Materials

Hip » Total hip arthroplasty » Materials » Cemented acetabular component 2010-2019

FIGURE Trend (proportion [%] per year) in cemented acetabulum material in primary total hip arthroplasties in the Netherlands in 2010-2019

Year

Cemented acetabulum material (%)

Standard PE
82.79
73.77
71.97
68.50
63.13
58.66
57.25
57.31
45.40
39.53
61.58
61.58

Cross-linked PE
15.88
24.45
24.39
25.23
30.96
34.58
34.27
31.57
35.72
35.33
29.48
29.48

Stainless steel
1.33
1.35
2.23
3.21
3.59
4.70
7.01
9.09
11.06
14.82
5.86
5.86

Cross-linked PE+AO
0.00
0.42
1.38
3.00
2.12
1.89
1.25
1.80
7.61
9.99
2.94
2.94

Cobalt Chrome
0.00
0.01
0.02
0.07
0.20
0.17
0.23
0.23
0.22
0.33
0.15
0.15

Total (n):
83,235
7,424
7,653
8,253
8,329
9,287
8,821
8,828
8,436
8,243
7,961

Please note: Titanium was used in 8 (0.01%) primary THAs in 2010-2019.
THA: total hip arthroplasty; PE: polyethylene; AO: antioxidant.

© LROI 2020

Hip » Total hip arthroplasty » Materials » Uncemented acetabular component 2010-2019

FIGURE Trend (proportion [%] per year) in uncemented acetabulum material in primary total hip arthroplasties in the Netherlands in 2010-2019

Year

Uncemented acetabulum material (%)

Titanium
93.75
95.87
94.74
96.94
97.54
97.58
97.47
97.04
97.29
96.46
96.58
96.58

Tantalum
1.34
1.97
2.59
1.85
1.87
1.75
2.02
2.23
2.23
2.95
2.12
2.12

Cobalt Chrome
2.82
1.56
2.12
0.96
0.34
0.37
0.24
0.35
0.22
0.19
0.81
0.81

Stainless steel
0.53
0.47
0.52
0.26
0.25
0.29
0.27
0.37
0.26
0.41
0.36
0.36

Cobalt Chrome/Titanium
1.55
0.13
0.04
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.14
0.14

Total (n):
190,205
15,334
15,661
16,601
17,426
18,508
19,618
19,633
21,165
22,698
23,561

THA: total hip arthroplasty.

© LROI 2020

Hip » Total hip arthroplasty » Materials » Inlay 2010-2019

FIGURE Trend (proportion [%] per year) in inlay material in primary total hip arthroplasties in the Netherlands in 2010-2019

Year

Inlay material (%)

Cross-linked PE
42.47
46.13
51.75
62.47
68.15
69.39
70.52
75.35
80.28
80.88
66.93
66.93

Cross-linked PE+AO
3.29
8.10
9.46
10.17
12.34
14.68
15.11
13.20
9.86
8.57
10.73
10.73

Ceramics/Zo
13.27
18.12
16.83
12.68
10.65
10.04
9.22
7.33
7.16
7.19
10.69
10.69

Standard PE
33.57
23.54
19.34
13.54
8.64
5.63
5.09
4.02
2.61
3.13
10.35
10.35

Cobalt chrome
5.04
3.17
2.33
0.95
0.17
0.13
0.04
0.08
0.09
0.22
0.99
0.99

Ceramics
2.37
0.94
0.30
0.19
0.07
0.12
0.03
0.01
0.01
0.02
0.32
0.32

Total (n):
178,136
12,956
14,412
15,429
15,975
16,842
17,974
18,939
20,473
22,104
23,032

THA: total hip arthroplasty; PE: polyethylene; AO: antioxidant; Zo: Oxidized Zirconium.

© LROI 2020

Hip » Total hip arthroplasty » Materials » Femur component 2010-2019

FIGURE Trend (proportion [%] per year) in femur component material in primary total hip arthroplasties in the Netherlands in 2010-2019

Year

Femur material (%)

Titanium
65.69
66.89
67.27
67.82
67.38
69.35
69.22
69.11
70.01
70.19
68.43
68.43

Cobalt chrome
26.91
26.32
25.74
25.25
25.25
23.58
23.63
24.03
24.03
23.84
24.75
24.75

Stainless steel
7.40
6.79
6.99
6.93
7.37
7.07
7.16
6.86
5.96
5.97
6.82
6.82

Total (n):
274,223
22,776
23,484
25,059
25,862
27,720
28,371
28,736
29,643
31,091
31,481

Please note: A composite femur component was used in 10 (0.04%) primary THAs in 2010.
THA: total hip arthroplasty.

© LROI 2020

Hip » Total hip arthroplasty » Materials » Femoral head component 2010-2019

FIGURE Trend (proportion [%] per year) in femoral head material in primary total hip arthroplasties in the Netherlands in 2010-2019

Year

Femoral head material (%)

Ceramics/Zo
31.02
50.11
54.23
54.34
54.77
56.38
59.57
62.99
65.57
70.26
56.85
56.85

Cobalt chrome
40.76
33.16
31.14
30.41
30.56
29.24
27.57
26.17
23.34
18.85
28.59
28.59

Ceramics
22.52
11.64
9.34
8.83
7.97
7.60
5.37
3.71
2.05
0.72
7.43
7.43

Zo
4.62
4.56
4.62
5.72
6.02
6.05
6.79
6.86
8.94
10.06
6.59
6.59

Stainless steel
1.08
0.53
0.67
0.71
0.68
0.72
0.70
0.28
0.10
0.12
0.54
0.54

Total (n):
273,903
22,820
23,437
25,007
25,766
27,775
28,423
28,743
29,611
31,018
31,303

Please note: A cross-linked PE femoral head was used in 8 (<0.01%) primary THAs in 2010-2019. A titanium femoral head was used in 7 (<0.01%) primary THAs in 2010-2019. A standard PE femoral head was used in 5 (<0.01%) primary THAs in 2010-2019.
THA: total hip arthroplasty; PE: polyethylene; Zo: Oxidized Zirconium.

© LROI 2020

Hip » Total hip arthroplasty » Materials » Articulation 2010-2019

FIGURE Trend (proportion [%] per year) in articulation in primary total hip arthroplasties in the Netherlands in 2010-2019

Year

Articulation (%)

CoP
43.25
48.09
51.83
54.42
55.27
56.89
58.71
61.74
63.14
65.48
56.58
56.58

MoP
36.84
31.80
30.42
30.79
31.75
30.23
28.21
26.22
22.73
18.72
28.31
28.31

CoC
10.13
13.17
11.54
8.37
6.75
6.62
6.20
5.15
5.21
5.41
7.59
7.59

ZoP
4.55
4.63
4.70
5.81
6.18
6.20
6.87
6.82
8.81
10.19
6.65
6.65

MoM
5.20
2.28
1.51
0.59
0.03
0.05
0.02
0.06
0.03
0.12
0.85
0.85

CoM
0.02
0.00
0.00
0.01
0.01
0.01
0.00
0.02
0.07
0.08
0.03
0.03

MoC
0.00
0.01
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

Total (n):
265,647
21,818
22,681
24,220
25,063
26,730
27,465
28,111
28,993
30,183
30,383

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 2020

Hip » Total hip arthroplasty » Materials » Articulation by age category

FIGURE Articulation (proportion [%] per category) in primary total hip arthroplasties by age category in the Netherlands in 2019

Age category

Articulation (%)

CoP
68.06
68.29
66.89
65.58
59.33
65.48
65.48

MoP
16.05
13.43
15.15
19.45
29.20
18.72
18.72

ZoP
8.51
11.11
11.43
9.64
8.81
10.19
10.19

CoC
6.98
6.99
6.32
5.16
2.49
5.41
5.41

MoM
0.16
0.11
0.15
0.11
0.07
0.12
0.12

CoM
0.24
0.08
0.05
0.07
0.11
0.08
0.08

Total (n):
1,246
4,463
3,664
9,149
11,861
30,383

THA: total hip arthroplasty; CoP: Ceramics-on-polyethylene; MoP: Metal-on-polyethylene; ZoP: Oxidized Zirconium-on-polyethylene; CoC: Ceramics-on-ceramics; MoM: Metal-on-Metal; CoM: Ceramics-on-Metal.

© LROI 2020