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recent orthopedic surgical guidelines 2025 2026 AAOS
Here is a curated summary of the most recent orthopaedic surgical guidelines from 2024-2026:
Recent Orthopaedic Surgical Guidelines (2024-2026)
AAOS Guidelines (Most Recent)
1. Management of Ankle Osteoarthritis (2026) - NEW
The AAOS released this brand-new CPG in June 2026. Key recommendations include:
- Weight reduction for symptomatic ankle OA
- Arthroscopic debridement, periarticular osteotomy, or arthroplasty for patients who fail non-operative care and desire joint preservation
- Full details available at the AAOS CPG page
2. Management of Acute Compartment Syndrome (2025 Update)
- Updated the recommendation for Associated Fracture: upgraded from Consensus (1 star) to Limited evidence (2 stars)
- Now supports that "operative fixation..." of associated fractures is recommended
- 2025 ACS Guideline Update
3. Management of Rotator Cuff Injuries (2025)
- 14 strong + 7 moderate recommendations for adult patients with rotator cuff tears
- Supplemented by 4 limited and consensus options
4. Management of Osteoarthritis of the Hip (2024) [PMID: 38781351]
- AAOS CPG published in J Am Acad Orthop Surg (Oct 2024)
- Covers surgical and non-surgical management of hip OA
5. Management of Carpal Tunnel Syndrome - AAOS/ASSH (2025) [PMID: 39637428]
- Joint AAOS/American Society for Surgery of the Hand guideline
- Published in J Am Acad Orthop Surg (April 2025)
Knee & Sports Surgery
6. EU-US Meniscus Rehabilitation Consensus 2024 (ESSKA-AOSSM-AASPT)
- Part I [PMID: 40353298]: Rehabilitation after meniscus surgery (meniscectomy, repair, reconstruction)
- Part II [PMID: 40501314]: Prevention, non-operative treatment, return to sport
- Published in Knee Surgery, Sports Traumatology, Arthroscopy (Aug 2025)
7. Dutch Multidisciplinary Guideline - Anterior Knee Pain (2025) [PMID: 39045713]
- Covers patellofemoral pain and patellar tendinopathy
- Published in KSSTA (Feb 2025)
Bone Health & Metabolic
8. Osteoporosis Diagnosis & Treatment CPG (2025) [PMID: 39803994]
- Published in Deutsches Ärzteblatt International (Jan 2025)
- Directly relevant to fragility fracture management
9. X-Linked Hypophosphatemia in Children (2025) [PMID: 39960858]
- International Working Group CPG on management
Perioperative
10. Perioperative Antiplatelet & Anticoagulant Management (2024) [PMID: 39133736]
- ASIPP updated guidelines for patients on anticoagulation undergoing procedures
- Relevant for pre-op planning in elective orthopaedic cases
11. Pre-operative Decolonisation - MDR Gram-positive bacteria (2024) [PMID: 39154859]
- ESCMID guidelines on targeted prophylaxis before surgery
- Relevant for SSI prevention in joint arthroplasty
Upcoming (2026)
The AAOS has also announced upcoming self-assessment exam releases for Adult Spine and Musculoskeletal Trauma in 2026, indicating active guideline development in these areas.
Is there a specific subspecialty - trauma, arthroplasty, spine, sports, hand/upper limb, or foot & ankle - where you'd like me to go deeper with the latest evidence and recommendations?
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