Ceramic-on-ceramic hips have higher tendency to squeak and break

Ceramic-on-ceramic bearing surfaces may increase risk of squeaking, total implant fracture in THA (Healio)
A meta-analysis of randomized, controlled trials found ceramic-on-ceramic bearing surfaces in total hip arthroplasty increased the risk of squeaking and total implant fracture significantly compared with ceramic-on-polyethylene bearing surfaces; however, no significant differences were observed between bearing surfaces with regard to revision, osteolysis and radiolucent lines, loosening, dislocation or deep infection, according to study results.
After reviewing the PubMed, Embase and Coch...