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Clinical Algorithm for Noises in total Hip Replacements with hard-on-hard Bearings

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Total hip replacements (THRs) may occasionally produce noise, which is more prevalent with hard-on-hard bearings including ceramic-on-ceramic or metal-on-metal bearings. Different kinds of noises are reported. The implication of squeaking are not yet fully understood, but evidence to date suggests that it is a largely benign phenomenon that can be considered "normal" just like a clicking knee. Revision is recommended for defined causes.
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