{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:27:40Z","timestamp":1787729260832,"version":"build-2784847793"},"reference-count":38,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate midterm patient\u2010reported outcomes (PROs) and rates of return to sports of bilateral primary hip arthroscopy in high\u2010level athletic populations with minimum 5\u2010year follow\u2010up and to compare outcomes with a propensity\u2010matched control group of high\u2010level athletic populations undergoing unilateral primary hip arthroscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were analyzed for high\u2010level athletic populations (high school, college, or professional) who underwent bilateral hip arthroscopy between July 2009 and January 2019. Patients were included if they had at least one of these PROs at minimum 5\u2010year follow\u2010up: modified Harris Hip Score (mHHS), Non\u2010Arthritic Hip Score, International Hip Outcome Tool\u201012, Hip Outcome Score\u2010Sports Specific Subscale, and Visual Analog Scale for pain. Patients were matched 1:1 to unilateral athletes. Rates of achieving the minimal clinically important difference, patient acceptable symptomatic state, and substantial clinical benefit were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010six bilateral athletes were matched to 46 unilateral athletes. The mean follow\u2010up of the bilateral group (second side) is 90.1\u2009\u00b1\u200928.8 (60.0\u2010130.2) months and 91.4\u2009\u00b1\u200930.9 (12.3\u2010136.7) for the unilateral group. All groups showed significant PRO improvement. 84.4% of the bilateral first side achieved mHHS minimal clinically important difference, 78.3% of the second side, and 83.3% of the unilateral group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.716). 73.3% of the bilateral first side achieved mHHS patient acceptable symptomatic state, 78.3% of the second side, and 85.7% of the unilateral group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.364). 57.8% of the bilateral first side achieved mHHS substantial clinical benefit, 60.9% of the bilateral second side, and 76.2% of the unilateral group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.160). Bilateral and unilateral athletes returned to sport at a high rate (88.6% and 85.0%). 80.0% of unilateral and 68.8% of bilateral athletes were playing their sport at minimum 5\u2010year follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.31). Seven (15.2%) unilateral athletes underwent ipsilateral secondary arthroscopy. Seven bilateral first side patients (15.2%) and 1 bilateral second side patient (2.2%) underwent ipsilateral secondary arthroscopy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Athletes undergoing staged bilateral hip arthroscopy showed favorable return to sports rates, continuation of sports and PROs at minimum 5\u2010year follow\u2010up. These results were comparable with the matched benchmark control group who underwent unilateral hip arthroscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70385","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T22:21:34Z","timestamp":1782858094000},"page":"1608-1619","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Athletes Undergoing Staged Bilateral Hip Arthroscopy Show Favorable Midterm Outcomes and Return to Sport: A Propensity\u2010Matched Study"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8396-7099","authenticated-orcid":false,"given":"Ady H.","family":"Kahana\u2010Rojkind","sequence":"first","affiliation":[{"name":"American Hip Institute Research Foundation  Chicago Illinois U.S.A."},{"name":"Ortomove  Mexico City Mexico"},{"name":"Department of Orthopaedic Surgery, ABC Medical Center  Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7643-722X","authenticated-orcid":false,"given":"Meredith F.","family":"Cohen","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6918-3062","authenticated-orcid":false,"given":"Matthew J.","family":"Strok","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation  Chicago Illinois 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