Osteoarthritis is a leading cause of pain, disability and health care use among adults. The hip is the second most common large joint affected by osteoarthritis.1–3 Although research has advanced our knowledge of osteoarthritis, no therapies currently exist that halt progression of the disease. In many cases, the disease progresses to damage and destruction of the joint. Consequently, orthopedic surgery has a critical role in the management of osteoarthritis.