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A structured but non-systematic search of PubMed\/MEDLINE and Scopus was used to identify contemporary clinical cohorts, joint registry data, and biomechanical analyses, with the evidence organised sequentially across acetabular and femoral subsites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Acetabular retention of stable metal-on-metal shells with dual-mobility bearings minimizes surgical trauma and yields exceptionally low dislocation rates (0% to 4%). Cementing highly cross-linked polyethylene (XLPE) or dual-mobility liners into secure or revision cups successfully decouples biological fixation from alignment, ensuring high mid-term survivorship. On the femoral side, trunnion adapter sleeves protect the head-neck junction during isolated bearing exchanges, demonstrating reliable 10-year survivorship (85%). For unavoidable stem extractions with sound cement mantles, cement-in-cement revision offers a rapid pathway; utilizing high-fatigue-resistant cobalt-chromium alloys instead of stainless steel structurally mitigates the rare risk of cantilever stem fracture. Lastly, for uncontained bone loss or profound osteopenia, extended long cemented stems and allograft-stem composites bypass major defects to provide immediate biological and mechanical rigidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In appropriately selected patients, targeted component retention appears to offer a bone-preserving alternative to wholesale hardware explantation, although the supporting evidence is predominantly observational.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00402-026-06510-1","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T04:01:18Z","timestamp":1790308878000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mix and match strategies in revision total hip arthroplasty: a review of techniques and outcomes"],"prefix":"10.1007","volume":"146","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4524-9120","authenticated-orcid":false,"given":"Itay","family":"Ashkenazi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4882-209X","authenticated-orcid":false,"given":"Farouk","family":"Khury","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2721-4119","authenticated-orcid":false,"given":"Sujith","family":"Konan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"6510_CR1","doi-asserted-by":"publisher","first-page":"251","DOI":"10.3928\/01477447-20220225-04","volume":"45","author":"J Dubin","year":"2022","unstructured":"Dubin J, Westrich G (2022) Differences in patient-reported outcome measures between primary and revision total hip arthroplasty: realistic patient expectations for patients with low baseline activity. 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