observed in any hip. <\/jats:p><jats:p> The early to mid-term results of contemporary ceramic-on-ceramic hip replacement show promising results with few concerns in terms of noise and squeaking. Positioning of the acetabular component remains critical in regard to the reduction of other impingement-related complications. <\/jats:p>","DOI":"10.1302\/0301-620x.93b8.26505","type":"journal-article","created":{"date-parts":[[2011,7,19]],"date-time":"2011-07-19T00:00:27Z","timestamp":1311033627000},"page":"1017-1020","source":"Crossref","is-referenced-by-count":27,"title":["Early to mid-term results of ceramic-on-ceramic total hip replacement"],"prefix":"10.1302","volume":"93-B","author":[{"given":"G. H.","family":"Stafford","sequence":"first","affiliation":[{"name":"University College London Hospital, 235 Euston Road, London NW1 2BU, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. Ul","family":"Islam","sequence":"additional","affiliation":[{"name":"University College London Hospital, 235 Euston Road, London NW1 2BU, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. D.","family":"Witt","sequence":"additional","affiliation":[{"name":"University College London Hospital, 235 Euston Road, London NW1 2BU, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Lusty PJ, Tai CC, Sew-Hoy RP, et al. Third-generation alumina-on-alumina ceramic bearings in cementless total hip arthroplasty. J Bone Joint Surg [Am] 2007;89-A:2676\u201383.","DOI":"10.2106\/JBJS.F.01466"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000150309.48474.8b"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Walter WL, Waters TS, Gillies M, et al. Squeaking hips. J Bone Joint Surg [Am] 2008;90-A:102\u201311.","DOI":"10.2106\/JBJS.H.00867"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B4.25707"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Jarrett CA, Ranawat AS, Bruzzone M, et al. The squeaking hip: a phenomenon of ceramic-on-ceramic total hip arthroplasty. J Bone Joint Surg [Am] 2009;91-A:1344\u20139.","DOI":"10.2106\/JBJS.F.00970"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B8.19424"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197355080-00006"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop 1976;121:20\u201332.","DOI":"10.1097\/00003086-197611000-00003"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Sarmiento A, Gruen TA. Radiological analysis of a low-modulus titanium-alloy femoral total hip component: two to six year follow-up. J Bone Joint Surg [Am] 1985;67-A:48\u201356.","DOI":"10.2106\/00004623-198567010-00007"},{"key":"R10","unstructured":"Duncan CP, Masri BA. Fractures of the femur after hip replacement. Instr Course Lect 1995;44:293\u2013304."},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200112000-00010"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Petsatodis GE, Papadopoulos PP, Papavasiliou KA, et al. Primary cementless total hip arthroplasty with an alumina ceramic-on-ceramic bearing: results after a minimum of twenty years of follow-up. J Bone Joint Surg [Am] 2010;92-A:639\u201344.","DOI":"10.2106\/JBJS.H.01829"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Lee YK, Ha YC, Yoo JJ, et al. Alumina-on-alumina total hip arthroplasty: a concise follow-up, at a minimum of ten years, of a previous report. J Bone Joint Surg [Am] 2010;92-A:1715\u201319.","DOI":"10.2106\/JBJS.I.01019"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Koo KH, Ha YC, Jung WH, et al. Isolated fracture of the ceramic head after third generation alumina-on-alumina total hip arthroplasty. J Bone Joint Surg [Am] 2008;90-A:329\u201336.","DOI":"10.2106\/JBJS.F.01489"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2003.09.018"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Taylor S, Manley MT, Sutton K. The role of stripe wear in causing acoustic emissions from alumina ceramic-in-ceramic bearings. J Arthroplasty 2007;22(Suppl 3):47\u201351.","DOI":"10.1016\/j.arth.2007.05.038"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Restrepo C, Post ZD, Kai B, Hozack WJ. The effect of stem design on the prevalence of squeaking following ceramic-on-ceramic bearing total hip arthroplasty. J Bone Joint Surg [Am] 2010;92-A:550\u20137.","DOI":"10.2106\/JBJS.H.01326"},{"key":"R18","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0177-8"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B9.19282"},{"key":"R20","doi-asserted-by":"crossref","unstructured":"D\u2019Antonio J, Capello W, Manley M, Naughton M, Sutton K. Alumina ceramic bearings for total hip arthroplasty: five-year results of a prospective randomised study. Clin Orthop 2005;436:164\u201371.","DOI":"10.1097\/01.blo.0000162995.50971.39"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B11.22100"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.93B8.26505","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.93B8.26505","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.93B8.26505","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T18:55:16Z","timestamp":1629140116000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.93B8.26505"}},"subtitle":["ANALYSIS OF BEARING-SURFACE-RELATED COMPLICATIONS"],"short-title":[],"issued":{"date-parts":[[2011,8]]},"references-count":21,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2011,8]]}},"alternative-id":["10.1302\/0301-620X.93B8.26505"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.93b8.26505","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,8]]}}}