الدلائل العلاجية الامريكية

Guidelines

Princibles

Management of Surgical Site Infections Systematic Literature Review

American Academy of Orthopaedic Surgeons Clinical Practice Guideline Case Report: Prevention of Surgical Site Infection After Major Extremity Trauma

American Academy of Orthopaedic Surgeons Appropriate Use Criteria: Prevention of Surgical Site Infections After Major Extremity Trauma

American Society of Hematology 2021 guidelines for management of venous thromboembolism: prevention and treatment in patients with cancer

American Society of Hematology 2019 guidelines for management of venous thromboembolism: prevention of venous thromboembolism in surgical hospitalized patients

Upper Extremity

Management of Glenohumeral Joint Osteoarthritis
Management of Glenohumeral Joint OsteoarthritisEndorsed by: ASES, AOSSM, ASSET, ACRTreatment for Shoulder OA with Intact Rotator Cuff and Severe Glenoid Retroversion (2023) AUCHumeral Component Design (2023) AUC
HYALURONIC ACID (Recommendation Against)Strong Recommendation Strong Recommendation
PROGNOSTIC FACTORS (BMI)Strong Recommendation Strong Recommendation
PROGNOSTIC FACTORS (GENDER/SEX)Strong Recommendation Strong Recommendation
PROGNOSTIC FACTORS (COMORBIDITIES)Strong Recommendation Strong Recommendation
TOTAL SHOULDER ARTHROPLASTYStrong Recommendation Strong Recommendation
GLENOID COMPONENT – PEGGED OR KEELEDStrong Recommendation Strong Recommendation
PROGNOSTIC FACTORS (AGE)Moderate Recommendation Moderate Recommendation
PROGNOSTIC FACTORS (SMOKING)Moderate Recommendation Moderate Recommendation
PROGNOSTIC FACTORS (PRE-OPERATIVE FUNCTION)Moderate Recommendation Moderate Recommendation
PROGNOSTIC FACTORS (DEPRESSION)Moderate Recommendation Moderate Recommendation
GLENOID COMPONENT - METAL BACKED CEMENTLESS (Recommendation Against)Moderate Recommendation Moderate Recommendation
TOTAL SHOULDER ARTHROPLASTY – SUBSCAPULARIS PEEL, LESSER TUBEROSITY OSTEOTOMY, TENOTOMYModerate Recommendation Moderate Recommendation
HEMIARTHROPLASTY - STEMSLimited Recommendation Limited Recommendation
PRE-OPERATIVE PHYSICAL THERAPYConsensus Recommendation Consensus Recommendation
POST-OPERATIVE PHYSICAL THERAPYConsensus Recommendation Consensus Recommendation
INJECTABLE BIOLOGICS (Recommendation Against)Consensus Recommendation Consensus Recommendation
ALTERNATIVE NON-SURGICAL TREATMENTSConsensus Recommendation Consensus Recommendation
OPIOID PAIN MEDICATION (Recommendation Against)Consensus Recommendation Consensus Recommendation
NON-PROSTHETIC SURGICAL OPTIONSConsensus Recommendation Consensus Recommendation
RADIOGRAPHSConsensus Recommendation Consensus Recommendation
CEMENTED STEMSConsensus Recommendation Consensus Recommendation
ANATOMIC OR REVERSE TOTAL SHOULDER ARTHROPLASTYConsensus Recommendation Consensus Recommendation
GLENOID COMPONENTS – POLYETHYLENE-METAL OR ALL POLYETHYLENEConsensus Recommendation Consensus Recommendation
BICEP TENODESIS AND TENOTOMYConsensus Recommendation Consensus Recommendation
TRANEXAMIC ACIDConsensus Recommendation Consensus Recommendation
SUPRASPINATUS TEARSConsensus Recommendation Consensus Recommendation
DISCHARGEConsensus Recommendation Consensus Recommendation
CRYOTHERAPYConsensus Recommendation Consensus Recommendation
MULTIMODAL PAIN MANAGEMENTConsensus Recommendation Consensus Recommendation

Management of Carpal Tunnel Syndrome (2024)
Management of Carpal Tunnel Syndrome (2024)Endorsed by: AAHS, ASSH
DIAGNOSIS: CTS-6, ULTRASONOGRAPHY, NCV/EMGStrong Recommendation Strong Recommendation
DIAGNOSIS: MRI, UPPER LIMB NEURODYNAMIC TESTING (Recommendation Against)Moderate Recommendation Moderate Recommendation
CORTICOSTEROID INJECTIONStrong Recommendation Strong Recommendation
PLATELET-RICH PLASMA (PRP) INJECTION (Recommendation Against)Strong Recommendation Strong Recommendation
SURGICAL RELEASE TECHNIQUEStrong Recommendation Strong Recommendation
MODES OF ANESTHESIAStrong Recommendation Strong Recommendation
POSTOPERATIVE THERAPY (Recommendation Against)Moderate Recommendation Moderate Recommendation
POSTOPERATIVE IMMOBILIZATION (Recommendation Against)Moderate Recommendation Moderate Recommendation
POSTOPERATIVE PAIN: NSAID, ACETAMINOPHENStrong Recommendation Strong Recommendation
RISK FACTORS: KEYBOARDING, CLERICAL WORKConsensus Recommendation Consensus Recommendation
THERAPEUTIC ULTRASOUND (Recommendation Against)Limited Recommendation Limited Recommendation
NON-OPERATIVE TREATMENTS VS. PLACEBO/CONTROL (Recommendation Against)Limited Recommendation Limited Recommendation
NON-OPERATIVE TREATMENTS: LONG-TERMLimited Recommendation Limited Recommendation
COMPARISON OF NON-OPERATIVE TREATMENTSLimited Recommendation Limited Recommendation
SITE OF SERVICELimited Recommendation Limited Recommendation
SURGICAL DRAPINGConsensus Recommendation Consensus Recommendation
ANTICOAGULATIONLimited Recommendation Limited Recommendation
PROPHYLACTIC PERIOPERATIVE ANTIBIOTICSLimited Recommendation Limited Recommendation
PREOPERATIVE TESTINGConsensus Recommendation Consensus Recommendation
ADJUNCTIVE TESTINGConsensus Recommendation Consensus Recommendation
POSTOPERATIVE PAIN: TRAMADOLConsensus Recommendation Consensus Recommendation

Clinical Practice Guideline for the Treatment of Clavicle Fractures
Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)Endorsed by: ASES, ASSET, OTATreatment of Mid-Shaft Clavicle Fracture AUC
BONE STIMULATOR (Recommendation Against)Moderate Recommendation Moderate Recommendation
HOOK PLATE VS. LATERAL LOCKING PLATE FOR LATERAL FRACTUREModerate Recommendation Moderate Recommendation
ISOLATED DISPLACED MIDSHAFT FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT [ADULT]Strong Recommendation Strong Recommendation
NAILING VS. SINGLE PLATEModerate Recommendation Moderate Recommendation
NON-MODIFIABLE RISK FACTORS: AGE AND SEXLimited Recommendation Limited Recommendation
MODIFIABLE RISK FACTORS: SMOKINGLimited Recommendation Limited Recommendation
DUAL PLATINGLimited Recommendation Limited Recommendation
ANTERIOR VS. SUPERIOR PLATINGLimited Recommendation Limited Recommendation
PRE-CONTOURED PLATE VS. NON-PRE-CONTOURED PLATELimited Recommendation Limited Recommendation
RADIOGRAPH: SUPINE VS. UPRIGHTLimited Recommendation Limited Recommendation
PREDICTORS OF NON-UNION FOLLOWING NON-OPERATIVELY TREATED CLAVICLE FRACTURELimited Recommendation Limited Recommendation
ISOLATED DISPLACED MIDSHAFT FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT[ADOLESCENT ≤18 YEARS]Limited Recommendation Limited Recommendation
IMMOBILIZATION METHODConsensus Recommendation Consensus Recommendation
LATERAL CLAVICLE FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENTConsensus Recommendation Consensus Recommendation

Management of Rotator Cuff Injuries (2025)
Management of Rotator Cuff Injuries (2025)
MANAGEMENT OF SMALL TO MEDIUM TEARSStrong Recommendation Strong Recommendation
LONG TERM NON-OPERATIVE MANAGEMENTStrong Recommendation Strong Recommendation
OPERATIVE MANAGEMENT VS NON-OPERATIVE MANAGEMENTModerate Recommendation Moderate Recommendation
ACROMIOPLASTY & ROTATOR CUFF REPAIRModerate Recommendation Moderate Recommendation
DIAGNOSIS (CLINICAL EXAMINATION)Strong Recommendation Strong Recommendation
DIAGNOSIS (IMAGING)Strong Recommendation Strong Recommendation
POST-OP MOBILIZATION TIMINGStrong Recommendation Strong Recommendation
POST-OP SLING USEModerate Recommendation Moderate Recommendation
SUPERVISED EXERCISE VS UNSUPERVISED EXERCISEModerate Recommendation Moderate Recommendation
CORTICOSTEROID INJECTIONS FOR ROTATOR CUFF TEARSModerate Recommendation Moderate Recommendation
PROLOTHERAPYStrong Recommendation Strong Recommendation
HIGH-GRADE PARTIAL-THICKNESS ROTATOR CUFF TEARSStrong Recommendation Strong Recommendation
PARTIAL ROTATOR CUFF TEARStrong Recommendation Strong Recommendation
BIOLOGICAL AUGMENTATION WITH PLATELET DERIVED PRODUCTSStrong Recommendation Strong Recommendation
SINGLE-ROW VS DOUBLE ROW REPAIR - PATIENT REPORTED OUTCOMESStrong Recommendation Strong Recommendation
SINGLE-ROW VS DOUBLE ROW REPAIR - RETEARSStrong Recommendation Strong Recommendation
MARROW STIMULATIONStrong Recommendation Strong Recommendation
DERMAL ALLOGRAFTSModerate Recommendation Moderate Recommendation
BIOINDUCTIVE IMPLANTSStrong Recommendation Strong Recommendation
OPEN VS ARTHROSCOPIC REPAIRSStrong Recommendation Strong Recommendation
POSTOPERATIVE PAIN MANAGEMENTModerate Recommendation Moderate Recommendation
HYALURONIC ACID INJECTIONS FOR ROTATOR CUFF PATHOLOGYLimited Recommendation Limited Recommendation
PLATELET RICH PLASMA (PRP) INJECTION IN PARTIAL-THICKNESS TEARSLimited Recommendation Limited Recommendation
MULTIPLE STEROID INJECTIONS FOR ROTATOR CUFF TEARSLimited Recommendation Limited Recommendation
PLATELET RICH PLASMA (PRP) INJECTION IN FULL-THICKNESS TEARSLimited Recommendation Limited Recommendation
UNREPAIRABLE TEARS WITHOUT ARTHROPATHY (NON-REVERSE ARTHROPLASTY)Consensus Recommendation Consensus Recommendation
MASSIVE UNREPAIRABLE TEARS WITH ARTHROPATHY (REVERSE ARTHROPLASTY)Consensus Recommendation Consensus Recommendation
MASSIVE, UNREPAIRABLE ROTATOR CUFF TEAR WITHOUT ARTHROPATHY (REVERSE ARTHROPLASTY)Consensus Recommendation Consensus Recommendation
SURGICAL TREATMENT VS. PHYSICAL THERAPY FOR LOW- OR INTERMEDIATE-GRADE PARTIAL-THICKNESS TEARSConsensus Recommendation Consensus Recommendation

Management of Distal Radius Fractures (2020)

Management of Distal Radius Fractures (2020)This guideline was produced in collaboration with ASSH Endorsed by: AAHS, ASHTDistal Radius Fractures: Treatment (2021) AUC
Arthroscopic AssistanceModerate Recommendation Moderate Recommendation
Home Exercise ProgramLimited Recommendation Limited Recommendation
Indications for Fixation (Non-Geriatric Patients)Moderate Recommendation Moderate Recommendation
Indications for Fixation (Geriatric Patients)Strong Recommendation Strong Recommendation
Serial RadiographyLimited Recommendation Limited Recommendation
Fixation TechniqueStrong Recommendation Strong Recommendation
Opioid UseConsensus Recommendation Consensus Recommendation

Lower extremity

Acute Isolated Meniscal Pathology (2024)
Acute Isolated Meniscal Pathology (2024)
PHYSICAL EXAMINATIONModerate Recommendation Moderate Recommendation
ADVANCED IMAGININGStrong Recommendation Strong Recommendation
JOINT DEGENERATIONModerate Recommendation Moderate Recommendation
SURGICAL INTERVENTION AFTER NON-OPERATIVE TREATMENTLimited Recommendation Limited Recommendation
MENISCUS REPAIRLimited Recommendation Limited Recommendation
BIOLOGICAL ENHANCEMENTLimited Recommendation Limited Recommendation
INDICATIONS FOR ACUTE SURGICAL INTERVENTIONConsensus Recommendation Consensus Recommendation
INDICATIONS FOR ACUTE SURGICAL INTERVENTIONConsensus Recommendation Consensus Recommendation
PHYSICAL THERAPYConsensus Recommendation Consensus Recommendation
SURGICAL REPAIR TECHNIQUEConsensus Recommendation Consensus Recommendation

Management of Hip Fractures in Older Adults (2021)

hipfxcpg

Management of Hip Fractures in Older Adults (2021)Endorsed by: AAHKS, OTA, APTA, AAPM&RHip Fractures in Older Adults: Acute Treatment (2023) AUCHip Fractures in Older Adults: Postoperative/Rehabilitation (2023) AUC
Preoperative Traction (Recommendation Against)Strong Recommendation Strong Recommendation
Surgical TimingModerate Recommendation Moderate Recommendation
Venous Thromboembolism ProphylaxisStrong Recommendation Strong Recommendation
AnesthesiaStrong Recommendation Strong Recommendation
Unstable Femoral Neck Fractures - Arthroplasty vs FixationStrong Recommendation Strong Recommendation
Unipolar/Bipolar HemiarthroplastyModerate Recommendation Moderate Recommendation
Unstable Femoral Neck Fractures - Total Arthroplasty vs. Hemi ArthroplastyModerate Recommendation Moderate Recommendation
Cemented Femoral StemsStrong Recommendation Strong Recommendation
Surgical ApproachModerate Recommendation Moderate Recommendation
Cephalomedullary Device - Stable Intertrochanteric FracturesStrong Recommendation Strong Recommendation
Cephalomedullary Device - Subtrochanteric/Reverse Obliquity FracturesStrong Recommendation Strong Recommendation
Cephalomedullary Device - Unstable Intertrochanteric FracturesStrong Recommendation Strong Recommendation
TransfusionModerate Recommendation Moderate Recommendation
Multimodal AnalgesiaStrong Recommendation Strong Recommendation
Tranexamic AcidStrong Recommendation Strong Recommendation
Interdisciplinary Care ProgramsStrong Recommendation Strong Recommendation
Stable Femoral Neck FracturesLimited Recommendation Limited Recommendation
Cephalomedullary Device - Pertrochanteric FracturesLimited Recommendation Limited Recommendation
Weight BearingLimited Recommendation Limited Recommendation

Guidelines

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