Methods and apparatus of the present invention provide for orthopaedic totalreplacement of the hip while substantially preserving muscles and soft tissuesaround the hip joint resulting in reduced healing time and decreased risk of dislocationfollowing the procedure. In an exemplary embodiment, the acetabulum is preparedand fitted with a prosthetic acetabular cup 702 and a prosthetic femoral head1102 is fitted into the prosthetic acetabular cup 702. An intramedullary rod1502 is inserted longitudinally into the femur. A prosthetic femoral neck 3102is then inserted from a point along the side of the patient's body and intothe side of the femur and through a pre-existing lateral bore in the intramedullaryrod 1502 and through the remainder of the femur to join the prosthetic femoralhead 1102. The methods and apparatus include structures and techniques for fixingthe prosthetic femoral neck 3102 in relation to the intramedullary rod 1502.