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

10/09/2026

“Check your own pulse first.” That’s Dr. Stephen Duncan’s advice for the moment something goes wrong in the OR. A calcar crack while seating the stem. Bleeding that won’t let you see. A patient who dislocates in week two.

The latest episode of our surgeon roundtable series with Smith+Nephew is out, and it goes straight at those moments. Host Joseph Schwab is joined by Dr. Dr. Alexander D. Gaukhman MD - Baptist Health Orthopedic Surgery, Dr. Molly Hartzler and Dr. Stephen Duncan to talk about intraoperative and early complications, and what they actually do when things go sideways.

They cover a lot of practical ground: why poor exposure is behind so many femoral fractures, how far a crack has to run before you change your fixation plan, and why cementing your way out of a fracture often fails. Molly explains how she protects the TFL during head removal, Alex makes the case for chasing down the circumflex vessels early, and Steve shares a simple bone wax trick for bleeding from the femur into the socket.

All three came back to the same idea: stay calm, own the complication, check your ego and keep the patient at the centre.

(links in bio) Watch on YouTube or listen wherever you get your podcastshttps://youtu.be/X9uZNpReLJw

10/07/2026

Jochen G. Hofstaetter is NOT a Lazy-S surgeon. In this presentation, he explains why he often avoids the traditional Lazy-S extension for complex femoral revisions.

His thinking: the proximal femur usually isn’t the hard part. The diaphysis is.

So rather than exposing the entire femur, he often combines an endofemoral approach proximally with a separate distal subvastus incision when he needs more access.

That's because it involves less dissection with better access to the part of the femur that actually needs it. And he gets to preserve the IT band whenever possible.

He walks through that strategy in cases ranging from stem removal and osteotomy to infected revision and total femoral replacement.

Watch the full presentation on our YouTube channel: https://youtu.be/awYMjv0SN4Q

10/02/2026

“We’re sitting there playing checkers, and they’re playing 3D chess.”

That’s how Dr. Clarence Kee (Jaydee) described watching some of the country’s most experienced anterior hip surgeons up close.

Every step had a reason. And often, that step was making something later in the case easier.

In part two of our 2026 Traveling Fellows series, indefatigable AHF Podcast host Joseph Schwab sits down with Dr. Kee of Bryan-College Station, Dr. Patrick Maher of EvergreenHealth and Dr. Leo Zalikha, a Stanford-trained reconstruction surgeon practicing in Long Beach.

All three already performed most of their primary hips from the front. They weren’t looking for a new approach, they were looking for the details.

Pat came home changing how he handles the capsule. Leo saw that great surgeons can take different routes to the same fundamental goals. Jadye described the experience as a “finishing school”; one that ended up changing parts of his knee and shoulder practice too.

But some of the biggest lessons happened outside the technical steps.

They saw OR teams where everyone knew what was coming next, staff who took personal ownership of efficiency, and mentors who would spend hours answering questions, then continue taking their calls once the fellowship was over.

At the end, Joe asked them to finish the same sentence:

“The biggest thing I took away from the AHF Traveling Fellowship wasn’t a technique. It was…”

Leo: what excellence as a surgeon and team looks like.

Pat: continual improvement.

Jadye: friendship and mentorship.

🎧 The Part Nobody Can Teach You is out now on YouTube here: https://youtu.be/4olFvJ83za0 or you can listen where you like to get your podcasts.
Links in bio.

09/29/2026

The same surgery - but with less pay. That’s the reality that Nicholas Frisch MD MBA unpacks in this Business of Arthroplasty presentation.

He looks at how joint replacement reimbursement has changed over the past two decades, why inflation makes the decline even more significant, and what the latest Medicare payment changes mean for arthroplasty surgeons.

With reimbursement firmly back in the spotlight, this is a timely watch.

Watch the full presentation on our YouTube channel (it's not *just* surgical videos you know!): Link in bio or : https://youtu.be/nq-p3oAy_ow

09/25/2026

"Four months ago, this would have stressed me out about 10 times more than it does right now." That's Dr. Alex Savage talking about a nail conversion he just booked. He watched one performed from the front on the AHF 2026 Traveling Fellowship, and now he's doing one himself.

Every year, we send a small group of early-career surgeons on the road for 2½ weeks to scrub in with some of the most experienced and innovative anterior hip surgeons in the country. On this podcast episode, host Joseph Schwab sits down with three of our 2026 Traveling Fellows: Dr. Alex Savage (Northwestern Medicine), Dr. Anoop Prasad (Mass General, via Imperial College London) and Dr. Brent Albracht (Banner Health).

Anoop went in wanting to know whether complex revisions could really be done well from the front. A few weeks after a cadaver lab, he was using what he learned there in a real case. Brent had tried anterior before and found the learning curve tough. One tip about the broaching angle changed that for him. And all three agreed that some of the best lessons came at dinner and in the car, not in the OR.

The biggest things they took away - not technique but confidence, approach to practice, perspective, and Shania Twain (you'll have to listen to get that one).

🎧 Scrubbing In With the Giants is out now. Watch on YouTube: https://youtu.be/KIx-wnlfki8 or listen on your favorite pod platform.

09/23/2026

The hardest part of replacing a dysplastic hip is deciding where the cup should go.

In this Complex Cases and Complications presentation, Omar Behery, MD, works through a series of dysplastic hip cases and the decisions that come with them:

- Do you restore the true hip center, or accept a higher one?

- Is the cup stable enough on its own, or does it need help from an augment or femoral head autograft?

- And how much coverage is actually enough?

He talks through those choices, shows the different ways he builds stability, and explains how they affect fixation, biomechanics and weight bearing.

Watch the full presentation on our YouTube channel: (link in bio or

https://youtu.be/CSItnvnxXjQ )

09/21/2026

For surgeons starting to take on more revision work from the front, one message is particularly clear: Don’t rush the exposure.

In this latest AHF Podcast Surgeon Roundtable, DrsEric M. Cohen, Kris J. Alden and Molly Hartzler join host Joseph Schwab to talk anterior approach revision, where it works, where it doesn’t, and what makes these cases reproducible.

They get into femoral exposure, old scars, lost landmarks, cup position, instability, dual mobility and constraint, plus where each of them draws the line on when to stay anterior and when not to.

It’s a very practical discussion of how experienced surgeons plan these cases, what can catch you out, and what they’ve changed with experience. Watch it now on our YouTube channel (link in bio or: https://youtu.be/hU5YGH1k8q0. )

Recorded in partnership with Smith+Nephew.

$When do you cable the femur? Before it fractures … or after?In this AHF 2026 Managing Complications presentation, Nichol...$

09/01/2026

When do you cable the femur? Before it fractures … or after?

In this AHF 2026 Managing Complications presentation, Nicholas D. Colacchio, M.D., takes a practical look at femoral cabling in primary, conversion and revision anterior total hips.

He covers where prophylactic cabling can help protect compromised bone, and what changes when a fracture does occur.

He also walks through his technique for passing, tensioning and securing the cable. And there’s one point he comes back to repeatedly:

If the cable isn’t tight on bone, it isn’t doing the job you put it there to do.

Watch the full AHF 2026 presentation on our YouTube channel: Link in bio or:

https://youtu.be/T3D3Aprgyl0

08/27/2026

Hip resurfacing has had a complicated history. But it never really went away.

In the latest AHF Podcast episode, Dr. Craig DellaValle and Dr. Sharat Kusuma join host Joseph Schwab to explore why resurfacing still deserves a place in the conversation.

They get into the difficult parts: the metal-on-metal era, patient selection, technical demands, femoral neck fracture risk, component positioning, and why some surgeons have continued to see excellent results despite the wider retreat from resurfacing.

They discuss the JointMedica PolyMotion system and whether a resurfacing construct built around a more familiar bearing couple could change the risk-benefit equation. And, they talk about the surgery itself; the exposure, capsular release, femoral preparation, avoiding varus and notching, and whether resurfacing fits naturally with the anterior approach.

Watch this thoughtful discussion about resurfacing, surgical technique, and whether preserving more native anatomy still has something to offer on our YouTube Channel: https://youtu.be/Zo8NjPl-hmQ

08/26/2026

How far can you *really* take the anterior approach during revision hips?

Chris Johnson, MD, breaks complex pelvic exposure down into four practical zones:

• Standard anterior access to the hip

• Extension to the outer table of the ilium

• Intrapelvic exposure using the Levine modification

• Subperiosteal access to the ischium and p***s

Then he shows how those exposures come together in a custom triflange reconstruction performed from the front.

The takeaway: complex acetabular revision is as much about knowing how to extend the exposure as it is about the implant itself.

Watch the full AHF 2026 Revision Track presentation on our YouTube channel: link in bio or https://youtu.be/iLmZrwyrRR8

(Note that you have to be signed in as the surgical content makes it viewable by 18+ only)

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http://www.anteriorhipfoundation.com/

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