A scalable modular hip resurfacing arthroplasty system includes (1) an alignment guide for precise guide pin insertion, (2) a modular cannulated cylindrical reamer assembly for accurate femoral head cylindrical reaming and central bone channel drilling, (3) a saw guide for an accurate femoral head osteotomy, (4) a soft tissue protector with a stepped design to shield and retract tissues, (5) a hip retractor that seats onto a prepared femur, (6) an outer hole drill guide aiding drilling of peripheral holes, and (7) a femoral resurfacing implant with a cap portion and central stem adapted for multiple modular attachments including plates. A method for preparing the proximal femur for hip resurfacing with novel stepped cylindrical femoral head osteotomy and central bone channel drilling, leaving an intact collar of cortical bone above the femoral head articular rim.
