Added: 4 years ago
From: mikemuelleraz
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  • was the problem addressed or do youstill have a squeaky hip? Wonder how the prodducts are tailored to US market vs. international due to extreme cases of obesity

  • This is a well known effect when combining CoC. It is called "stick slip" mechanism. It is a cyclic phenomenon where friction increases (stick phase) until it reaches a threshold where it is instantly decreased to a much lower value, (slip phase). During the slip phase, Vibrations can be heard, it is the "squeak" sound, (this phenomen is similar as when using a crayon on a blackboard).

  • Go back to your surgeon and have him remove the ceramic liner for an X3 poly liner. I'm guessing you have a "Trident" acetabular cup, with an old howemedica ceramic liner. In short, go back, ask for a "head and poly swap", well in your case a head and ceramic swap.

  • eww :P

  • It sounds like your shoes are rubbing on the floor. I had a hip replacement at the Palo Alto VAMC last September. No noises here. I think it was a plastic to metal replacement, I like my new hip. Hate having to get patted down by TSA every time I travel.

  • I'm 49 and also squeak. My hip was replaced 4 years ago and has always squeaked, however the replacement is healthy and I'm very physically active. I contacted a lawyer who indicated that if a product was found to be faulty with just the squeak at issue, the resolution would be a hip revision. No thanks - I prefer to be a bad party trick.

  • I am 35 and I'm a squeaker!. I have had a hip resurfacing, then a total hip revision in the rt hip. I have metal on metal, but because I have 2 different kinds of meta, I have a "squeaky hip". My dr. said there is no harm. I can deal with it, or have surgery again to correct. I'm gonna deal with it as long as I can. It's just very annoying...But now now I'm quite a conversation piece!

  • If your doctor and the equipment they put in was done correctly you shouldn't have any on going pain. In fact people I have talked to can't even tell a difference between hips. Haven't noticed any cold weather effects. Long walks, like through an airport, does seem to affect my hip with a little noticable discomfort. Not enough to cause a concern. Everyone I have talked to that have bad hips because of degeneration are thrilled to have their new hips.

  • Hi, I have a question for all of you with a hip replacement, is there any ongoing pain? If yes, how bad is it? Apart from running, how long can I walk? The implant in the hip and the leg causes any other side effects in cold weather? Really appreciate your reply as my hips are getting Worcester everyday.

  • I have had my Stryker ceramic/ceramic hip for over 6 years. Just had my 6 year, annual follow-up. No wear and can not tell it is even not my own. No squeeking. I throw Javelin competively in masters and unattached in University meets. I bike, use the eliptical cross-trainer and snow ski regularly. I am completely sold on mine.

  • OJJDvictum's comments are interesting, considering that if you click on her profile she claims to be 16 --- interesting considering her comments. Mikemuelleraz thank you for being willing to video this and to put it out there for those of us considering the different options as we approach replacement surgery. Like others have posted, while I have done research and googled, I at some point just have to trust my surgeon --- or find another surgeon! Nice citation in today's NYTimes, btw.

  • the squeaky hip is a consequence of impingement of the ceramic femoral head on the acetabular rim, which, if inserted properly, shouldn't happen, but is a recognised complication. The catastrophic failure of ceramic implants, such as burst fracturing is much less common these days due to improved manufacturing. be happy ceramic on metal actually produces one of the lowest wear particle rates (compared to metal on polyethylene), which is the no.1 cause of aseptic loosening of implants! :)

  • In the end, I left it up to my surgeon who was open to my input. Our agreement was that he would use whatever gave me the most stable joint and he used metal on polyethylene and so far i am happy with it.

  • Let me add that the improved polyethylene is a relatively new improvement so metal on metal and ceramic on ceramic may have still been on top when this video was originally posted.

    I decided against ceramic even before this discovery, because of reports of squeaks and the reports of earlier ceramic implants shattering into shards. I had decided on metal on metal as my first choice until i found out about the latest advances in polyethylene manufacturing.

  • For those who think that Metal on Metal and Ceramic on Ceramic last longer and wear less than Metal on Plastic... That's the same information i discovered at first.

    After discussion with my surgeon, I decided his 30+ years of experience trumped my time googling and a little more research revealed hat recent improvements to the polyethylene acetabular make it the most durable when teamed with metal.

  • Thats the discussion I ve been having with my doc,I need to replace both hip joins and hes favour to metal /plastic stuff..anyway with 50% of my past body fit it will be a great deal for me..thanks for share this info ,it is very important.

  • um the squeakiness is odd but your outfits very distracting...lol cute!

  • Message for OJJDvictum. Based on my clinical experience (putting prosthetic hips into patients), this phenomenon is not uncommon for prosthetic hips with ceramic bearing surfaces (ie a ceramic ball or socket). Chances are that your hips use metal bearing surfaces, hence the reason yours don't squeak.

  • Are you a clown? Just wondering because of your polka dots? Maybe you are a runner, because of your outfit. My theory is that you thought you were Superman after your surgery and did too much too soon (like running). I have two artificial hips and treat them like they are my last. I am very gentle with them and don't run or do anything to impact them. Maybe you are partially to blame for your squeeky hip.

  • I knew would happen.

    The solution was bone plug;

    retrograde;

    32mm ceramic;

    ingrowth cup; with greater retention of the watchamacallit;

    hybrid.

    1973.

    Katherine Hepburn had a thr.

    I wonder if she ever had a revision.

    If she passed away with it - it was 28. yo.

  • I had a total hip replacement done in 2001.

    Before the surgery, intense 24 hour pain...after, zero paon or problems.

    My doctor used a metal ball into a ceramic cup; the spike with the ball had performations so the bone marrow would mesh with the spike.

    My quality of life dancing, walking and swimming has been incredible.

  • wow...i thought extraneous works will be limited

  • In my case, they used a ceramic ball with a plastic cup. So far, all is fine.

  • Ceramic and plastic will wear quicker one of the benefits of ceramic on ceramic is that the wear rates are much slower. Most good long term results are with metal on plastic implants.

  • But have there been any "long-term" results for ceramic on ceramic and metal on metal? In New Zealand metal on plastic gave way to metal on metal and now ceramic on ceramic seems the norm. I believe these choices are based on laboratory results and long-term (20 plus years) in people aren't available yet.

    Metal on plastic implants are only last 10 - 15 years according to local medics.

    Cross-country comparisons are risky, of course.

  • All the research points to not having a ceramic on ceramic hip. I am having good results seven months later with a ceramic ball and plastic cup. I still have a little discomfort but it could be related to my aggressive rehabbing. I also have a little bit of a limp which I hope will go away with time. All these new hips don't have enough time to tell which will wear better. All speculation in my opinion.

  • Hmmmm... In New Zealand surgeons are doing ceramic on ceramic and I have heard of no problems. Perhaps it is a different manufacturer. Here plastic is out of fashion because it only lasts 10 - 15 years. In theory the plastic wears most quickly while the metal on metal is much slower wearing and the ceramic on ceramic the slowest. But I think Mike has a point that these wear rates are based on laboratory testing and more experience in practice is needed.

  • I've heard that a majority of the ceramic on ceramic squeaking issues are in the US. Don't actually have an evidence of this.

  • Thanks. I have no hard evidence for this either, but it seems to be a largely US problem. At least I have never heard of any complaints about it outside the US.

  • nice..goodluck on your recovery..hope you'll be better over the period of time...

  • I in Ontario, Canada, and finished seeing a specialist last week, and the end result of the consultation was total hip replacement on my right side. Which I knew was coming, so I did a little net research on my options, and it seemed more and more likely that I would go with a ceramic-on-ceramic hip, but this video among others with the same ceramic-on-ceramic hip, seem to be all having the same problem, and a problem I would like to avoid. Does a ceramic & plastic, wear quicker, or slower???

  • Hey, I was linked to you by someone. I have to have my hip done at the end of the year. There's been no specifics mentioned, but I was wondering, how would you say you are now?

  • I replaced my hip "again" in August 2008 with a Stryker ceramic ball and plastic cup. No more squeaking! Still no word from Stryker on why the squeaking or how they might compensate me for expenses. I could hardly walk towards the end because of pain and discomfort. I am happy to report this hip seems to be working fine!

  • If you or a loved one were seriously injured as a result of a defective Stryker Hip Implant, you may have valuable legal rights.

  • I too have this problem with my titanium ceramic replacement. Horribly embarassing at times. Seeing a lawyer next Tuesday after much internet investigation. Seems European makers aren't having this problem!!

  • mine is the one with the plasticlike joint but i don't know that sound like you need to see someone PRONTO!!!!!

  • Sounds like it needs a drop of oil.

  • I have just scheduled my revision surgery. Now I have to figure out what components to replace. My original hip was ceramic on ceramic. Does anyone have any suggestions?

  • my husband has two hips. from two different dr.s dueto insurance change. the first, titatinium w titanium is perfect. the younger hip he thinks is titanium with a plastic ball. when i tell you he squeaks all the time. i mean all the time. you have to get yours replaced?

  • Not sure why people are making light of such a serious problem, oh, I guess they don't have to deal with it.

  • I had a Stryker hip replacement 2 1/2 years ago. After about 1 1/2 years mine started squeaking only when I bent down or if I turned too quickly. Six months later my hip dislocated while showering. Since the reduction surgery (shoving it back in the socket), my hip no longer squeaks. It's been 7 months now--squeak free. Be careful--dislocation is even worse than it sounds!

  • This is truly scary.

    I have had a Stryker ceramic hip joint since June 2004. Truly remarkable! No pain, no problems.

    But...last month I received letter from the hospital requesting followup. Wondering if this is related to problems?

  • wow!maybe some olive oil in your diet?

  • Based on most of the responses I'm trying to figure out if WD40 is digestible.

  • Judging from his clothes, I'd venture that he is a superhero of some sort. Does Stryker warranty its ceramic joints against the rigors of superhero flight, strength and/or general fighting for truth and justice?

  • Unfortunately, I am just a mere mortal who fell off his bike and hit the cement curb real hard. If I knew this many people would be looking at the video I would have thrown on the matching cape!

  • well,you got the whole NYTimes readership looking at you now!sharpen up!.hope you get better,with your positivity and good sense of humour im sure you will

  • Hahaha mikemuelleraz good for you! I think it takes courage for someone to put themselves 'out there'. And you have a GREAT sense of humour!

  • "Maybe the pants are to throw off attention..." Of course! If I needed to post something of such a private nature as his medical issue [nevermind potentially embarrassing/humiliating], it'd have some small self-deprecating aspect. I hope Jon Stewart gets at this video. As 4 Stryker: hopefully they will be held t'account for their negligence, [if they were/are] which obviously seems to be the case. Good luck to all hips afflicted with this apparently quite funny but also very serious squeakage.

  • You know that would bother me if it were my hip.

    Maybe the pants are to throw off attention to the squeeking.

  • I feel kind of bad for the people that have this, but geez, aren't they happy to not have horrible hip pain any more? Also, why is he wearing a clown suit?

  • Damn cyborgs and their squeaky hips. How are we supposed to send you on stealth missions??

  • This is unacceptable. Stryker needs to compensate these people. Even in the privacy of my own home this would drive me crazy, but in public it would be humiliating.

  • Id say its the Drs fault. Check the alignment. Ceramic hips have no

    "lip" meaning they need to be put in perfectly. Id check your Xrays before dumping on Stryker

  • How about some WD40 that should take of it?

  • The only problem here is this man's garish attire.

  • YOU are an ASS. Who made you the fashion police? Who gives a crap what the guy is wearing?? Like come on people!

  • i swear to you, if i had to live like this, i think i would lose my mind! i mean, the embarrassment, first of all, that this guy has to suffer. then, it would make me conscious every step that i had a hip replacement! it's not worth it to undergo surgery if you end up not as good coming out as you went in. i don't know what would be worse: this creaking with every step, or a little pain (a lot?) controlled by NSAIDS. these companies are disgusting. all profit, no care!

  • "It can interrupt sex when my wife starts laughing," said one man, who discussed the matter on the condition that he not be named.

  • Mike, get more exposure for that video. Coordinate with other sufferers. Nothing incentivizes large co's like embarrassment leading directly to revenue declines. This means millions in product liability for them SYK shares down 15% in 6 months. OTOH, Stryker co & family have been high-integrity in the past. This could be an oppty for them to be heroes and protect the longterm value of their brand. Otherwise, high a good attorney. Good luck.

  • That noise has got to drive you crazy. And I'd be really scared that the noise was signalling disintegration of the replacement. For anyone to brush off this noise as no big deal is about as ridiculous as having a worrisome car noise and the dealer telling you, "it's nothing, just keep driving." I hope you and others who were convinced that ceramic was superior will get your justice!

  • I am actually not surprised. I have had used ceramic components in the past for other types of mechanical applications and had always noticed the squeak from the most congruent components.

  • Awful, much louder than I expected. I mean the shorts.

  • Yes, you have to have a sense of humor about this! Biking shorts aren't the most flatering unless you're Lance Armstrong. When I filmed it I was just holding my digital camera in one hand trying to figure out if there was any funny hip displacement issues that might have been causing the noise.

  • This is why we don't need "tort reform". Patients need to be able to settle issues like this in a court of law with trial lawyers, especially for companies who are "slow to respond" (per the NY Times article).

  • That's really awful. Sue their pants off!

  • Mike, thanks just read an article in the NY Times that had a link to your video. But one question -- what are you wearing???

  • Sue the pants off those Stryker people, man. It will be painful and inconvenient for you to endure another surgery, but there's no excuse for this.

    I imagine more people will be coming out of the woodwork to complain. Seven percent? I doubt it.

  • WD-40

  • I WAS THINKING THE SAME THING!! ROFL!!! Glad I wasn't the only one.

  • Wow, I didn't realize it was that loud. That's horrible — not as bad as constant walking pain, but it doesn't have to be. Wrong, wrong, wrong.

  • Holy crap, that's loud! Louder than I expected when I read the article. o_o;;

    Hope Stryker fixes the problem soon.

  • I hope Stryker remedies this problem for those putting up with this. It's sounds like the Tin Man.

  • Good idea to put this video up. If you embarrass Stryker enough maybe they'll get their act together and do their best to rectify the situation instead of denying there's a problem!

  • Dear God. I hope you sue, and I hope you win.

  • Same here. Didn't realize how terrifying the squeaking sound is! It's pathetic if anyone has to endure this sound!

  • I guess its one of those things that you can't resist laughing. I mean, you can be as serious and mature about it and you are going to crack. Its one of those things that draws the bond between your wife and you closer most definitely.  I mean... the pelvic thrusts during sex and the squeaky squeaky squeak.

  • O.M.G. When the times article said they squeaked, I did not imagine this awful, fingernails on chalkboard irritating sound. The company needs to fix that. You have a good reason to be angry with them.

  • Man, that's bad, sorry to hear!

  • Jesus Christ that's messed up.

  • When is Stryker going to acknowledge there is a problem?

    my neighbor's hip does the same thing.

    I can hear him leave the apartment building for work every morning at 5am.

  • like fingernails on a chalkboard!

  • My daughter has this same problem..how annoying & still having pain...3 yrs..post surgery...any ideas?? I will call the 800 # on this site for more info..

  • WD-40

  • Plain and Simple? Not quite. The stryker ceramic-ceramic hip has a highly reported incidence of squeaking. The squeaking is implant related, not surgeon dependent. World renowned surgeons have reported squeaking.  To be fair, ceramic-ceramic hips from other manufacturers have reports of sqeaking as well.

  • It sounds just like my squeaky Stryker hip.

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