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10 9 8 7 6 5 4 3 2 1 Selection of implant combination type is determined by multiple factors: surgeon preference, such as surgical training and skills; patient factors, such as age and bone shape; healthcare provider factors, such as cost pressures on hospitals and availability of implant combinations; and ultimately the available evidence in the literature. Also Digital planning of cup and stem for total hip arthroplasty is important for calculate the hip offset, femoral offset, Horizontal position of the centre of rotation and probabibly implant selection and positioning. Only during surgery is possible to evalue the bone quality, the articular surface and the stability of the implant for decide the implant combination like the bearing surface materials, the head size and fixation techinque (cemented, uncemented, hybrid or reverse hybrid)