Anterior Hip Foundation

Anterior Hip Foundation The Anterior Hip Foundation (AHF) was created to be the world’s foremost incubator for the anterio

“Instability has been solved with the anterior approach.”Well… maybe not quite.In the second AHF Surgeon Roundtable, Drs...
08/21/2026

“Instability has been solved with the anterior approach.”

Well… maybe not quite.

In the second AHF Surgeon Roundtable, Drs. Jeffrey Barry, MD, blair ashley and Chancellor Gray join host Joseph Schwab to discuss what actually drives instability after anterior THA, and what surgeons can do about it.

The conversation gets into cup position, offset, soft tissue handling, hip-spine mechanics, dual mobility, and those intraoperative moments when something just doesn’t feel right.

There are also some very different perspectives around the table, including how aggressively to plan around patient risk, what stability checks really matter, and when to escalate the construct.

One line from Chancellor Gray sums up the mindset well:

“I want to leave the OR with a hip that I trust, even if the patient does something pretty stupid.”

Because ultimately, the goal isn’t a hip that only works when everything goes perfectly. It’s one that can tolerate real life.

▶️ Watch Managing Instability in Anterior Approach Hips now on the AHF YouTube channel: Link in bio or https://youtu.be/IhPZTBVfCb4

Recorded in partnership with Smith & Nephew.

Revision hips have a habit of turning a good plan into a very different operation.In this   Revision Track presentation,...
08/18/2026

Revision hips have a habit of turning a good plan into a very different operation.

In this Revision Track presentation, Raul Gosthe, M.D. talks through the obstacles that can derail a case, and the practical techniques he uses to keep moving:

• Broken screws blocking reaming

• Constrained and dual-mobility liners that won’t come out

• Cups that can’t be reached with a standard explant

• Complex intrapelvic migration requiring a very different Plan B

His message is simple:

“If you’re thinking too much in surgery, it’s because you haven’t prepared enough.”

Preparation means knowing the implants, anticipating the instruments you may need, getting the exposure right, and recognizing when it’s time to stop fighting Plan A.

Watch the full presentation on our YouTube channel:

https://youtu.be/EViwcrvIhr4

Most surgeons can plan a hip replacement down to the millimeter ... and confirm the result afterward on X-ray.It's the p...
08/14/2026

Most surgeons can plan a hip replacement down to the millimeter ... and confirm the result afterward on X-ray.

It's the part in between where things get fuzzy.

That gap is what pushed Dr. J Dean Cole and Scott Banks to build Orthopedic Driven Imaging, the company that just won Shark Tank at hashtag in Nashville.

Their system runs on the GE C-arms already in most ORs - with a wider field of view, less radiation, and no new workflow to learn.

In the latest AHF Podcast, they tell host Joseph Schwab why "your X-ray looks great" isn't good enough for patients who are still unhappy with their outcome, and why robotic platforms with beautiful planning software still leave surgeons aiming at the wrong target.

▶️ Watch the podcast now on YouTube: https://lnkd.in/gjrpgN9q

The femoral head: should you save it or sacrifice it?Justin Cobb says we should be thinking 25 years ahead. Joel Matta h...
08/11/2026

The femoral head: should you save it or sacrifice it?

Justin Cobb says we should be thinking 25 years ahead. Joel Matta has seen resurfacing come around before. More than once.

So…is this finally the generation that gets it right? Or are we watching history repeat itself?

Cobb vs Matta.

Resurfacing vs replacement.

Two titans. Neither one of them on the fence.

Watch the latest AHF 2026 debate — then pick a side. 👇

Resurface or replace?

https://youtu.be/a4XLGHSGEjk

The foot came out of the boot. The leg hit the floor. And a difficult femur became a bad day in the OR.In the latest Ope...
08/07/2026

The foot came out of the boot. The leg hit the floor. And a difficult femur became a bad day in the OR.

In the latest Operation FUBAR edition of the AHF Podcast, Dr. Nicholas H Mast joins host Joseph Schwab to walk through eight challenging hips- including the case that “definitely took years off” his life.

This is not a highlight reel.

It is a candid look at distorted anatomy, dysplasia, failed preservation surgery, geriatric fractures, catastrophic bone loss, and what happens when the original plan is no longer an option.

Nick shares the technical decisions that saved each case, but also the judgment that matters when everything starts to unravel:

For surgeons who learn most from the cases that did not go according to plan.

Watch Operation FUBAR: Eight Challenging Hips with Nick Mast on our YouTube channel: https://youtu.be/XCSdrXt_x7E

More screws won’t fix a missing anterior column.In severe “up and in” acetabular defects, more than half the revision cu...
08/04/2026

More screws won’t fix a missing anterior column.

In severe “up and in” acetabular defects, more than half the revision cup may be unsupported, and even long posterior column screws may not stop it from migrating back through the defect.

Our own Jonathan Yerasimides, MD, shows how he reconstructs rather than spans the defect, using intrapelvic augmentation to create a strong, unified construct.

Watch the full presentation from on our YouTube channel 👉 : https://youtu.be/tSlbk1PIaM4

The stem won’t move.You’ve cleared the lateral shoulder. Worked down the medial side. Reached as far around the implant ...
07/23/2026

The stem won’t move.

You’ve cleared the lateral shoulder. Worked down the medial side. Reached as far around the implant as you can.

You’re starting to think: Do I need an osteotomy?

John Horberg, MD FAAOS, has another move ...

Watch this AHF 2026 video, then tell us: How long do you fight a well-fixed stem before committing to an osteotomy?Watch on YouTube: https://youtu.be/o-QT6e1_hqQ

"Are we advocates, or are we zealots?"That question came from the surgeon who trained the man standing opposite him.At A...
07/20/2026

"Are we advocates, or are we zealots?"

That question came from the surgeon who trained the man standing opposite him.

At AHF 2026, Aldo Riesgo and John Masonis went at one of the biggest questions in revision arthroplasty: should we expand the indications for anterior revision THA, or respect the limits?

Aldo went first. He credited John with teaching him to push boundaries — then spent four minutes arguing against him.

John didn't argue that it can't be done.
He asked whether it was always optimal.

Watch the full debate (link in comments) and tell us where you land: push the envelope, or know when you've reached it?

Your MedTech exit strategy starts long before anyone offers to buy your company. In fact, it starts the day you incorpor...
07/17/2026

Your MedTech exit strategy starts long before anyone offers to buy your company. In fact, it starts the day you incorporate.

Every decision after that - your corporate structure, agreements, quality systems, even who owns what—is quietly preparing your company for its future.

The latest AHF Podcast From Idea to Market episode asks a question every founder should answer early: Are you building to last, or building to sell?

Because trying to do both often means you're prepared for neither.

🎧 Episode 11 is live. Link in the comments.

With host Joseph Schwab, and featuring Robert Cohen, Marie-Isabelle Batthyány, Emily Ast, and Charles Lawrie

Hip replacement has been performed for more than 70 years. So why don't we actually know how it's done around the world?...
06/26/2026

Hip replacement has been performed for more than 70 years. So why don't we actually know how it's done around the world?

Approach. Fixation. Bearing surfaces. Positioning. Pre-op and post-op pathways. Practice varies wildly between countries, institutions, and individual surgeons - and in much of the world, registry data is incomplete, inconsistent, or missing entirely.

In this episode of the AHF Podcast, indefatigable host Joseph Schwab sits down with Irrum Afzal (Imperial College London) to talk about the Global Arthroplasty Practice Survey (GAPS) and the effort, with Professor Richard Field and an international group of surgeons, to map how hip replacement is really being performed worldwide.

Not how we assume it's done. Not how one registry captures it. How surgeons actually practice.

Some of what comes up:
→ Why anterior approach adoption runs ~1% in the UK but ~56% in the US -and what else might vary that we've never measured.
→ How "garbage in, garbage out" quietly undermines the registries we cite every day.
→ What a truly global picture of practice could change for patients.

As Irrum puts it: data is power, but only if the data is good.

🎧 Listen to the full conversation. https://youtu.be/SabDhSUlPnE

And if you perform hip replacements, take the survey - it's under 10 minutes and open to surgeons at every stage. https://tinyurl.com/GAPSHIPS

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