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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 2014-2021
Year
ODEP rating (%)
15A+15A*
32.70
34.07
36.42
41.42
43.08
44.16
39.80
43.70
39.58
39.58
13A+13A*
28.77
28.36
26.36
21.95
15.59
11.23
7.21
5.69
18.05
18.05
10A+10A*
19.96
19.89
20.48
21.07
22.88
23.55
28.94
24.76
22.64
22.64
7A+7A*
4.81
5.05
5.22
4.98
6.96
8.16
8.13
7.24
6.33
6.33
5A+5A*
8.92
9.48
9.24
9.65
10.83
12.23
14.77
17.41
11.58
11.58
3A+3A*
0.08
0.08
0.02
0.00
0.00
0.00
0.01
0.01
0.03
0.03
Other
4.55
3.04
2.25
0.93
0.66
0.63
1.11
1.16
1.76
1.76
PRE
0.00
0.00
0.00
0.00
0.00
0.03
0.03
0.02
0.01
0.01
Unacceptable
0.20
0.03
0.00
0.00
0.00
0.00
0.00
0.00
0.03
0.03
Total (n):
234,408
27,981
28,694
28,902
29,635
30,901
31,797
25,400
31,098
Please note: More information on ODEP rating can be found on www.odep.org.uk.
Other: All total hip acetabular cups of which no ODEP rating is available.
THA: total hip arthroplasty.
© LROI 2022
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 2014-2021
Year
ODEP rating (%)
15A+15A*
54.42
58.91
63.31
64.60
64.62
63.54
60.10
58.05
61.03
61.03
13A+13A*
27.24
23.94
20.80
20.32
17.96
14.95
12.31
12.20
18.67
18.67
10A+10A*
8.12
7.34
9.15
10.39
13.49
15.85
18.76
19.94
12.91
12.91
10B
0.32
0.31
0.35
0.33
0.43
0.43
0.48
0.44
0.39
0.39
7A+7A*
4.81
4.50
4.08
2.64
2.04
4.29
7.45
8.83
4.79
4.79
5A+5A*
1.38
1.42
0.50
0.40
0.54
0.54
0.52
0.26
0.69
0.69
3A+3A*
0.11
0.02
0.00
0.00
0.00
0.00
0.00
0.00
0.02
0.02
Other
3.60
3.54
1.82
1.33
0.91
0.41
0.36
0.28
1.51
1.51
PRE
0.00
0.00
0.00
0.00
0.00
0.01
0.01
0.00
0.00
0.00
Total (n):
233,250
27,907
28,570
28,669
29,488
30,894
31,746
25,020
30,956
Please note: More information on ODEP rating can be found on www.odep.org.uk.
Other: All total hip femoral stems of which no ODEP rating is available.
THA: total hip arthroplasty.
© LROI 2022
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 2012-2021
Year
Femoral head size (%)
22-28 mm
33.19
30.72
27.19
23.37
21.19
16.49
13.02
11.49
10.69
10.33
19.37
19.37
32 mm
43.58
47.82
52.85
55.58
57.03
63.08
65.54
66.66
65.51
63.72
58.54
58.54
36 mm
22.12
21.14
19.67
20.84
21.48
20.17
21.11
21.53
23.44
25.63
21.72
21.72
>= 38 mm
1.11
0.32
0.29
0.21
0.30
0.26
0.33
0.33
0.36
0.31
0.37
0.37
Total (n):
284,186
25,239
25,873
27,857
28,599
28,734
29,460
30,797
31,545
25,178
30,904
THA: total hip arthroplasty.
© LROI 2022
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 2012-2021
Year
Type of acetabulum component (%)
Dual mobility cup
1.33
1.43
1.73
1.94
2.59
3.14
3.47
4.28
5.50
5.78
3.17
3.17
Normal cup
98.67
98.57
98.27
98.06
97.41
96.86
96.53
95.72
94.50
94.22
96.83
96.83
Total (n):
285,749
25,332
26,009
27,981
28,694
28,902
29,635
30,901
31,797
25,400
31,098
THA: total hip arthroplasty.
© LROI 2022
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 2012-2021
Year
Cemented acetabulum material (%)
Standard PE
71.20
68.36
63.08
58.96
57.29
57.29
45.43
39.53
33.34
30.67
53.69
53.69
Cross-linked PE
24.90
25.28
30.91
34.28
34.21
31.59
35.74
35.25
44.76
43.86
33.58
33.58
Stainless steel
2.45
3.27
3.66
4.68
7.02
9.07
11.07
14.93
19.58
23.82
9.30
9.30
Cross-linked PE+AO
1.42
3.01
2.13
1.91
1.25
1.82
7.56
9.96
2.12
1.44
3.25
3.25
Cobalt chrome
0.02
0.07
0.21
0.17
0.23
0.22
0.21
0.32
0.19
0.20
0.18
0.18
Total (n):
81,789
8,393
8,402
9,345
8,914
8,865
8,453
8,255
8,002
6,226
6,934
Please note: Titanium was used in 7 (0.01%) primary THAs in 2012-2021.
Please note: Stainless steel was used in cemented dual mobility cups.
THA: total hip arthroplasty; PE: polyethylene; AO: antioxidant.
© LROI 2022
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 2012-2021
Year
Uncemented acetabulum material (%)
Titanium
94.84
96.94
97.53
97.60
97.54
97.05
97.30
96.44
93.77
95.96
96.52
96.52
Tantalum
2.57
1.85
1.87
1.74
1.98
2.23
2.24
2.98
5.41
2.98
2.60
2.60
Stainless steel
0.51
0.26
0.26
0.29
0.27
0.38
0.26
0.40
0.71
0.78
0.42
0.42
Cobalt chrome
2.09
0.95
0.34
0.36
0.21
0.34
0.19
0.17
0.10
0.28
0.46
0.46
Total (n):
203,929
16,928
17,606
18,635
19,779
20,037
21,182
22,646
23,789
19,170
24,157
Please note: Cobalt Chrome/Titanium was used in 6 (<0.01%) primary THAs in 2012.
THA: total hip arthroplasty.
© LROI 2022
Hip » Total hip arthroplasty » Materials » Inlay
FIGURE Trend (proportion [%] per year) in inlay material in primary total hip arthroplasties in the Netherlands in 2012-2021
Year
Inlay material (%)
Cross-linked PE
52.26
62.31
68.64
69.95
70.60
75.24
80.22
80.24
82.44
79.35
73.12
73.12
Cross-linked PE+AO
9.34
10.24
12.12
14.38
14.97
13.21
9.90
8.59
7.77
10.79
11.10
11.10
Ceramics/Zo
16.68
12.81
10.52
9.82
9.19
7.35
7.18
7.79
6.17
6.01
9.01
9.01
Standard PE
19.14
13.50
8.51
5.60
5.16
4.07
2.61
3.16
3.28
3.45
6.29
6.29
Cobalt chrome
2.28
0.94
0.15
0.14
0.05
0.11
0.08
0.19
0.31
0.40
0.42
0.42
Ceramics
0.30
0.20
0.06
0.12
0.03
0.02
0.01
0.02
0.02
0.00
0.07
0.07
Total (n):
195,284
15,785
16,172
17,327
18,502
19,035
20,522
22,070
23,310
18,598
23,963
THA: total hip arthroplasty; PE: polyethylene; AO: antioxidant; Zo: Oxidized Zirconium.
© LROI 2022
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 2012-2021
Year
Femur material (%)
Titanium
67.39
67.84
67.68
69.48
69.34
69.38
70.19
70.55
70.43
71.89
69.49
69.49
Cobalt chrome
25.69
25.24
25.03
23.49
23.54
23.87
23.95
23.71
22.20
22.14
23.85
23.85
Stainless steel
6.92
6.92
7.29
7.03
7.13
6.75
5.86
5.74
7.37
5.97
6.66
6.66
Total (n):
284,329
25,188
25,897
27,907
28,568
28,669
29,488
30,892
31,745
25,020
30,955
THA: total hip arthroplasty.
© LROI 2022
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 2012-2021
Year
Femoral head material (%)
Ceramics/Zo
53.82
54.35
54.93
56.49
59.68
63.24
66.01
70.63
68.68
72.74
62.38
62.38
Cobalt chrome
31.51
30.40
30.37
29.10
27.43
26.03
22.89
18.50
19.42
16.42
24.98
24.98
Oxidized Zirconium
4.76
5.74
6.04
6.03
6.79
6.80
8.96
10.06
11.58
10.70
7.81
7.81
Ceramics
9.28
8.81
8.00
7.68
5.39
3.67
2.07
0.72
0.23
0.09
4.44
4.44
Stainless steel
0.63
0.70
0.66
0.70
0.71
0.26
0.08
0.10
0.09
0.06
0.39
0.39
Total (n):
284,166
25,239
25,873
27,850
28,599
28,734
29,455
30,796
31,545
25,177
30,898
Please note: A titanium femoral head was used in 13 (<0.01%) primary THAs in 2012-2021. A standard PE femoral head was used in 7 (<0.01%) primary THAs in 2012-2021.
THA: total hip arthroplasty; PE: polyethylene; Zo: Oxidized Zirconium.
© LROI 2022
Hip » Total hip arthroplasty » Materials » Articulation
FIGURE Trend (proportion [%] per year) in articulation in primary total hip arthroplasties in the Netherlands in 2012-2021
Year
Articulation (%)
CoP
51.29
54.27
55.73
57.45
58.73
61.73
63.19
65.38
64.01
68.63
60.32
60.32
MoP
31.04
30.88
31.40
29.92
28.23
26.23
22.69
18.57
19.29
15.61
25.16
25.16
ZoP
4.80
5.79
6.10
6.07
6.84
6.81
8.84
10.08
11.79
10.71
7.84
7.84
CoC
11.40
8.46
6.73
6.50
6.18
5.16
5.22
5.82
4.65
4.71
6.39
6.39
MoM
1.49
0.59
0.03
0.04
0.02
0.06
0.04
0.12
0.18
0.11
0.25
0.25
CoM
0.00
0.01
0.01
0.01
0.01
0.02
0.02
0.03
0.08
0.22
0.04
0.04
MoC
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total (n):
279,136
24,710
25,386
27,330
28,156
28,352
29,135
30,305
31,036
24,474
30,252
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.
© LROI 2022