The Journal of Bone and Joint Surgery (American). 2008;90:112-120.
doi:10.2106/JBJS.H.00627
© 2008 The Journal of Bone and Joint Surgery, Inc.
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Clicking and Squeaking: In Vivo Correlation of Sound and Separation for Different Bearing Surfaces

Diana Glaser, Dipl-Ing, PhD1, Richard D. Komistek, PhD1, Harold E. Cates, MD2 and Mohamed R. Mahfouz, PhD1

1 Center for Musculoskeletal Research, Department of Mechanical, Aerospace, and Biomedical Engineering, University of Tennessee, 301 Perkins Hall, Knoxville, TN 37996. E-mail address for D. Glaser: DGlaser@utk.edu
2 Tennessee Orthopaedics Clinic, 9430 Park West Boulevard Suite 130, Knoxville, TN 37923

The first 150 words of the full text of this article appear below.


    Introduction
 
Fluoroscopy has proven to be an accurate method to determine in vivo motions1 and has enabled the extraction of accurate three-dimensional hip-joint kinematics unaffected by erroneous skin movements1,2. Previously, fluoroscopy was used to determine that the femoral head of a total hip prosthesis slides within the acetabular cup, leading to separation of certain aspects of the articular geometry3-5. This finding has often been referred to as hip separation, where there is a loss of contact area, leaving only edge contact. Although separation has been well documented, it has not been correlated to clinical complications nor has a more in-depth understanding of the cause and effect been developed.

Another phenomenon observed primarily in total hip prostheses is the presence of squeaking. Mismatched ceramic couples6, acetabular component malposition7, and impingement8 have been proposed as factors in the development of squeaking. However, not all mismatched and malpositioned components lead . . . [Full Text of this Article]


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