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Operation FUBAR: I Bet You Can't Do That!

• Anterior Hip Foundation • Season 2 • Episode 31

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To WATCH this episode on YouTube, go here: https://youtu.be/6uohJmxA-eo

In Episode 2 of Operation FUBAR, Dr. Ben Feibel (adult hip & knee reconstruction, Louisiana) walks us through a case that began with a familiar challenge — “I bet you can’t fix that” — and evolved into a humbling sequence of decisions, revisions, and hard-earned lessons.

One thing that makes Operation FUBAR different: I don’t see the cases ahead of time. No slides. No roadmap. That’s intentional — so the reactions, questions, and conversation can stay spontaneous and genuine. 🎧✨

This episode explores reconstruction after a prior Girdlestone procedure, recurrent instability, and the moment when a case shifts from what can be done to what needs to be done. It’s also an honest look at the emotional weight that complications can carry — especially early in practice.

What we cover 🧠🔧

  • Complex reconstruction after prior Girdlestone + significant shortening
  • Anterior approach considerations in challenging anatomy and tight soft tissues
  • Early instability and recurrent dislocation
  • Escalation strategy: length/offset changes, dual mobility, modular stems
  • Advanced imaging (CT) and robotic-assisted cup placement (Mako)
  • Patient counseling when complications accumulate 💬
  • The “warrior mindset” vs. surgical restraint ⚖️

Why this matters 🎯

This isn’t a victory lap. It’s a real conversation about judgment under pressure, humility, and the importance of talking openly about complications and limitations — because that honesty is part of the work.

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🎧 Listen on: Apple Podcasts, Spotify, and everywhere you get podcasts

📺 Watch more from the Anterior Hip Foundation (AHF): YouTube @AnteriorHipFoundation

🗓️ New episodes: Fridays

Host: Joseph M. Schwab, MD

Guest: Ben Feibel, MD

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⚠️ Medical disclaimer: This content is for education and professional discussion only and is not medical advice. Patient details have been de-identified.

#AHFPodcast #AHFTravelingFellowship #AnteriorHipFoundation #AHF #AnteriorApproach #TotalHipArthroplasty #HipReplacement #RevisionTHA #Orthopaedics #SurgicalComplications #MedicalEducation

Joseph M. Schwab:

Hi, today's episode is another visual one, so I'm gonna put a link to the YouTube video in the description so you can see what Dr. Ben Feibel is presenting. He does a really good job of explaining what he's showing, so it's not absolutely necessary to see it, but trust me, you'll probably want to see it anyway. Before we get started, I wanna share something that happened after we stopped recording this episode. Once the microphones were off, Ben and I kept talking for a few minutes and the conversation shifted to something quieter and honestly harder. He talked about how difficult it was to put this case on display to walk through a story where things didn't go as planned, and where complications piled up. Where the outcome wasn't the one he wanted for the patient or for himself. Ben's a very skilled surgeon, and he's still early in his career, and I could hear how much this case weighed on him, not just technically, but emotionally. One thing that's important to know about Operation FUBAR is that I don't see these cases ahead of time. I come into these conversations without slides, without a roadmap, so that my reactions and the discussion itself can be as spontaneous and genuine as possible. What you hear unfolding is real. It's not scripted. And when we stopped recording. What stayed with me was how important it was for him to talk about this case anyway, how acknowledging failure and complication and limitation isn't weakness. It's part of the work, and for many of us it's also cathartic. I shared with him that when I was a young surgeon, I had a case that haunted me for years, a case I replayed over and over in my head wondering what I missed, what I should have done differently. And I remember thinking at the time how isolating that felt like everyone else had it figured out, and I was the only one carrying that weight. Hearing someone else say, I'm struggling with this too. Would've mattered more than I realized back then, and that's what this series is really about. Not perfect cases, not victory laps, but honesty and reflection and the shared experience of doing hard things in imperfect conditions. With that in mind, let's get into today's episode of Operation FUBAR. Hello, and welcome to the AHF Podcast. I'm your host, Joe Schwab. Welcome to episode two of Operation FUBAR, our series where experienced surgeons walk us through the cases that didn't follow the script, maybe didn't resolve cleanly, and didn't reward confidence with certainty. In this episode, we're joined by Ben Feibel. An adult hip and knee reconstruction specialist in Louisiana who's thoughtful, technically skilled, and most importantly for this series, honest about the emotional and professional weight of difficult cases. And before we get into it, what makes this type of conversation especially valuable isn't the anatomy or the implants. It's the mindset, the moment when a case stops being about what can be done and starts being about what needs to be done. It's that tension between persistence and restraint, between technical possibility and judgment. And at some point in every surgeon's career, someone says the words, I bet you can't do that. What follows can define years of decision making. I won't give away any details here, but this is a story about judgment under pressure, the limits of reconstruction and the courage it takes to acknowledge when the best outcome isn't only the one you initially set out to achieve. Ben, welcome to Operation FUBAR.

Ben Feibel:

Glad to be here. Thank you.

Joseph M. Schwab:

Let's talk a little bit about your, uh, background and, um, where you're at in your practice.

Ben Feibel:

Yeah, so I, uh, did my medical training, uh, in Louisiana at LSU in Shreveport. Um, did my residency and my, uh, uh, medical medical training there. I went to Southern Illinois University and did my adult reconstruction fellowship there with Gordon Allen, John Horberg, who I think you've had on before. And, um, I've been practice three and a half years now. I'm the, uh, total joint surgeon, reconstruction guy, revision guy in our group, uh, multi-specialty group. But, uh, shreveport's pretty small, so get a lot of complex cases.

Joseph M. Schwab:

And it sounds like you're gonna be talking about one of those complex cases today. Is that right?

Ben Feibel:

Very much, sir. When you guys reached out to me, I knew the exact case I was gonna present to you guys. So

Joseph M. Schwab:

Excellent. Well, without further ado, why don't we bring up your case?

Ben Feibel:

there we go. So the title of the talk came from one of my, uh, sports partners who showed me an x-ray and. claims that I kind of said, oh yeah, that, that we need to leave that alone. And then he came back to me and he said, man, I bet you can't fix that. You bet you can't do that. And so, uh, that's where this case kind of starts, um, with this particular patient. Um, so this is a dp. He's a 66-year-old male, history of hypertension, COPD and smoking. Um. No, as you can see in the X-rays, he was a history of a Girdlestone procedure three years prior. Uh, the patient really was a poor historian, could not really give me a reason. The assumption was infection. He had had no prior arthroplasty prior to this.

Joseph M. Schwab:

Hmm.

Ben Feibel:

Um, and the prior procedure was done via the, uh, posterolateral approach, uh, at the time. Um, so there's just a AP hip there on that side, and you can see she, he's significantly shortened here. Um, and so pre-op workup, obviously I did a CBC, CRP, and ESR, all of which were normal. Um, I didn't subsequently, uh, did, uh, undergo intra articular joint aspiration, which yielded, uh, no sign of infection. So my plan for this patient was a direct anterior approach. My plan was to do a frozen section and if positive plan for antibiotic spacer, and if negative, I was gonna plan'em for an augmented cup with a diaphyseal-engaging modular stem. With his significant shortening, I did counsel the patient on possible needing for a femoral shortening osteotomy. Although with it being a Girdlestone within three years, I did feel that I would be able to proceed and, uh, get him as much to length as possible. So he obtained clearances from everybody. And so the original procedure, uh, again, was on the first of, uh, December, uh, two years ago. As you can see, he's still significantly shortened as far as hip center goes. But on the HANA table, soft tissues were very, very tight. Um, uh, when I say, uh, I had to use every trick I had, my reps were pulling significant traction to get this hip reduced. And so at the time, um, this is a 36 millimeter head that is a, uh, a, um, a cup with the, uh, augment already built in a RAAS Cup, and then that was a 19 millimeter body plus zero, and that was. As tight as we could get him at the time. Uh, surgery went well. Um, minimal blood loss. He did great. Um, and so, uh, I don't wanna jump too quick. And so he was waiting on rehab, placement was up with therapy. The guy had been in a wheelchair, uh, for, since the last procedure, so three years. So the guy was up walking a hundred feet. Did well, went to stand up, uh, again, uh, I'm not sure how it is all over the country. With his given insurance. It took him a while to get approved for rehab. And then on day seven he popped out.

Joseph M. Schwab:

And this was while still in the hospital

Ben Feibel:

He was waiting on rehab placement. Yes, sir. So obviously what I concluded was that he, you know, was stretching the soft tissues out his abductors. Everything was beginning to stretch out and so I said, okay, uh, not ideal, but we took him back for revision surgery with plan to lengthen him, increase his offset, and try to get him restored to natural hip center and everything. So it took him to surgery again, lengthened him out. At this point I went to a 21 millimeter plus. 21, 21 millimeter body and a plus eight head. So we were able to lengthen amount some more, and again, still very, very tight and, uh, was pleased with where we were. I mean, we're not perfect by any means, but we're getting there. And my hope was, you know, this would be where he settled. Um, and so he was discharged and came back on the 16th. So he is lasting about a week at this point. Um, and he dislocated again, again, I went to dual mobility, uh, on that last case as well when I, um, revised him, due to his poor soft tissue envelope and he dislocated again. Um, again, uh, it's always happened when I was not on call and typically happened on a weekend, um, as usual as these go. Um, and so I came in on a weekend and revised him yet again. This was him on 1217. Again, you can see we're. Still continuing to increase his length. He has a, uh, 21 proximal body with a plus 20 body in there with a plus three head. So we're gaining length with our, our proximal body without maxing out our head. So I was pleased there, knowing in the back of my mind, we are slowly approaching, you know, our maximum with this type of stem.

Joseph M. Schwab:

And you're keeping the same, the same distal diaphyseal fitting portion of the stem in. Right.

Ben Feibel:

yeah. From case one, when I tell you that part of the case, that bit the, the diaphyseal stem bit and did not wanna come out, I tried to take it out on this, the second case and the third case.

Joseph M. Schwab:

Oh, wow.

Ben Feibel:

And it was, uh, not wanting to come out and I tried every trick ex next to an ETO, the guy, um, you know, it was a lot of education for this guy. Um. Uh, you know, being an anterior surgeon, we pride ourselves on dislocations, and this was my first dislocation I've had, of course. And,

Joseph M. Schwab:

Sounds like it was your first, second, and third.

Ben Feibel:

it was exactly, and, um, you know, I, at this point I was about a year and a half into practice and so, um, you know, trying to explain to him the reasons why and those kind of things were difficult. And so again, this was on 1217. He discharged, went to rehab, came back and saw me on the 4th of January, and clinic still looked just like this was stable as you removed all was doing well, he was then transferred to home with home health and comes back on the 13th. This is what he looks like. And so, um, again, starting to get very concerned at this point, he is not draining. The incision has healed well, uh, despite, you know, multiple surgeries in a very short time. And took him back. And this was on the 15th and this was the most pleased I was with the entire of the process. I was like, okay, we've got him anatomic, we've restored his hip center. And I felt at this point we've got him to the point where I feel this is where he wants to be. And I felt very confident at this point. Um. It then followed me back up, uh, two more times. I saw him, uh, 10 days later, then subsequently two weeks later was doing great. Uh, no troubles was walking, not much, but walking some. This was still interop here. Um, and this was, excuse me, this was immediate post-op right here, uh, from that last case there. Pretty tight. I, I was pleased with where we were, um, thought finally we were able to get him restored. And again, of note this last feature, he was at a 23 proximal body that was plus 30 and a plus eight head. So I'm now maxed out everything that I had this or as proximal body goes.

Joseph M. Schwab:

the same cup that you put in in the first procedure?

Ben Feibel:

Yes. Cup has been great. Cup Cup was the easiest part of the whole case. And so that, and it went nothing issue there. And so because of, if I went back, you could see, because he had some, you know, some changes proximally and superiorly in that, his native hip socket. I, I, that's why I went with this augment and I'll talk about it in a minute. You know, I think it partly was the difficulty and the reduction, uh, going forwards. Um. Then he comes back on the 21st, uh, of February. And the wound's now draining. Uh, serous drainage labs are elevated, but he did have recent surgery at this point. We had to have a tough conversation. Um, the patient states he was tired of having surgery, um, didn't want anything else done, but wanted this, whatever we did. Going further to be the last thing, and I, I discussed with him in great length. I said, I can't guarantee that you know. I'll be able to guarantee him no dislocations. I can't guarantee anything. You know, at this point, the soft tissue envelope around the hip was becoming more tenuous with every time I went in there. And so after lengthy discussion, um, we made the decision to basically restore him back to what he had. So I basically took everything out. Um, and he still currently sits with a Girdlestone procedure. Um, I was able to. Subsequently get him back, you know, get all the, the implants out and, uh, we cleared the infection, antibiotic beads, those kind of things. And so currently the patient's back to where we started, um, it was a big learning case for me. Um, uh, of course, me being the young gung-ho surgeon, I wanted to keep going and see if I could, you know, restore him and get him back. You know, whether it's ego, whether it's, you know, me wanting the best for my patients or a combination of both. Uh, that was. That was the issue. Um, followed him up several times. We discussed, you know, where we were and he was fine going back, back to how he was just with another incision. Um, again, difficult for me to do, um, in my particular practice and how I was trained. Um, but it was a big learning curve, you know, basically, you know, I was unable to appropriately, I guess, um. Make the assumption of how much his soft tissues were gonna stretch out, and with that slow stretching out of his abductors and all the tissues, of course there was quite a bit of scar excision on the index case. Um, and then subsequently thereafter. Um, the second thing was because he did walk, but he spent a lot of time in his wheelchair. He stayed in a kind of an ally rotated position. I even had him in a hip orthosis after the final procedure, which I've not had to do before or after since that time with an anterior approach. Um, trying to keep him from doing that. And the only thing I can think of, you know, the way he was sitting was constantly levering on that proximal body because on the last procedure when I did explanting that the stem, the proximal body was still had some micro motion in there. And I, I could never ascertain and, you know. The, the, uh, I, I'll call it the warrior in me or whatever, wanted to keep going and try to get it better, but the patient just said, man, I just, I can't keep doing this. And I said, I understand. And so, uh, we cleared his infection and he is back where we started. So we basically did, you know, four surgeries and did not necessarily make him better.

Joseph M. Schwab:

well let's talk about this a little bit'cause I, I have a few questions and I, I want to start off with some of the technical aspects of this from your perspective. So you, you showed us a nice, um, uh, set of, of plain radiographs, kind of documenting everything that happened to him. Did he get any additional advanced imaging when some of the complications started occurring? Or was it something that you felt comfortable evaluating intraoperatively.

Ben Feibel:

I did get a preoperative CT just to evaluate his. I wanted to really get a better look at his cup. Um,'cause I was actually as much worried about the socket as I was the femoral stem, because just with him sitting out with a Girdlestone, you know, rubbing, you know, on that superolateral aspect, I wanted to make sure I had enough bone stock, which I did. I mean, I had, you know, I had cup cages there, I had, you know, everything at our disposal if needed. It didn't need it, I wanted to bring his hip center back to native in the socket because I knew with that cup I could do that. And so that's where I started. And then, yeah, I believe that case between two and three, I did CT scanning just to make sure nothing was being missed. Was there a breach, was there a fracture? None of those things either there. Um, and so yeah, I did get c uh, CT before the index procedure and then between case two and three

Joseph M. Schwab:

And, and no concern about, um, about cup anteversion, cup inclination, anything like that based on the CT between two and three.

Ben Feibel:

No, I did use the ma, I did use the Mako c Mako, uh, robot for the cup and, and, um, you know, I did make a few changes here and there, and I was very pleased with my cup placement. You know, I, I tend to, on these, you know, I don't abide by the 40 20 year rule. Uh, with that a hundred percent, I may under antevert a little bit with that known problem. Um, with that, and I like, I think he was probably 40 15, if I mean correctly, is what I'm putting in that,

Joseph M. Schwab:

So, so you were using Mako for this or you were using robotic navigation? Some sort of, uh, it sounds like,

Ben Feibel:

for the, yeah, for, for the index case? Yes, sir. I

Joseph M. Schwab:

for the index case, and that's what you're doing for most of your primary total hips. Is that correct?

Ben Feibel:

Most, yeah. Probably 70, 80%. Yes, sir.

Joseph M. Schwab:

And in this particular case, was there a reason that it didn't fall in the 20 to 30% that you don't use it? Is this, is this a case that you would specifically indicate using robotics for, or what was the thought process there?

Ben Feibel:

Um, uh, because I use it a lot at this, the given hospital I was using yet, and that my workflow with my team, um, I felt that it was appropriate, you know, I was dealing with so much scar. I was concerned too about using, you know, doing a manual cup about, you know, being able to, I don't wanna say able to see, but taking down so much soft tissue for a manual cup with the robot with me, able to dial anything in. I felt the, it was, it was advantageous to do that.

Joseph M. Schwab:

Yeah, and so a couple. Of questions as a sort of, as a young surgeon who's taking on a complicated case, wants to feel, uh, you know, you, you kind of talked about the warrior attitude and things like that. And you want, you want to be out there proving yourself and taking on the hard cases. Um, when you get to. Not the first revision, which one could maybe even anticipate, right? That this is gonna be a complicated, uh, uh, follow up story, but when you get to the second revision, do you start thinking any differently or, you know, walk me through your sort of mental process as the, the, uh, we'll, we'll say complications continue piling up.

Ben Feibel:

Yeah. Um, so I have, I'm the only, uh, in my group, I'm the only anterior based surgeon. Um, As far as workflow and plan, you know, I, I, my older partner agreed. He said, I think that, you know, you're doing the right thing. I think you're just continuing, he's continuing to stretch out. And again, the frustrating part for me was, although it took, you know, four procedures to get there, I, I finally thought that I'd gotten him right where I wanted it. And that was the part that was the most humbling and frustrating at the same time, uh, was that, and um, and so, um, yeah. And so at that point, you know, I think I would've, number one, probably asked for more help versus, you know, I, I'm, I don't transfer stuff out. I don't, I would've trained that way. Um, you know. But, um, I just, I was to the point and the patient kind of made that decision that he was done and tired of doing it. And so that was, that was the frustrating part. You know, I understand his wishes and I respected it, but that was the, the difficult part. So.

Joseph M. Schwab:

Well, and let's talk a little bit too about, um, you know, when you get to that point with the patient where you've got a plan for, you know, now we're on, we're on step four, we're on step five, we're on step six. And, and you, you continue to have things in your arsenal. Um, how do you, uh, how do you sort of structure a conversation with a patient where, um, maybe you feel like there's still life left in what you want to do and the patient is, um, expressing concern about going forward for whatever reason?

Ben Feibel:

Yeah, I mean the, the, the delineating factor I think for him and somewhat for me was when he began to drain, um, with the concern for infection. Because when I explained to him the process in which with, for him, I would probably would've gone with the two stage, you know, revision on him because of his, you know, soft tissue envelope and the amount of procedures we had done. I, I, I, when I explained those things, he finally said, doc, I'm, I'm just, I'm done. And, and I said, I respect that. And I kind of told him, I said, we're basically gonna put you back just like you were, as long as you understand that. And I think that was the only, I guess, positive thing is it wasn't like you were taking someone that was somewhat ambulatory and who was functional. Um. You're putting him right back where he was opposed to him. If he, he had had a native hip in, he had gong down this road. I guess that was somewhat helpful and that was what he said himself is like, doc, I'll just go back like I was at MK, um, although very tough. That was a hard feel for me to swallow, uh, to be quite frank, you know.

Joseph M. Schwab:

And so when that next Girdlestone comes into your office, uh, how, how are you gonna approach it? What are you gonna do differently? What are you, how are you gonna counsel the patient? And, and, uh, how does this look the next time around?

Ben Feibel:

Yeah, and I've had several others since then. Um, and they've done okay. They've done great and, um, you know, one procedure and we, you know, and they're over a year out and I haven't had trouble and so far, um. So I think it's just, you just learn what's just about one of the worst things that could happen with these multiple surgeries in such a short time. It'd be different if it was, you know, three or four months at a time. I could almost stomach that a little bit better. But as far as it being such a close timeframe, the index case was 12 one, but the final case, uh, on, you know, 12, 22 21. So over a three month period. He had all these surgeries and that was the part that was difficult. I think it's just counseling patients knowing what could happen. Um, I think in the south, at least, you know, referencing not people by name, but referencing, Hey, I've had this case before. This is what happened. And I'm a very candid, open person. I don't paint a, uh, I paint a real picture for people. Not so much a, I don't wanna, you know, give them too much hope, but I want them to understand the reality, you know,

Joseph M. Schwab:

How much do you think the original reason for his Girdlestone came into play in this case? It's, that's such a unknown area. Um, were there aspects of that that you think were contributing or not so much?

Ben Feibel:

I think it's a little bit of both. I think, um, you know, I, I was trying to find out, you know, Louisiana's not a very large, you know, it's a pretty good, tight-knit community of orthopedists. I knew it was done two hours south of us. Um, and he thought he knew who had done it. And I actually reached out to that guy and kind of discussed, I looked through all the EMRs trying to find some reason, and uh, the guy that I spoke to didn't even remember the case to be quite frank with you. Um, and so I said, okay. Um, and so I think that was one, two, I think having to do with his, um. How he, his positioning and how he set, I think the man set with his leg rotated at all times. Shortened, uh, definitely didn't help. He wasn't as much of a, um, he wasn't, I've seen Girdlestones to be a lot more functional than he was pre-op, but I do think that planning wall as well, so.

Joseph M. Schwab:

In your preop, that actually raises another question. So, in your preoperative imaging when you ctd, were you able to assess some of the, uh, quality of, um, you know, the surrounding musculature, the, the abductors, the short external rotators?

Ben Feibel:

A little bit. Yes. I mean, um, you see somewhat, I mean, he still had abductors, um, but when I, you know, when I delivered the femur during the procedure, I mean he, um, you know. There was plenty of abductor there at the time of surgery going into it, you know, um, I'm obviously not anti dual mobility as you can see, but at the time, I mean,'cause that I stress all these interop, you know, I, I had my own little, you know, algorithm of, of stressing, you know, for stability and, and he passed all the, that was another frustrating part. You know, I brought him to ninety degrees and bone hooked him straight, you know, vertical and could not, you know, without any tracks, he could not dislocate the hip. So, um, there was a lot of soft tissue in the prior Girdlestone bed and along the shoulder of the, uh, of the femur that, you know, I had to take down. But it didn't seem to be, it, it was all, uh, you know, scar more than anything else you.

Joseph M. Schwab:

Hmm. So you've touched on this a little bit, but the, the other question I have for you is, um, is really about the patient's perspective at the end, and you said the patient obviously didn't want any further surgery, seemed to be okay with going back to his, you know, sort of essentially his initial state. And the question I would have for you is, did you get the impression that he was happy that you. Tried or was he upset at the result? And maybe, maybe you have some insight into that or maybe you don't.

Ben Feibel:

Oh I do. Um, you know, I will say I felt like I did a good job. Before the index case of painting the picture of what could happen. And he told me, he said, doc, I want you to try it. And I, and knowing that in the back of my head that he said that was helpful, um, and, you know, and that I actually referenced that conversation when you had the, the explant conversation. Um, and he said, doc, we tried and he was not upset. I mean, he. I think I would've been, uh, and at the same I per, as a patient, knowing what I know, I would've been upset. But at the same time, he said, doc, I've been this way for three years. And so, oddly enough, and I've seen him subsequently since then, you know, intermittently for different things. And, um, he's got, he's, he's doing, he's okay. And, um, so I do have insight there, you know, but I think having that conversation, documenting that conversation well on the onset, I think was. Was a, was a, was a big thing.

Joseph M. Schwab:

Does his response or maybe his, we'll, we'll say for lack of a better term, his satisfaction with what you tried to do for him. Um, was it, is that surprising to you or is it something you would expect, or how do you think about that?

Ben Feibel:

Uh, I mean that's twofold. I mean, with him being okay with it, despite all the procedures, number one, number two, uh, you know, the state of Louisiana, no. He didn't sue me. That's nice too. Um, you know, which was good. Uh, but at the same time it just, it was surprising. I, I was not prepared for, he came to me when I saw him that last time before the last procedure, and he just, he said, I, I just can't keep doing this. And I said, I understand. I told him about, I said, I just wanted him to make sure he understood that I'm not gonna ever get you in, get you back to walking. Which the other frustrating factor was the guy got up and walked. I mean, he walked, uh, I wanna say I looked at the PT notes, uh, yesterday when I was reviewing for this. And I mean, he walked 150, 200 feet, like day two or three after his first surgery. And so that was the other part that was hard for me as a physician and a surgeon was we, we did it. You know, we got him, we got him. My joke was we got him vertical and got him walking and uh, and for to lose that was harder for me, I think, than it was for, you know, you know.

Joseph M. Schwab:

interesting. Interesting. Um, so you do still get to see him occasionally it sounds like, for other, other issues. Is that

Ben Feibel:

yeah. I, I mean, I think I've injected his shoulder a time or two and, uh, you know, that same partner that told me that he, he did a reverse total shoulder on him and it's actually dislocated several times and he's a very good surgeon and he hasn't had any issues so. It's one of those things, it's kind of a, you know, he's just one of those guys and, and, uh, we take care of him when he needs us, but he, um, was doing okay.

Joseph M. Schwab:

My goodness. Well, I, I'm sure he's, uh, I'm sure he is thankful to have a group of surgeons who are looking after him, but it sounds like, uh, he, he's one of those albatrosses that can hang around a surgeon's neck for a long period of time. I.

Ben Feibel:

Yeah. Uh, I'm not upset. It wasn't in my board collection period.

Joseph M. Schwab:

Um, well Ben, I really appreciate you sharing this case. And, um, and the next time somebody tells you, uh, I bet you can't do that, are you gonna be thinking about this case?

Ben Feibel:

Oh, a hundred percent. And, uh, and, and I, uh, I, I will, and not just with, with this kind of particular case, but any case that's, uh, that, that, that has been said to me, uh, going forward since that time, I, I'll never forget it, so.

Joseph M. Schwab:

Well, thank you for sharing this case. Thank you for sharing it, um, with our listeners and thank you for, for being on, uh, Operation FUBAR on the AHF podcast.

Ben Feibel:

No, thank you guys so much for having me.

Joseph M. Schwab:

Thank you for joining me for this episode of the AHF podcast. You can find the AHF podcast on Apple Podcasts, Spotify, or in any of your favorite podcast apps, as well as in video form on YouTube slash at anterior hip foundation. All one word, episodes of the AHF podcast come out on Fridays. I'm your host, Joe Schwab, asking you to keep those hips happy. Healthy and maybe free of Girdlestones.

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Joseph M. Schwab

Host