AHF Podcast
The AHF Podcast features thoughtful conversations about orthopedic surgery, outcomes, and clinical decision-making, with a particular focus on hip surgery and related innovation. Produced by the Anterior Hip Foundation, the podcast brings together surgeons, researchers, and clinical leaders to examine how evidence, experience, and real-world practice intersect. Episodes explore what the data actually shows, where assumptions break down, and how clinicians navigate uncertainty in daily practice. This podcast is intended for orthopedic surgeons, trainees, and medically literate clinicians who value nuanced discussion, critical thinking, and honest examination of what improves patient care.
Episodes
Can you really revise a failed total hip through the anterior approach? Three surgeons who do it every week explain when they stay anterior, when they still go posterior, and how they plan the exposure.
A practical roundtable on anterior approach revision hip arthroplasty for arthroplasty surgeons, fellows, and residents.
The knock on anterior approach revision has always been that it is not extensile....
Hip resurfacing was written off after the metal-on-metal era — but the patients kept coming back happy. Two surgeons who never stopped offering it explain what changed, and what a vitamin E polyethylene bearing does to the failure mode that ended it.
For hip surgeons weighing whether resurfacing belongs in their toolkit, and for anyone interested in where orthopedic implant innovation actually comes fro...
Dislocation after anterior approach total hip replacement still runs around 2% in the first two years — so what actually moves that number?
Three hip surgeons work through instability prevention end to end, from the first clinic visit to the final construct.
The anterior approach has pushed dislocation rates in the right direction, but it has not solved instability — and the belief that it ...
What if the C-arm you already own could show you the entire pelvis — in real time, with less radiation? The winners of the 2026 AHF Shark Tank believe it can, and they built the system to prove it.
Dr. Dean Cole, an orthopedic trauma surgeon with roughly 40 patents and designs licensed across the industry, and Scott Banks, PhD, who has spent nearly four decades quantifying how joints actually move under...
What do you do when the foot slips out of the traction boot mid-case — and a manageable periprosthetic fracture becomes a femur in pieces? Dr. Nick Mast has an answer, because it happened to him.
Nick Mast, a hip and pelvis surgeon in private practice in San Francisco, trained under Joel Matta at the Hip and Pelvis Institute in 2007–2008 and completed hip preservation training in Europe. He's also...
What do you do the moment a calcar crack appears? Where does the cup go when the spine won't move? And which complex primary belongs in an ASC — and which one absolutely doesn't?
This episode launches a six-part surgeon roundtable series recorded in partnership with Smith+Nephew — peer-to-peer conversations aimed at one thing: practical, reproducible techniques you can take back to your operating ...
In the finale of From Idea to Market, the surgeons, engineers, founders, attorneys, and investors who lived every stage of medical device innovation look back and answer one question: what do they wish they had known from the start?
Across this series, one pattern kept surfacing: innovation doesn't begin with a business plan. It begins with a clinical problem someone can't let go — a resident watching a...
Is your med tech company built to last, or built to sell? Voices from inside Stryker, XRSynergies, FIOS Health, and physician contract law explain why exit strategy is a design choice founders make on day one — whether they realize it or not.
In 2024, med tech M&A reached a record $474 billion in global transaction value. For most successful device startups, the path to broad patient reach runs thro...
What do you do when the greater trochanter shears off during a routine hip replacement — and the bone is too soft to hold a screw? Dr. Jeff Barry of UCSF walks through two intraoperative disasters in the same patient, and how he salvaged both.
Jeff Barry, who directs the Hip and Knee Arthroplasty Fellowship at UCSF and co-directs the Arthroplasty for the Modern Surgeon course, joins Joe Schwab for an Op...
How does hip replacement practice really differ from one country to the next? Researcher Irrum Afzal joins the AHF Podcast to discuss the Global Arthroplasty Practice Survey (GAPS) — the first effort to map how surgeons worldwide actually perform total hip replacement.
Despite roughly seventy years of modern hip replacement, there's still no global consensus on the fundamentals — surgical approach...
What real-world use reveals about a medical device that no clinical trial ever could — and why the most dangerous moment in med tech innovation often comes after success, not before. A conversation about the fatigue failures, reimbursement gaps, and feedback breakdowns that surface only at scale.
For ten episodes, the From Idea to Market series has followed medical innovation through every threshold an ...
Alex Sah on what it actually takes for a practicing surgeon to develop new orthopaedic tools — from first idea to OR adoption.
An honest conversation about mentors, mistakes, AI, and knowing when to walk away from a collaboration.
Most surgeons spot problems in the OR daily and quietly adapt to the limits of existing tools. Alex Sah, a high-volume hip and knee surgeon in Silicon Valley and Chief ...
What med tech investors and strategic acquirers actually evaluate when a founder walks into the room — and what separates the pitches that earn capital from those that don't. A conversation drawn from people who've sat on both sides of the table.
For nine episodes, the From Idea to Market series has followed innovation from the founder's perspective — the problem noticed in a clinic, the iteration through...
Charles Lawrie, MD — president of the Anterior Hip Foundation and a high-volume anterior approach hip and robotic knee surgeon in Miami — walks us through how a frustration in his own clinic became FIOS Health, an AI-powered patient communication platform now used in orthopaedic practices across the United States. This is an extended From Idea to Market conversation about the often lonely process of turn...
What does it actually take to move a medical device from a working prototype to a product that can be built reliably at volume? In this episode of From Idea to Market, surgeons, founders, and attorneys describe the discipline that separates an approved device from a scalable company.
Most medical device teams underestimate what happens after a prototype works. Manufacturing at scale is a different problem fro...
There is no such thing as an off-the-record innovation discussion. Even a casual conversation over drinks can create a factual record of idea sharing that impacts patent ownership, joint development leverage, and your negotiating position for years. Emily Ast, a contract attorney whose practice is 75 percent orthopedics, explains exactly what surgeon innovators need to know before they say a word to anyone — i...
A patient had already signed every document — but no one had told her she would lose her stomach. That moment early in her anesthesia training convinced Marie-Isabelle Batthyány that informed consent was fundamentally broken. Years later, she built XRS Medical, a VR platform that replaces paper consent forms with immersive, avatar-delivered patient education and tracks attention in real time using a patented e...
Garland Surgical's flagship product, the TriActiv Hip (formerly known as the MaltaHip), replaces the ball-and-socket geometry that has defined hip arthroplasty for 120 years with a cylindrical bearing system inspired by the biomechanics of the ankle joint. Simon Mifsud, CEO of Garland Surgical, explains how this design virtually eliminates dislocation risk and reduced wear by 75 percent in accelerated testing.
Your device just got FDA clearance. So why isn't anyone using it? In this episode of From Idea to Market, Joe Schwab and a panel of surgeons, engineers, and MedTech leaders explore why regulatory approval is only the beginning — and what it actually takes to earn a place in the operating room.
Clearance tells you a device is safe and effective. It doesn't tell you whether a busy surgeon will change thei...
Charlie DeCook has exited seven medical device companies while performing 1,500 joint replacements a year — all packed into three clinical days per week. In this extended interview, he breaks down exactly how he evaluates new technologies and why he now filters every opportunity through an AI and robotics lens.
DeCook traces his entrepreneurial arc from his first venture in surgical impaction — a ...
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