When you think about folks with, um, uh, acetabular dysplasia, post-traumatic hips, um, how do you prioritize restoring, um, center of rotation, achieving good femoral coverage, protecting the soft tissues, while also avoiding over-lengthening?

Yeah, I think that's, uh, that's a good goal, all those things you just mentioned.

That's, that's basically what we're shooting for.

I think if you look at just plastic hips, um- It seems like back in the day in training, the debate was always, you know, do you, do you go for a high hip center or an anatomic hip center? Um, you know, and if you look at that actual definition of what a high hip center is, it's, it's raising the, the hip center like fifteen millimeters or more, which really is uncommon, and I, I haven't met anybody that's really a proponent of that approach, although I'm sure they're out there.

Really, what I've seen more nowadays is, you know, pretty much everybody's in favor of more of an anatomic hip center.

Uh, you know, and in dysplastic, there's a couple ways you can do that, right? You can, you can stay small and medialize, and there's other folks that tend to go with a little bit of a bigger cup and, and try to avoid going through that medial wall.

Um, in my experience, the latter of those approaches, where you, where you stay big and avoid going through the, through the medial wall, kinda sets you up for a, for a few complications.

[laughs] Um, Chad, as, um, as techniques and, and implants and planning tools continue to advance, um, what excites you most about where anterior approach, specifically complex primary anterior approach, is headed, and maybe what surgeon responsibility comes with that progress?