Evidence map›Paper›PMID 40536561›Full record

ArticleInternational orthopaedics2025

Articular noise after Delta-on-Delta revision hip arthroplasty at a long-term follow-up: incidence and impact on clinical outcomes.

Andrea Minerba, Nicola Valerio Capitaneo, Francesco Castagnini, Andrea Poletto, Stefano Lucchini, Francesco Traina

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Article in International orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Andrea MinerbaSC Ortopedia e Traumatologia e Chirurgia Protesica e dei Reimpianti di Anca e Ginocchio, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Nicola Valerio CapitaneoSC Ortopedia e Traumatologia e Chirurgia Protesica e dei Reimpianti di Anca e Ginocchio, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Francesco CastagniniSC Ortopedia e Traumatologia e Chirurgia Protesica e dei Reimpianti di Anca e Ginocchio, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy. francescocastagnini@hotmail.it.
Andrea PolettoSC Ortopedia e Traumatologia e Chirurgia Protesica e dei Reimpianti di Anca e Ginocchio, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Stefano LucchiniSC Ortopedia e Traumatologia e Chirurgia Protesica e dei Reimpianti di Anca e Ginocchio, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Francesco TrainaSC Ortopedia e Traumatologia e Chirurgia Protesica e dei Reimpianti di Anca e Ginocchio, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe impact of noise on the outcomes of fourth-generation ceramic-on-ceramic (COC) revision hips remains unclear. This retrospective study aimed to evaluate long-term outcomes in fourth-generation COC revisions, assessing: (1) the rate, type, and frequency of noise and its impact on patient satisfaction, and (2) demographic, implant-related, and radiographic factors associated with noise generation.

methodsA retrospective analysis was conducted on 63 patients with fourth-generation COC revisions. Clinical and radiographic data were collected. A non-validated phone questionnaire was administered to assess incidence, type, and impact of noise on daily life and patient satisfaction.

resultsAt a mean follow-up of 11.34 ± 2.45 years, the mean Harris hip score was 85.34 ± 11.48 points. No re-revisions were performed. Noise was reported in 32% of all the patients, half of them reporting squeaking. Patients were satisfied with the procedure regardless of noise (80% with squeaking, 90% with other noises, 88.4% with silent hips) (p = 0.42). Over 75% of patients reported being unaware of the implant when sitting, regardless noise occurrence (p = 0.59). Most patients with squeaking (80%) did not experience pain (p = 0.22). Noise had no impact on daily life in 60% of squeaking and 90% of other noise cases (p = 0.3). Younger age, higher acetabular offset and lower cup inclination were found to predict the onset of noise.

conclusionNoise occurrence in fourth-generation COC revisions was up to 30% at long-term, squeaking accounting for half of the cases. However, noise did not impact the outcomes. Age, acetabular offset and cup inclination were identified as predictive factors of noise.

Indexed as

Arthroplasty, Replacement, HipHip JointHip ProsthesisNoiseAdultAgedCeramicsFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedPatient SatisfactionProsthesis DesignProsthesis FailureClickingDelta ceramicMixed ceramicRevision hip arthroplastySoundSqueaking

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.