Surgery & Treatments

About The HipThe hip joint is the largest weight-bearing joint in the human body! Your hip is where your femur (thigh bone) meets your pelvis (hip bone). The hip is more anatomically known as a ball-and-socket joint, as you have a ball at the end of your femur that fits perfectly into the socket of your pelvis. The size and strength of your hip makes it extremely stable, allowing for a wide range of motion during physical activities. When your hips are in good health, it takes a great deal of force to injure them. However, playing sports, running, overuse or arthritis can sometimes lead to severe hip injuries.

At Azalea Orthopedics, it’s our mission to provide our patients with the best possible orthopedic care for all types of hip injuries and hip pain. With state-of-the-art orthopedic technology and years of in-depth experience performing hip rehabilitation and surgeries, our hip surgeons work one-on-one with our patients to find a treatment plan that’s perfectly tailored to their unique needs. We have one of the few surgeons in East Texas qualified to perform hip arthroscopy. This is a procedure that is used to treat young athletes with labral tears or hip impingements. Our hip doctors treat a wide variety of conditions. From physical therapy to a total hip replacement, our hip orthopedists can help you regain your mobility!

Azalea Locations for

Hip Treatments

Azalea Orthopedics offers hip treatment at many of our orthopedic locations throughout East Texas which allows patients to receive specialized hip treatment with ease!

Anatomy of the hip.

Types of

Hip Injuries

Depending on the nature of your hip injury or hip pain, nonsurgical methods of treatment are always recommended before surgery. However, in some cases, delaying the surgical repair of a hip can increase the likelihood that the problem will be more difficult to treat later down the road. Accurate diagnosis and early treatment of hip injuries and pain can make a significant difference in the long run.
Some of the most common types of hip injuries that we treat include:

  • Anterior Hip Replacement Approach
  • Posterior Hip Replacement Approach
  • Mako Robotic Hip Arthroplasty
  • Hip Arthroscopy
  • Acetabulum Hip Fractures
  • Minimally-Invasive Surgery
  • Femoroacetabular Impingement (FAI) Repair
  • Hip Dysplasia
  • Snapping Hip Syndrome
  • Hip Synovitis
  • Hip Bursitis
  • Hip Joint Infection
  • Pelvic Osteotomy
  • Osteoporosis
  • Osteoarthritis
  • Rheumatoid Arthritis
  • Avascular Necrosis

Non-Surgical Hip Treatment at

Azalea Orthopedics

Treatment of hip injuries and hip pain will vary depending upon your condition, intensity of symptoms or the severity of your arthritic disease. At Azalea Orthopedics, our hip doctors strive to treat your hip injury symptoms with non-surgical procedures first and foremost. Opting for physical therapy, immobilization of the hip by using crutches and/or the use of non-steroidal anti-inflammatory medications, our orthopedic surgeons will do everything they can to treat your hip pain with with less invasive measures before prescribing surgery.

For arthritis patients with severe hip pain, our orthopedists may advise particular types of medication to initiate treatment. Over the past several years, there has been significant improvement in the medicines available for arthritis patients and their symptoms. Injections of a cortisone type drug into a painful hip joint frequently proves to be helpful. Other treatments for arthritis may be helpful in conjunction with medication and injections, such as physical therapy and rehabilitation.



Many of the injuries surrounding the hip require surgery to restore function, ease hip pain and give you more mobility in your stride. Oftentimes, such as with FAI bone spurs, hip surgery can be performed arthroscopically, meaning that one of our hip doctors will use miniature surgical instruments that are less invasive to make tiny incisions, treating the wound with minimally invasive surgery.

In hip injuries that are more complicated, our hip surgeons will require a larger incision for open surgery or hip replacements, providing them with easier access and a more direct view to the injured structures of the hip joint.

Total Hip Replacement

In a total hip replacement (also called total hip arthroplasty), the damaged bone and cartilage is removed and replaced with prosthetic components. The damaged femoral head is taken out and replaced with a metal stem that is placed into the hollow center of the femur. The femoral stem may be either cemented or “press fit” into the bone.

A metal or ceramic ball is placed on the upper part of the stem. This ball replaces the damaged femoral head that was removed. The damaged cartilage surface of the socket (acetabulum) is removed and replaced with a metal socket. Screws or cement are sometimes used to hold the socket in place. Lastly, a plastic, ceramic or metal spacer is inserted between the new ball and the socket to allow for a smooth gliding surface

Hip Arthroscopy

Hip arthroscopy is a minimally invasive surgical technique that allows an orthopedic surgeon to visualize and treat the hip joint using a series of small incisions.  This procedure is used to evaluate pain, swelling, decreased range of motion, and popping of the hip – all issues that have not responded to conservative treatment options, such as physical therapy.

A common cause of hip pain in young patients is a labral tear of the hip.  Oftentimes, this is the result of hip impingement. In basic terms, hip impingement is abnormal contact between the ball and socket of the hip that can cause a tear of the labrum – a ring of cartilage around the hip socket. Once a tear occurs, it can be extremely painful.  Common symptoms of a labral tear include increasing groin pain with physical activity and working out.

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Joint Replacement & Surgery in Hip Arthritis

Patients with severe joint pain and impairment may be candidates for joint replacement surgery. These procedures, in a very large percentage of cases, provide marked relief of pain, and improvement in patients ability to carry out the activities of daily living.

Refinements in technique and technology have made these procedures especially beneficial to those patients with severe damaged hips, knees or shoulders. In selected cases the elbow may be successfully replaced. The surgery basically consists of implanting components made of metal and high molecular weight polyethylene, which conform to the joint involved.

The surgeons on staff at Azalea Orthopedics and Sports Medicine have extensive experience with these procedures, and would be happy to discuss them with you in much more detail.

Hip Replacement Surgery With Your

Hip Surgeons In East Texas Area

First performed in 1960, hip replacement surgery is one of the most successful operations in all of medicine. Since its inception, improvements in joint replacement surgical techniques and technology have greatly increased the effectiveness of total hip replacement. According to the Agency for Healthcare Research and Quality, more than 300,000 total hip replacements are performed each year in the United States.

Recommendations for hip replacement surgery are based on a patient’s pain and disability, not age. Most patients who undergo total hip replacement are ages 50 to 80, but our orthopedic surgeons at Azalea Orthopedics evaluate patients individually. Total hip replacements have been performed successfully at all ages, from a young teenager with juvenile arthritis to an elderly patient with degenerative arthritis.

Our Hip Orthopedists

Meet Our Industry Leading Top Hip Orthopedists.

Justin Bartley, M.D. FAAOS at Azalea Orthopedics

Justin Bartley, M.D., FAAOS, FAANA

Dr. Justin Bartley is a Board-Certified and Fellowship-Trained Orthopedic Surgeon specializing in sports medicine, arthroscopy, and comprehensive shoulder surgery. Also, fully trained in general orthopedics and fracture management. Additionally, he has completed dedicated training in hip arthroscopy to better care for young patients with hip pain.

Dr. John-Michael Cline

Jon-Michael Cline, D.O.

Dr. Jon-Michael Cline is a fellowship trained, board certified Primary Care Sports Medicine Physician. Dr. Cline treats a variety of musculoskeletal conditions and specializes in non-surgical treatment of sports injuries, concussion management, and ortho biologics. Dr. Cline also specializes in non-operative treatment of both hip and knee pain. Depending on the patient's diagnosis, hips and knees can also be successfully treated with injections.

Edwin Ferren, M.D.

Dr. Edwin Ferren is a Board-Certified orthopedic surgeon specializing in hand, hip, and knee repairs. He serves the Nacogdoches and surrounding areas. He is a member of the Texas Orthopedic Association and the Texas Medical Association.

Keith Fishbeck, DO

Keith Fishbeck, DO

Keith Fishbeck, D.O. is a fellowship-trained Orthopedic Sports Medicine Surgeon who specializes in conditions and treatments related to the Shoulder, Knee, and Hip. He has a special interest in shoulder replacement surgery, arthroscopic shoulder and knee surgery, ACL reconstruction, and cartilage restoration surgery. He is also fully trained in general orthopedics and fracture management. After receiving his undergraduate degrees from Texas A&M University, in College Station, Texas, Dr. Fishbeck earned his medical degree from Texas College of Osteopathic Medicine. He went on to complete his orthopedic residency at Oklahoma State University Medical Center, followed by advanced fellowship-training in orthopedic sports medicine at Beacon Orthopedics & Sports Medicine in Cincinnati, Ohio.

Dr. James Harris is a non-surgical pain management specialist in East Texas.

James Harris, M.D.

Dr. Harris received his fellowship training at the North Sydney Orthopedic and Sports Medicine Center in Sydney, Australia, where he specialized in sports medicine and complex knee surgery. Prior to Australia, Dr. Harris specializes in Shoulder, Knee, Elbow and Sports injuries. Board Certified, American Board of Orthopedic Surgery.

Dr Andrew Hester

Andrew Hester, M.D.

Dr. Andrew Hester is a Fellowship-Trained Orthopedic Surgeon who specializes in hip and knee arthroplasty. He treats all conditions related to hip and knee arthroplasty from arthritis to painful or dysfunctional hip and knee replacements. He has had extensive training in direct anterior approach for total hip arthroplasty, robotic-assisted hip and knee arthroplasty, and unicompartmental knee arthroplasty (partial knee replacement).

Andrew Hurst, M.D.

Dr. Hurst is a Board-Certified orthopedic surgeon. He is proud to offer the latest techniques and medical advancements for his patients. Specializing in complex knee and shoulder injuries, Dr. Hurst is pleased to provide his knowledge and expertise to care for patients in the Nacogdoches and surrounding communities.

Dr. Ken Kaminski is an orthopedic surgeon in Tyler, Texas who specializes in hip and knee replacements.

Ken Kaminski, M.D.

Dr. Kaminski specializes in primary and complex hip and knee replacements, revision joint surgery, joint replacements, and hip and knee arthritis. He is Fellowship Trained and Board-Certified by the American Board of Orthopedic Surgery. Dr. Kaminski comes to Azalea from the Mayo Clinic, an internationally renowned institution known for its shaping and influence on primary and revision joint replacement quality. Certified in Mako Robotic Arm Technology.

Kevin Wade Luttrell, M.D.

Dr. Luttrell is a graduate of the Harvard Orthopedic Trauma Fellowship Program. In his time at Harvard, he learned advanced techniques focused on post-traumatic reconstruction cases, hip replacements, and fracture care procedures. He is a member of the Orthopedic Trauma Association and Board Certified by the American Board of Orthopedic Surgery.

Steven Overturf, M.D. Orthopedic Surgeon at Azalea Orthopedics

Steven Overturf, M.D.

Dr. Overturf is a Board-Certified orthopedic surgeon who offers cutting-edge procedures for orthopedic injuries and disorders. He is equipped to provide full-spectrum musculoskeletal care to residents of Nacogdoches and surrounding areas. His passion for bone and joint health, in conjunction with his diverse experiences, ensures you receive the best possible care.

Contact Azalea Orthopedics’

Hip Surgeons Today!

Your hips are some of the strongest ball-and-socket joints in the body, and a healthy set is crucial for day-to-day physical activity and leading a mobile life! Here at Azalea Orthopedics, our team of highly experienced orthopedists and hip surgeons are ready to help answer any questions you have regarding the intricacies of the hip joint and its surrounding ligaments and tissues.

If you are experiencing ongoing hip pain from arthritis, or if you have injured your hip through a high-impact sport or an accident, we can help! Don’t hesitate to call us today to learn more about the orthopedic treatments we offer or to schedule an appointment at one of our offices throughout East Texas. On behalf of all of our hip doctors at Azalea Orthopedics, we can’t wait to hear from you!