We report the case of a 64-year-old male patient who underwent TPP implantation 21 years ago (1999) for treatment primary osteoarthritis (OA) of the right hip joint. At 21-year follow-up, the patient had not developed any complications and reported a SF12 score of 32 and an Oxford hip score of 47/48. TPP has shown to be an excellent therapeutic option and alternative to standard stem total hip replacement (THR) for young patients with symptomatic hip OA as it restores the biomechanical and physiological load of the native hip. His current plain radiograph () and CT scan () are provided.