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This represents the first part of a 5-part masterclass series covers the evolution of the anterior approach, presented by Dr. Jonathan Yerasimides and created for Superb Medical Skills in China. Dr. Yerasimides is an anterior hip arthroplasty specialist based in Louisville, Kentucky who has performed the anterior hip replacements since 2006. In that time, he has performed over ten thousand primary and revision hip replacement procedures with this approach. The detailed nature of the content is designed to share some of Dr. Yerasimides’ insights to enable others to gain an appreciation for the procedure and to minimize any associated learning curve for those in the early stages of adoption. The content covered in part one includes: • A short history of the evolution of the approach from its first description by Karl Hueter in 1881 to today’s modern technique • The benefits of an anterior approach • How to select patients when you are starting out using the approach • High-risk patients • What to look for on preoperative Xrays • Spino-pelvic considerations • The Smith Peterson/Hueter approach Step by Step