51 patients, including 52 hips, undergoing treatment for osteoarthritis were randomized to receive either reverse hybrid (cemented polyethylene cup with cementless femoral stem) or conventional cemented total hip replacement (both components cemented) to determine if there was a difference in outcome between the techniques. Clinical outcome, wear, component migration and bone remodeling were recorded over 2 years postoperatively. The results showed that there were no major differences between the two procedures. This study indicated that the reverse hybrid procedure does not provide improved outcomes when compared to the conventional cemented method in total hip replacement.