Some ceramic-on-ceramic hip implants have been shown to squeak in vivo. While many researchers have investigated the squeaking phenomenon, the root cause is still debated. The most widely accepted hypotheses postulate that squeaking occurs as a result of edge-loading, stripe-wear, vibrations that are amplified by the femoral stem, dryness, or a combination of the foregoing. In our custom test apparatus to asses wear related squeaking, we found that even when both implants are severely worn, squeaking only occurs under dry conditions as shown in the attached video.
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