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we report the clinical effects for femoral modification total hip replacement (THR) making use of the Direct Anterior Approach (DAA) period. 149 clients (165 sides) with a mean chronilogical age of 68.9 many years (range, 33.2-91.0 years) and a mean followup of 4.2 years (1.1-8.9 many years) were included. The indicator for modification surgery was aseptic stem loosening in 131 (79.4%) hips, periprosthetic break in 29 (17.6%) sides, revision for stem malalignmen