Dr. MacNeille Hip and Knee logo Rhett MacNeille, MD Hip & Knee Replacement Request a Visit
Hip Care

Hip pain relief, from injections to robotic replacement

Dr. MacNeille offers the full range of hip care — always starting with the least invasive option that will work.

The Treatment Ladder

Surgery is the last rung, not the first

  • Accurate diagnosis — exam plus X-ray, CT, or MRI to find the true source of your pain
  • Non-operative care — activity modification, physical therapy referral, and image-guided injections
  • Total hip replacement — Mako robotic-assisted through a minimally invasive direct superior approach
  • Revision hip replacement — expert care for hips replaced years ago that have worn or loosened
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Total hip replacement illustration
Dr. MacNeille's Technique

The direct superior difference

A muscle-sparing approach, executed with Mako robotic precision.

Muscle-Sparing

IT band untouched

The direct superior approach works between tissues rather than through them — preserving the IT band and most of the short rotator muscles that stabilize your hip.

Stability

0.3% registry dislocation rate

Registry data cited in a 2024 systematic review reported a 0.3% dislocation rate with this approach — and most patients need no formal hip precautions after surgery.

Mako Robotics

Planned from your CT scan

Cup position, leg length, and offset are planned on a 3D model of your anatomy and executed with robotic accuracy — within about 2 degrees of plan in published studies.

What a Hip Replacement Does

From worn joint to new joint

Arthritis wears away the smooth cartilage that cushions the ball-and-socket joint until bone grinds on bone. A total hip replacement resurfaces both sides of the joint so it moves smoothly again.

3D illustration of a pelvis with a healthy hip joint, smooth cartilage cushioning the ball and socket
A healthy hip. Smooth cartilage cushions the ball-and-socket joint.
3D illustration of a pelvis with an arthritic hip joint, the cartilage worn away and the joint surfaces roughened
An arthritic hip. The cartilage has worn away — bone grinds on bone, causing pain and stiffness.
3D illustration of a pelvis after total hip replacement, with a new ball and socket implant in place
After hip replacement. A new ball and socket restore smooth, pain-free motion.
A titanium femoral stem hip implant with a porous coating on its upper portion
The stem. Fits inside the thigh bone and carries the new ball; the textured surface is designed for your bone to grow into.
A hemispherical titanium acetabular cup implant with a porous ingrowth surface
The cup. The new socket, positioned with robotic accuracy; its porous surface is designed for bone ingrowth.
Learn More

Hip education articles

Hip

The Direct Superior Approach

How a muscle-sparing approach lowers dislocation risk and often eliminates precautions.

Read article
Hip

Robotic-Assisted Hip Replacement

CT-based planning, cup accuracy, and leg-length restoration with Mako.

Read article
Recovery

Same-Day Joint Replacement

Why most surgery-center patients sleep in their own bed the night of surgery.

Read article
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