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Prosthesis characteristics and materials
Hip » Total hip arthroplasty » Prosthesis characteristics » ODEP acetabular component
FIGURE Trend (proportion [%] per year) in ODEP rating acetabulum component in primary total hip arthroplasties in the Netherlands in 2014-2022
Year
ODEP rating (%)
15A+15A*
50.12
51.41
52.90
57.08
55.62
55.16
47.57
49.44
50.76
52.30
52.30
13A+13A*
17.18
16.67
16.27
14.79
14.61
13.15
15.45
13.66
10.14
14.49
14.49
10A+10A*
14.71
14.80
15.47
14.29
13.92
13.39
17.20
14.79
13.82
14.64
14.64
7A+7A*
12.94
13.68
12.50
12.63
14.97
17.43
18.37
20.80
23.46
16.52
16.52
5A+5A*
0.40
0.53
0.86
0.59
0.50
0.53
1.18
1.05
1.15
0.76
0.76
ODEP <5A
4.65
2.92
2.00
0.62
0.39
0.34
0.23
0.27
0.67
1.29
1.29
Total (n):
271,604
28,008
28,709
28,951
29,667
31,004
31,976
25,801
31,246
36,242
Please note: More information on ODEP rating can be found on www.odep.org.uk.
THA: total hip arthroplasty.
© LROI 2023
Hip » Total hip arthroplasty » Prosthesis characteristics » ODEP femoral component
FIGURE Trend (proportion [%] per year) in ODEP rating femur component in primary total hip arthroplasties in the Netherlands in 2014-2022
Year
ODEP rating (%)
15A+15A*
72.93
74.93
77.85
79.70
78.54
75.82
71.91
70.53
71.18
74.79
74.79
13A+13A*
16.66
15.11
14.07
11.54
8.72
7.27
5.71
4.01
2.98
9.34
9.34
10A+10A*
4.69
4.36
5.03
6.15
9.71
12.22
14.46
16.09
15.15
9.93
9.93
10B
0.32
0.31
0.34
0.33
0.43
0.43
0.48
0.44
0.52
0.40
0.40
7A+7A*
0.48
0.64
0.55
0.88
1.53
3.82
7.06
8.65
9.67
3.84
3.84
5A+5A*
1.31
1.09
0.33
0.09
0.16
0.03
0.01
0.01
0.15
0.34
0.34
ODEP <5A
3.60
3.55
1.82
1.31
0.91
0.41
0.37
0.27
0.36
1.35
1.35
Total (n):
269,646
27,929
28,588
28,715
29,531
30,911
31,760
25,133
31,017
36,062
Please note: More information on ODEP rating can be found on www.odep.org.uk.
THA: total hip arthroplasty.
© LROI 2023
Hip » Total hip arthroplasty » Prosthesis characteristics » Femoral head diameter
FIGURE Trend (proportion [%] per year) in femoral head component diameter in primary total hip arthroplasties in the Netherlands in 2013-2022
Year
Femoral head size (%)
22-28 mm
30.74
27.19
23.38
21.22
16.54
13.02
11.49
10.70
10.19
10.56
17.11
17.11
32 mm
47.81
52.86
55.57
57.00
63.03
65.53
66.65
65.48
63.76
61.98
60.23
60.23
36 mm
21.12
19.66
20.83
21.48
20.15
21.10
21.52
23.44
25.72
27.08
22.34
22.34
>= 38 mm
0.33
0.30
0.22
0.30
0.28
0.34
0.34
0.37
0.33
0.39
0.32
0.32
Total (n):
295,346
25,914
27,882
28,618
28,780
29,492
30,810
31,555
25,206
31,016
36,073
THA: total hip arthroplasty.
© LROI 2023
Hip » Total hip arthroplasty » Materials » Dual mobility
FIGURE Trend (proportion [%] per year) in type of acetabulum component in primary total hip arthroplasties in the Netherlands in 2013-2022
Year
Type of acetabulum component (%)
Dual mobility cup
1.43
1.73
1.94
2.59
3.17
3.47
4.26
5.47
5.78
5.18
3.57
3.57
Normal cup
98.57
98.27
98.06
97.41
96.83
96.53
95.74
94.53
94.22
94.82
96.43
96.43
Total (n):
297,666
26,042
28,008
28,709
28,951
29,668
31,004
31,977
25,803
31,249
36,255
THA: total hip arthroplasty.
© LROI 2023
Hip » Total hip arthroplasty » Materials » Cemented acetabular component
FIGURE Trend (proportion [%] per year) in cemented acetabulum material in primary total hip arthroplasties in the Netherlands in 2013-2022
Year
Cemented acetabulum material (%)
Standard PE
68.34
63.09
58.96
57.32
57.27
45.39
39.50
33.33
30.75
33.80
49.93
49.93
Cross-linked PE
25.31
30.89
34.29
34.19
31.54
35.71
35.28
44.63
43.80
42.17
35.29
35.29
Stainless steel
3.28
3.65
4.68
7.02
9.14
11.09
14.94
19.74
23.82
21.85
11.26
11.26
Cross-linked PE+AO
3.00
2.14
1.91
1.25
1.82
7.59
9.97
2.11
1.44
1.85
3.30
3.30
Cobalt chrome
0.07
0.22
0.17
0.23
0.22
0.22
0.32
0.19
0.20
0.34
0.22
0.22
Total (n):
81,488
8,421
9,358
8,918
8,875
8,468
8,266
8,008
6,252
6,966
7,956
Please note: Titanium was used in 10 (0.01%) primary THAs in 2013-2022.
Please note: Stainless steel was used in cemented dual mobility cups.
THA: total hip arthroplasty; PE: polyethylene; AO: antioxidant.
© LROI 2023
Hip » Total hip arthroplasty » Materials » Uncemented acetabular component
FIGURE Trend (proportion [%] per year) in uncemented acetabulum material in primary total hip arthroplasties in the Netherlands in 2013-2022
Year
Uncemented acetabulum material (%)
Titanium
96.94
97.53
97.61
97.54
97.05
97.31
96.47
93.88
96.15
96.39
96.67
96.67
Tantalum
1.85
1.87
1.73
1.97
2.23
2.23
2.97
5.33
2.96
2.22
2.54
2.54
Stainless steel
0.26
0.26
0.29
0.27
0.38
0.26
0.40
0.70
0.78
0.83
0.46
0.46
Cobalt chrome
0.95
0.34
0.36
0.21
0.34
0.19
0.17
0.10
0.11
0.56
0.33
0.33
Total (n):
216,142
17,620
18,649
19,790
20,076
21,200
22,738
23,963
19,547
24,276
28,283
THA: total hip arthroplasty.
© LROI 2023
Hip » Total hip arthroplasty » Materials » Inlay
FIGURE Trend (proportion [%] per year) in inlay material in primary total hip arthroplasties in the Netherlands in 2013-2022
Year
Inlay material (%)
Cross-linked PE
62.32
68.64
69.95
70.52
75.23
80.27
80.32
82.62
79.27
78.06
75.39
75.39
Cross-linked PE+AO
10.25
12.14
14.38
15.07
13.21
9.87
8.57
7.68
10.87
12.26
11.38
11.38
Ceramics/Zo
12.80
10.51
9.81
9.18
7.34
7.15
7.76
6.13
6.02
5.62
7.96
7.96
Standard PE
13.49
8.50
5.60
5.15
4.08
2.62
3.14
3.25
3.45
3.22
4.89
4.89
Cobalt chrome
0.94
0.15
0.14
0.05
0.11
0.08
0.19
0.31
0.40
0.56
0.29
0.29
Ceramics
0.20
0.06
0.12
0.03
0.02
0.01
0.02
0.02
0.00
0.29
0.08
0.08
Total (n):
207,558
16,183
17,337
18,511
19,074
20,545
22,163
23,419
18,857
24,150
27,319
THA: total hip arthroplasty; PE: polyethylene; AO: antioxidant; Zo: Oxidized Zirconium.
© LROI 2023
Hip » Total hip arthroplasty » Materials » Femur component
FIGURE Trend (proportion [%] per year) in femur component material in primary total hip arthroplasties in the Netherlands in 2013-2022
Year
Femur material (%)
Titanium
67.80
67.65
69.46
69.27
69.34
70.19
70.54
70.53
71.93
71.67
69.93
69.93
Cobalt chrome
25.27
25.06
23.50
23.60
23.89
23.94
23.71
22.12
22.10
21.40
23.40
23.40
Stainless steel
6.94
7.29
7.04
7.12
6.77
5.87
5.75
7.35
5.96
6.93
6.67
6.67
Total (n):
295,576
25,937
27,929
28,586
28,715
29,531
30,909
31,759
25,133
31,016
36,061
THA: total hip arthroplasty.
© LROI 2023
Hip » Total hip arthroplasty » Materials » Femoral head component
FIGURE Trend (proportion [%] per year) in femoral head material in primary total hip arthroplasties in the Netherlands in 2013-2022
Year
Femoral head material (%)
Ceramics/Zo
54.30
54.91
56.47
59.65
63.21
65.99
70.61
68.66
72.82
75.85
64.74
64.74
Cobalt chrome
30.45
30.39
29.11
27.47
26.04
22.90
18.51
19.46
16.36
16.56
23.41
23.41
Oxidized Zirconium
5.74
6.03
6.03
6.79
6.80
8.95
10.06
11.57
10.67
7.57
8.04
8.04
Ceramics
8.82
8.01
7.69
5.39
3.69
2.07
0.72
0.23
0.09
0.01
3.49
3.49
Stainless steel
0.70
0.66
0.70
0.71
0.27
0.08
0.10
0.09
0.06
0.02
0.32
0.32
Total (n):
295,334
25,915
27,875
28,618
28,780
29,489
30,812
31,557
25,205
31,010
36,073
Please note: A titanium femoral head was used in 14 (<0.01%) primary THAs in 2013-2022. A standard PE femoral head was used in 7 (<0.01%) primary THAs in 2013-2022.
THA: total hip arthroplasty; PE: polyethylene; Zo: Oxidized Zirconium.
© LROI 2023
Hip » Total hip arthroplasty » Materials » Articulation
FIGURE Trend (proportion [%] per year) in articulation in primary total hip arthroplasties in the Netherlands in 2013-2022
Year
Articulation (%)
CoP
54.26
55.73
57.46
58.73
61.73
63.20
65.38
63.98
68.55
71.59
62.44
62.44
MoP
30.88
31.40
29.92
28.23
26.23
22.69
18.56
19.45
15.68
15.70
23.54
23.54
ZoP
5.79
6.10
6.07
6.84
6.81
8.83
10.09
11.72
10.74
7.67
8.08
8.08
CoC
8.46
6.73
6.50
6.18
5.16
5.22
5.82
4.62
4.72
4.62
5.75
5.75
MoM
0.59
0.03
0.04
0.02
0.05
0.04
0.12
0.17
0.11
0.13
0.12
0.12
CoM
0.01
0.01
0.01
0.01
0.02
0.02
0.03
0.06
0.20
0.30
0.07
0.07
Total (n):
289,494
25,389
27,329
28,154
28,352
29,135
30,303
31,039
24,633
30,399
34,761
THA: total hip arthroplasty; CoP: Ceramics-on-polyethylene; MoP: Metal-on-polyethylene; CoC: Ceramics-on-ceramics; ZoP: Oxidized Zirconium-on-polyethylene; MoM: Metal-on-Metal; CoM: Ceramics-on-Metal; MoC: Metal-on-ceramics.
Please note: MoC was used in 4 (<0.01%) primary THAs in 2013-2022.
© LROI 2023