Totale heupprothese in Nederland

• The total hip arthroplasty (THA) is one of the most successful surgical procedures of the last century.
• Since 2007 all THA are registered in the Dutch arthroplasty register.
• The number of THA surgeries is increasing, this is partialy due to an active aging population and an increase in obese patients.
• The last couple of years we have seen an increase in the use of the anterior approach for THA.
• A THA is fixated with bone cement or with uncemented press-fit fixation.
• Improvements in bearings have increased THA survival.
• After 15 years 89.5% of patients still have their primary implant after 25 years this is 58%.
• Preoperative patient expectations are very important for postoperative patient satisfaction.

Conflict of interest and financial support: potential conflicts of interest have been reported for this article. ICMJE forms provided by the authors are available online along with the full text of this article.