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This review outlines the most common causes of failure after primary hip arthroscopy and provides a framework for evaluation, imaging, and management. Notably, differentiating between impingement and instability is crucial, as misclassification can worsen outcomes. Revision procedures may provide clinically meaningful improvement in patient-reported outcomes and delay total hip arthroplasty in well-selected patients. However, recognizing when to shift from preservation to replacement is key to optimizing outcomes.<\/jats:p>","DOI":"10.1097\/bh9.0000000000000047","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T13:01:47Z","timestamp":1775653307000},"page":"96-104","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Revision hip arthroscopy: Current concepts and considerations in diagnosis, evaluation, and management"],"prefix":"10.1097","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5565-3373","authenticated-orcid":false,"given":"Nicole Rynecki","family":"Baker","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel 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