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Updated: Jun 30, 2026

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Editorial Commentary: Combined Hip Version Abnormalities May Not Negatively Influence Patient Outcomes, Depending How

Lafi S Khalil1, Matthew J Hartwell2

  • 1Henry Ford Health, Clinton Township, Michigan, U.S.A.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|June 28, 2026
PubMed
Summary

Hip arthroscopy for femoroacetabular impingement syndrome (FAIS) shows good outcomes, but version abnormalities

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In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
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Last Updated: Jun 30, 2026

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In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
07:43

In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy

Published on: July 2, 2021

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Hip Preservation

Background:

  • Hip arthroscopy for femoroacetabular impingement syndrome (FAIS) is increasingly common with positive outcomes.
  • Outcomes for FAIS patients with version abnormalities are inconsistent in current literature.
  • Historically, femoral and acetabular retroversion were linked to poorer results, but recent data suggest broader applicability of arthroscopic treatment.

Purpose of the Study:

  • To evaluate the impact of version abnormalities on hip arthroscopy outcomes for FAIS.
  • To highlight the lack of standardization in measuring and classifying femoral and acetabular version.
  • To encourage critical interpretation of existing literature due to methodological variability.

Main Methods:

  • Review of existing literature on hip arthroscopy for FAIS with version abnormalities.
  • Analysis of various techniques for assessing femoral version and acetabular retroversion.
  • Discussion of different classification systems for combined version abnormalities (e.g., McKibbin index).

Main Results:

  • Significant variability exists in methods used to measure and define femoral and acetabular version.
  • Radiographic signs for acetabular retroversion may not correlate with measurements from advanced imaging.
  • Emerging evidence suggests combined version abnormalities may not significantly impact postoperative outcomes.

Conclusions:

  • Standardization of version measurement and classification is crucial for reliable comparisons across studies.
  • Conclusions regarding the influence of version on hip arthroscopy outcomes should be made with caution.
  • Further research with standardized methodologies is needed to clarify the role of version in FAIS treatment.