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.