History: This is a case report of a 64- year-old white male with a 20 year histo - ry of unilateral hip pain that had become debilitating over the last several years. On intake, Harris hip score was rated as: Pain subscale=10, Function subscale=32, Deformity subscale=4, Motions sub - scale=4.775 with a total score of 50.8 out of 100. MRI of the affected hip showed se - vere degeneration with spurring, decrease in joint space, and several large subchon - dral cysts. The patient had been evaluated by an orthopedic surgeon and told he was a candidate for bipolar hip replacement.