Inclusion Criteria:  All patients undergoing primary unilateral THA Patient 18 years of age and older Patients who are able to provide consent  Exclusion Criteria:  Bilateral procedure Non-Primary arthroplasty Prior non-arthroplasty operation requiring removal of hardware Inability to have spinal anesthesia (blood thinners) BMI > 40 Active Smoking HbA1c > 8.0 Failure to meet medical clearance Pregnant women per standard of care