American Academy of Orthopaedic Surgeons Release Updated Guidelines for the Treatment of Hip Osteoarthritis

The American Academy of Orthopaedic Surgeons (AAOS) has updated their guidelines for managing hip osteoarthritis (OA), with modifications to 14 of the 23 recommendations for nonoperative treatment. Strong recommendations include the use of Tranexamic Acid for individuals undergoing hip replacement, while the use of intra-articular hyaluronic acid is strongly not recommended. Other recommendations cover oral NSAIDs for pain management, physical therapy post-surgery, and individualized surgical approaches. Limited evidence was found regarding the impact of BMI, diabetes, social determinants of health, anesthesia, tobacco, prescription opioids, and acetaminophen on outcomes. Overall, the guidelines aim to provide evidence-based recommendations for managing symptomatic hip OA.

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