Clinical Orthopaedics and Related Research®

, Volume 468, Issue 2, pp 345–350 | Cite as

The 2009 Frank Stinchfield Award: “Hip Squeaking”: A Biomechanical Study of Ceramic-on-ceramic Bearing Surfaces

  • Christophe Chevillotte
  • Robert T. TrousdaleEmail author
  • Qingshan Chen
  • Olivier Guyen
  • Kai-Nan An
Symposium: Papers Presented at the Hip Society Meetings 2009


We designed and implemented an in vitro bench test to simulate and identify potential biomechanical causes for hip squeaking with alumina ceramic-on-ceramic bearing surfaces. All bearings were third-generation alumina ceramic with a 32-mm head coupled with a 56-mm acetabular component with a 32-mm ceramic insert. Conditions for testing were normal gait, high load, stripe wear, stripe wear in extreme load, metal transfer, edge wear with extreme load, and microfracture. Each condition was tested two times in dry conditions and two times in a lubricated condition with 25% bovine serum. Squeaking was reproduced in all dry conditions. It occurred quickly with high load, stripe wear, or metal transfer. Once squeaking occurred, it did not stop. Squeaking disappeared for all conditions when a small amount of lubricant was introduced. In lubricated conditions, squeaking was only reproduced for the material transfer condition. Our observations suggest squeaking is a problem of ceramic-ceramic lubrication and that this noise occurs when the film fluid between two surfaces is disrupted. Material (metal) transfer was the only condition that led to squeaking in a lubricated situation.


Femoral Head Acetabular Component Lubricate Condition Metal Transfer Bearing Surface 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



We thank Frederic Shultz from the Mayo Biomechanics Laboratory for his valuable contributions.

Supplementary material

Supplementary material 1 (MPG 6880 kb)


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Copyright information

© The Association of Bone and Joint Surgeons® 2009

Authors and Affiliations

  • Christophe Chevillotte
    • 1
    • 2
    • 4
  • Robert T. Trousdale
    • 3
    Email author
  • Qingshan Chen
    • 4
  • Olivier Guyen
    • 1
    • 2
  • Kai-Nan An
    • 4
  1. 1.Pavillon T-Département de Chirurgie OrthopédiqueHôpital Edouard HerriotLyonFrance
  2. 2.Laboratoire de Biomécanique des Chocs, LBMC–INRETS URMT 9406Université Claude BernardLyonFrance
  3. 3.Department of Orthopedic SurgeryMayo ClinicRochesterUSA
  4. 4.Biomechanics LaboratoryMayo ClinicRochesterUSA

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