Editorial Commentary: Older or Tobacco-Using Patients Warrant Discussion of Proximal Femur Fracture After Hip Arthroscopy

Hip arthroscopy offers promising outcomes for femoroacetabular impingement syndrome and labral pathology, yet patient selection remains one of the strongest determinants for successful outcomes. Although complication rates are low, especially in regard to proximal femur fractures, data has shown that degree of femoral resection, early weight bearing, and surgeon experience may increase this risk. Patient-specific factors such as age-related decline in bone quality, metabolic health, and modifiable lifestyle factors have also been cited. Although this complication is rare, the impact on the patient is substantial. As the population of patients seeking minimally invasive hip preservation expands, we believe that heightened awareness regarding data-driven, patient-specific risk factors such as age and tobacco use should follow.