The replacement styli (long metal needles, actually) were used on the old wind-up gramaphone players, the ones with the flaring horn. They'd wear out quickly and needed to be replaced after a few playings.
On the other hand, there were many regular record players in the 60s and 70s in India, that had 78 rpm speed, with ceramic cartridges having a flippable stylus, one side for 33/45 and the other for 78. In recent times, we've had Rega offering a dedicated 78 rpm player (it's still available, I believe), and even the Shure V15VxMR (introduced in '97) had a separate replaceable stylus for 78s only.
Incidentally, many of the early 78s (recorded before the advent of tape technology in the 40s) were recorded direct-to-disk, in a single take, and the sound quality (within a limited frequency range) is often amazing in its immediacy.