The patient was placed in the left lateral decubitus position. We prepped and draped the right hip in the usual aseptic manner. A time-out was performed prior to the incision. A 14-cm skin incision was made over the greater trochanter for an anterolateral approach to the hip and deepened down through the skin and subcutaneous tissue through the fascia lata. We took off the anterior 40% of the gluteus medius, removed the minimus, and performed a capsulectomy. We then dislocated the femoral head and removed it. At that time, we noted significant degenerative disease in the femoral head. We reamed the acetabulum and placed it in a press-fit construct. We took off the peripheral osteophytes and put in a neutral polyethylene liner. We then prepared the stem with the appropriate-sized stem and head combination. We achieved excellent stability and excellent leg length.

After careful irrigation, closure of the muscles, subcutaneous tissue, and skin was performed, and a sterile dressing was applied. The patient was then taken to the recovery room in stable condition.