Direct Anterior Approach for Total Hip Replacement
Dr. Lucas Kleijn


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HCB Denia

Dr. Lucas Kleijn

Orthopaedics Traumatology and Orthopedic Surgery

Dr. Lucas Kleijn
Orthopedics Traumatology and Orthopedic Surgery
After finishing his training as an orthopedic surgeon Lucas Kleijn followed an intensive training program in Gent and The Hague to perform primary hip arthroplasty through the anterior approach. Perfectionering his results and making this his standard technique since 2011. Since 2023 he performs this technique in Dénia, where post rehabilitation is optimized.
Special fields of expertise
– Primary hip arthroplasty through the Direct Anterior Approach
– Shoulder and knee arthroplasty
Training summary
– Degree in Medicine, University of Maastricht, The Netherlands 1997
– Orthopedic/trauma surgeon, university of Maastricht 2005
– 12 month Scolarship Shoulder surgery Auckland, New Zealand 2017
Professional career summary
– Orthopedic surgeon in the Netherlands, Helmond since 2005
– Various trainings in fracture care in Cairo, Aachen and Innsbruck
– Various publications on Osteomyelitis, functional improvement after knee surgery and after the direct anterior approach
– Medical manager 2010-2016
– MUMC internship supervisor
– Member of the Dutch committee for peer quality inspection (CKV)
– Introducing of the Anterior approach for the HCB Dénia 2023



2016 – 2017 Fellowship Shoulder, (1 yr) North Shore Hospital

Auckland NZ

2001 – 2005 Training Orthopedic Surgery Atrium MC Heerlen &

University Hospital Maastricht (MUMC)

1999 – 2001 Training Surgery Atrium MC Heerlen

1997 – 1999 Resident ER Atrium MC Heerlen

1989 – 1997 Medicine University of Maastricht

1983 – 1989 VWO St. Bernardinuscollege, Heerlen

Internships of importance

2021 latest refresher course ATLS

1996 2 months Trauma, Innsbruck (Austria)

1996 1 month Trauma, Aachen (Germany)

1995 10 months Science project Orthopedic surgery, MUMC

Maastricht1992 2 months Trauma in Cairo (Egypt)

Professional experience

2005 – present Full time orthopedic and trauma surgeon in The Elkerliek

Hospital, Helmond, The Netherlands.

2010 – present one day a week orthopedic surgery in the private

practice: Medisch Centrum Waalre.

2023 – present see for more information: my personal site HIPFIX.NL anterior

hip surgery in the HCB hospital in Denia

My areas of expertise:

– Basic orthopedic surgery

– Hip arthroplasty (Direct Anterior Approach- rapid recovery)

– Fracture care

– Knee and shoulder arthroplasty

2013 – 2016 Member of the board of CKV, our national committee for

peer quality inspection.

2010 – 2016 Medical manager

2005 – present Supervisor of internships from the university of Maastricht

Documents/reports written

2016 Limited benefits of the direct anterior approach in primary hip

arthroplasty: a prospective single centre cohort study. J Jeltsma, R

Pijnenburg, H Boons, P Eggen, L Kleijn, H Lacroix, H Noten. Journal of

Orthopaedics 14 (2017) 53–58

2010 Fractures of the proximal tibia associated with longterm use of

methotrexate: 3 case reports and a review of literature Meier L, van

Tuyll van Sersooskerken, AM, Liberton E, Kleijn L, Westgeest T, Polak

M, de Nijs R. J Rheumatology. 2010 Nov

2007 Functional improvement after unicompartmental knee replacement; a

follow-up study with a performance based knee test. Kleijn L et al.

Knee Surg Sports Traumatol Arthrosc. 2007 Jun

2006 Winner poster award ESSKA Innsbruck: Predictors of function in TKA

2001 Presentation for the Dutch Association Traumatology 1-11-’01: The pi

plate in treating dislocated fractures of the distal radius.

1998 Osteomyelitis treated with gentamicin-PMMA beads: 1

Acta Orthop Scand ’98 oct. Walenkamp GH, Kleijn L


Dutch native , German good, Spanish and French average

English: medical level OET 2015