De-escalation revision systems and methods for total hip arthroplasty (THA), or total hip replacement, according to which a hip cone is installed in a femur, and a femoral stem is installed through the hip cone via bone cement, unitizing the femoral stem to the hip cone. The hip cone experiences mechanical fixation due to the bone cement, as well as long-term biologic fixation due to, for example, bony ingrowth into the hip cone. The systems and methods are suitable for complex primary, conversion, or revision total hip replacement, and are suitable from any approach such as, for example, direct anterior (DA), posterior, or lateral approaches.

A joint implant component (1, 1; 101; 201) for administering a pharmaceutical product is disclosed, which comprises an implant shaft (10, 10; 110; 210), a joint section (20, 20; 120; 220) arranged at the proximal end of the implant shaft, a flush supply opening (3, 3; 103; 203) and a backflush opening (4, 4; 104; 204). At least one shaft flush channel (11, 11; 111; 211) and one shaft backflush channel (12, 12; 112; 212) extend along the implant shaft inside the implant shaft. The shaft flush channel is connected to the outside of the implant shaft via shaft flush holes (13, 13; 112; 113) for discharging the pharmaceutical product, and the shaft backflush channel is connected to the outside of the implant shaft via at least one shaft backflush hole (14, 14; 114; 214) for receiving the discharged pharmaceutical product. The flush supply opening is fluidically connected to the proximal end of the shaft flush channel and the backflush opening is fluidically connected to the proximal end of the shaft backflush channel. Also disclosed is a joint implant comprising two such joint implant components which are connected to one another by means of joint surface parts (30, 40; 230) and are pivotable relative to one another.