New Orleans Hip Doctor

Metairie, LA Hip Surgeon: Dr. R. William Junius, III

Metairie, LA Hip Surgeon: Dr. R. William Junius, IIIHip pain affects millions of Americans, and can significantly affect quality of life when joint immobility and stiffness begin limiting activity. Board-certified orthopedic surgeon, Dr. R. William Junius, III, understands how difficult life can be when joint pain makes routine activities, such as walking or getting up from a chair, difficult and painful. At Crescent City Orthopedics, conveniently located in Metairie, LA for all of the Greater New Orleans area, Dr. Junius treats patients suffering from hip pain with the utmost care and dignity, striving to provide the safest and most comfortable treatment available. For more information on hip pain, continue reading or schedule an appointment at the Metairie offices of Crescent City Orthopedics.

Anatomy of the Hip

The hip is a ball-and-socket joint, in which the top of the femur (femoral head) connects and articulates with a socket (acetabulum) in the pelvis. Both the head of the femur and the acetabulum are lined with cartilage that helps cushion the joint. This cartilage allows the bones to articulate with little friction and also gives the hip the amount of motion needed for daily activities. The ligaments in the hip are soft tissue structures that connect the bones together. These ligaments provide stability to the hip, and hold the joint’s bones place. Understanding how the hip works can help patients identify sources of hip pain and determine the best course of action to alleviate muscle skeletal pain.

Common Causes of Hip Pain

The most common causes of hip pain include osteoarthritis (OA), rheumatoid arthritis (RA), and traumatic arthritis (TA). Beyond pain, these conditions severely limit mobility and reduce quality of life for patients.


Osteoarthritis is most often found in patients over the age of 50; however, it is also common in individuals with a family history of arthritis. Osteoarthritis is characterized by bones rubbing against each other, wearing out the cartilage that provides a cushion for routine flexion and articulation. Osteoarthritis causes pain, joint stiffness, and can severely limit a patient’s activity level.

Rheumatoid Arthritis

Rheumatoid arthritis (RA) affecting the hip is a chronic musculoskeletal disease that leads to inflammation of the joints and tissues surrounding the hip. This type of arthritis is considered an autoimmune disease. This form of arthritis can be found in patients of any age, however women are more likely than men to contract this condition.

Traumatic Arthritis

This form of arthritis is caused by a sudden or repeated trauma from an inappropriate motion of the hip joint and ligaments. Traumatic arthritis is typically a condition that develops when a joint does not heal properly after trauma, such as joint fracture, or a torn ligament. Trauma arthritis can affect individuals of any age.

Hip Surgery: Traditional Hip Replacement vs. Direct Anterior Approach

Surgery may be indicated when arthritic conditions have progressed to the extent that conservative treatments cannot alleviate pain. Surgical options to treat hip pain stemming from arthritis include traditional total hip replacement, as well as minimally invasive direct anterior approach to hip joint replacement.

Traditional Hip Replacement

Traditional hip replacement involves operating on the hip from the side (lateral), or back (posterior) of the patient. This procedure significantly disturbs the joint and the connecting tissues, but alleviates pain significantly. However, traditional hip replacement requires an 8-12 inches long incision.

Direct Anterior Approach

The direct anterior approach to hip replacement is a minimally invasive procedure that requires an incision of only 3-4 inches. The direct anterior approach is performed from the front of the hip, allowing the surgeon to perform the surgery without detaching any muscles or tendons. The direct anterior approach procedure offers more potential benefits than traditional surgical approaches to hip replacement. This potential benefits are similar to those of hip arthroscopy, as both procedures aim to perform corrective surgery through smaller, less severe incisions.

Potential benefits of Direct Anterior Approach include:

  • Less time spent in the hospital
  • Faster rehabilitation
  • Smaller incision
  • Reduced muscle disruption
  • Less scarring
  • Faster surgery, less blood loss

Orthopedic Excellence in New Orleans & Metairie, LA

Dr. Junius is a native of New Orleans, and received orthopedic training at Forth Worth-affiliated hospitals in Texas. Dr. Junius has performed hundreds of hip replacement procedures over a number of years while practicing in New Orleans. To learn more about hip treatment, schedule a consultation at Crescent City Orthopedics, New Orleans’ & Metairie’s premiere orthopedic clinic.