<i>Editorial Commentary</i> : Two Hips, One Patient: Insights From Staged Bilateral Hip Arthroscopy

Bilateral femoroacetabular impingement syndrome is commonly encountered in clinical practice, and determining the optimal approach and timing for surgical management of both hips remains an important consideration. I have performed both simultaneous and staged bilateral hip arthroscopies; however, my preference has been to stage procedures to allow for appropriate recovery, functional assessment, and patient tolerance following the initial surgery. Managing bilateral pathology requires balancing surgical efficiency with patient safety, rehabilitation demands, and expectations. Thoughtful consideration of these factors is essential when determining the most appropriate strategy for treating patients with bilateral disease.

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Publication Details

Journal
Arthroscopy The Journal of Arthroscopic and Related Surgery
Published
2026-03-26
DOI
https://doi.org/10.1002/arj.70099
Primary Topic
Hip disorders and treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

Editorial Commentary : Two Hips, One Patient: Insights From Staged Bilateral Hip Arthroscopy

David R. Maldonado
Arthroscopy The Journal of Arthroscopic and Related Surgery
Hip disorders and treatments
article

Editorial Commentary : Two Hips, One Patient: Insights From Staged Bilateral Hip Arthroscopy

David R. Maldonado
article en

Abstract

Bilateral femoroacetabular impingement syndrome is commonly encountered in clinical practice, and determining the optimal approach and timing for surgical management of both hips remains an important consideration. I have performed both simultaneous and staged bilateral hip arthroscopies; however, my preference has been to stage procedures to allow for appropriate recovery, functional assessment, and patient tolerance following the initial surgery. Managing bilateral pathology requires balancing surgical efficiency with patient safety, rehabilitation demands, and expectations. Thoughtful consideration of these factors is essential when determining the most appropriate strategy for treating patients with bilateral disease.

Arthroscopy The Journal of Arthroscopic and Related Surgery
The University of Texas Health Science Center (US)
Good health and well-being
Openalex Percentile: Top 7%
Hip disorders and treatments
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