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Materials
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 2010-2020
Year
Cemented acetabulum material (%)
Standard PE
82.79
73.80
71.94
68.48
63.13
58.68
57.26
57.29
45.40
39.60
33.48
59.64
59.64
Cross-linked PE
15.88
24.43
24.38
25.25
30.94
34.56
34.26
31.60
35.71
35.30
44.77
30.53
30.53
Stainless steel
1.33
1.34
2.23
3.20
3.58
4.70
7.01
9.09
11.07
14.82
19.45
6.80
6.80
Cross-linked PE+AO
0.00
0.42
1.43
3.00
2.12
1.89
1.25
1.80
7.60
9.96
2.10
2.88
2.88
Cobalt chrome
0.00
0.01
0.02
0.07
0.23
0.17
0.23
0.23
0.22
0.33
0.19
0.16
0.16
Total (n):
89,507
7,430
7,664
8,262
8,338
9,295
8,826
8,833
8,442
8,245
7,983
6,189
Please note: Titanium was used in 8 (0.01%) primary THAs in 2010-2020.
THA: total hip arthroplasty; PE: polyethylene; AO: antioxidant.
© LROI 2021
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 2010-2020
Year
Uncemented acetabulum material (%)
Titanium
93.75
95.88
94.74
96.94
97.54
97.59
97.54
97.07
97.32
96.47
93.78
96.34
96.34
Tantalum
1.34
1.97
2.59
1.85
1.87
1.75
1.98
2.23
2.23
2.95
5.38
2.41
2.41
Cobalt chrome
2.82
1.56
2.12
0.95
0.34
0.37
0.22
0.33
0.18
0.17
0.10
0.74
0.74
Stainless steel
0.53
0.47
0.52
0.26
0.25
0.29
0.27
0.37
0.26
0.41
0.73
0.39
0.39
Cobalt chrome/Titanium
1.55
0.13
0.04
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.13
0.13
Total (n):
209,496
15,341
15,671
16,614
17,434
18,529
19,634
19,990
21,184
22,722
23,636
18,741
Please note: Standard PE was used in 2 (0.01%) primary THAs in 2010.
THA: total hip arthroplasty.
© LROI 2021
Hip » Total hip arthroplasty » Materials » Inlay
FIGURE Trend (proportion [%] per year) in inlay material in primary total hip arthroplasties in the Netherlands in 2010-2020
Year
Inlay material (%)
Cross-linked PE
42.46
46.10
51.77
62.47
68.13
69.35
70.50
75.29
80.27
80.35
83.23
68.39
68.39
Cross-linked PE+AO
3.32
8.11
9.47
10.17
12.34
14.69
15.11
13.19
9.87
8.50
6.97
10.37
10.37
Ceramics/Zo
13.27
18.10
16.81
12.67
10.64
10.05
9.22
7.34
7.15
7.80
6.15
10.33
10.33
Standard PE
33.55
23.58
19.32
13.55
8.64
5.64
5.09
4.04
2.61
3.12
3.31
9.69
9.69
Cobalt chrome
5.03
3.17
2.33
0.95
0.18
0.15
0.06
0.12
0.09
0.22
0.32
0.94
0.94
Ceramics
2.37
0.94
0.30
0.19
0.07
0.12
0.03
0.02
0.01
0.02
0.02
0.29
0.29
Total (n):
196,959
12,970
14,427
15,450
15,989
16,867
17,998
18,970
20,514
22,144
23,282
18,348
THA: total hip arthroplasty; PE: polyethylene; AO: antioxidant; Zo: Oxidized Zirconium.
© LROI 2021
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 2010-2020
Year
Femur material (%)
Titanium
65.69
66.88
67.27
67.85
67.37
69.36
69.23
69.13
70.00
70.11
70.01
68.56
68.56
Cobalt chrome
26.91
26.32
25.72
25.22
25.26
23.56
23.61
24.00
24.02
23.95
22.72
24.58
24.58
Stainless steel
7.40
6.80
7.01
6.93
7.37
7.08
7.16
6.87
5.98
5.95
7.26
6.86
6.86
Total (n):
299,185
22,760
23,488
25,062
25,872
27,727
28,376
28,760
29,684
31,142
31,622
24,692
Please note: A composite femur component was used in 10 (0.04%) primary THAs in 2010.
THA: total hip arthroplasty.
© LROI 2021
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 2010-2020
Year
Femoral head material (%)
Ceramics/Zo
31.07
50.17
54.27
54.35
54.81
56.39
59.59
63.00
65.58
70.24
68.05
57.81
57.81
Cobalt chrome
40.69
33.09
31.09
30.36
30.51
29.22
27.54
26.15
23.32
18.89
19.94
27.84
27.84
Zo
4.62
4.56
4.62
5.72
6.02
6.05
6.79
6.85
8.94
10.03
11.67
7.01
7.01
Ceramics
22.53
11.65
9.35
8.86
7.99
7.61
5.38
3.72
2.06
0.72
0.24
6.84
6.84
Stainless steel
1.09
0.54
0.67
0.71
0.68
0.72
0.71
0.28
0.10
0.12
0.09
0.50
0.50
Total (n):
298,917
22,810
23,443
25,008
25,779
27,792
28,440
28,764
29,655
31,065
31,391
24,770
Please note: A titanium femoral head was used in 7 (<0.01%) primary THAs in 2010-2020. A cross-linked PE femoral head was used in 5 (<0.01%) primary THAs in 2010-2020. A standard PE femoral head was used in 5 (<0.01%) primary THAs in 2010-2020.
THA: total hip arthroplasty; PE: polyethylene; Zo: Oxidized Zirconium.
© LROI 2021
Hip » Total hip arthroplasty » Materials » Articulation
FIGURE Trend (proportion [%] per year) in articulation in primary total hip arthroplasties in the Netherlands in 2010-2020
Year
Articulation (%)
CoP
43.26
48.18
51.86
54.44
55.26
56.89
58.70
61.75
63.19
65.17
63.56
57.15
57.15
MoP
36.83
31.75
30.41
30.78
31.76
30.24
28.20
26.21
22.71
18.72
19.67
27.58
27.58
CoC
10.13
13.15
11.52
8.36
6.76
6.62
6.21
5.16
5.22
5.87
4.62
7.39
7.39
ZoP
4.55
4.63
4.70
5.81
6.18
6.19
6.87
6.82
8.83
10.10
11.91
7.07
7.07
MoM
5.20
2.28
1.51
0.60
0.03
0.04
0.02
0.05
0.03
0.11
0.16
0.79
0.79
CoM
0.02
0.00
0.00
0.01
0.01
0.01
0.01
0.02
0.02
0.03
0.08
0.02
0.02
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
0.00
Total (n):
290,437
21,847
22,721
24,259
25,105
26,794
27,521
28,171
29,077
30,261
30,686
23,995
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 2021
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 2020
Age category
Articulation (%)
CoP
63.27
65.43
65.38
64.15
56.74
63.56
63.56
MoP
17.73
14.85
16.36
19.80
30.85
19.67
19.67
ZoP
11.66
13.08
13.08
11.49
9.69
11.91
11.91
CoC
6.76
6.37
5.01
4.32
2.49
4.62
4.62
MoM
0.29
0.10
0.10
0.20
0.17
0.16
0.16
CoM
0.29
0.17
0.07
0.04
0.06
0.08
0.08
Total (n):
1,021
3,488
2,997
7,184
9,305
23,995
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 2021