Editorial Commentary: Early Changes, Lasting Gains: Ten-Year Outcomes After Hip Arthroscopy For Tönnis 0 and 1.

Maldonado, David R · Arthroscopy · 2026

editorial · Level V

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Abstract

After more than a decade performing hip arthroscopy for femoroacetabular impingement syndrome, I have seen how long-term evidence continues to validate what early clinical experience suggested-that hip arthroscopy provides durable, meaningful, and reproducible outcomes when applied with sound judgment. The key has never been the procedure itself, but rather the selection of the right patient. Today, as more long-term data emerge, the message for hip arthroscopists and those still questioning its long-term value is clear: when indication, technique, and patient expectations align, hip arthroscopy works-and it lasts.

Anatomy