A portable measurement system is provided including a probe, a user interface control and a receiver. The probe includes a plurality of ultrasonic transducers that emit ultrasonic waveforms for creating a three-dimensional sensing space. The user interface control captures a location and position of the probe in the three-dimensional sensing space. The receiver includes a plurality of microphones to capture the ultrasonic waveforms transmitted from the probe to produce captured ultrasonic waveforms and a digital signal processor that digitally samples the captured ultrasonic waveforms and tracks a relative location and movement of the probe with respect to the receiver in the three-dimensional ultrasonic sensing space from time of flight waveform analysis. Embodiments are demonstrated with respect to hip replacement surgery, but other embodiments are contemplated.