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Background <p>Over the past two decades hip arthroscopy has undergone remarkable development and remains one of the most technically demanding procedures in orthopedics.</p> Objective <p>What are the limitations of hip arthroscopy? Which risk factors tend to preclude this method?</p> Material and method <p>Analysis of current studies, literature and guidelines in the field of hip arthroscopy.</p> Results <p>Ideal candidates are patients with mechanical symptoms, a&#xa0;lack of response to conservative treatment, minimal osteoarthritis (Tönnis grades&#xa0;0–1°) and no pronounced structural deformities requiring corrective bone surgery. In contrast, indications, such as Tönnis grade&#xa0;2 osteoarthritis, borderline dysplasia, torsional or rotational anomalies, age over 45&#xa0;years, female gender or an elevated body mass index, are associated with less favorable clinical outcomes and require particularly careful assessment of indications.</p> Conclusion <p>A&#xa0;thorough understanding of the limitations of hip arthroscopy is essential for optimizing treatment outcomes, preventing complications and providing patients with realistic information about the expected results. The success of the procedure depends largely on three key factors: an accurate diagnosis, appropriate patient selection, and comprehensive preoperative counselling.</p>

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Hüftarthroskopie: Grenzen und Limitationen

  • 期刊论文

  • 发表日期：

    2026年6月3日

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  • Alexander Gebhart,
  • Ingo J. Banke,
  • Florian Pouessel

摘要

Background

Over the past two decades hip arthroscopy has undergone remarkable development and remains one of the most technically demanding procedures in orthopedics.

Objective

What are the limitations of hip arthroscopy? Which risk factors tend to preclude this method?

Material and method

Analysis of current studies, literature and guidelines in the field of hip arthroscopy.

Results

Ideal candidates are patients with mechanical symptoms, a lack of response to conservative treatment, minimal osteoarthritis (Tönnis grades 0–1°) and no pronounced structural deformities requiring corrective bone surgery. In contrast, indications, such as Tönnis grade 2 osteoarthritis, borderline dysplasia, torsional or rotational anomalies, age over 45 years, female gender or an elevated body mass index, are associated with less favorable clinical outcomes and require particularly careful assessment of indications.

Conclusion

A thorough understanding of the limitations of hip arthroscopy is essential for optimizing treatment outcomes, preventing complications and providing patients with realistic information about the expected results. The success of the procedure depends largely on three key factors: an accurate diagnosis, appropriate patient selection, and comprehensive preoperative counselling.