An orthopedic prosthesis includes a proximal member which internally accommodates the major motion of a patient, e.g., during walking, thereby reducing wear against a cup or liner. A distal member may be utilized which rotates within a proximal member about an axis aligned with the major motion of the patient. The orthopedic prosthesis may also include a head and neck, the neck being rotatably mounted within the head, the head being rotatably mounted within the acetabulum region of a patient.