(i.e. these are assumed to be true before using the AUC)

  1. The patient has been optimized and risk stratified and deemed an appropriate candidate for surgical intervention and non-operative treatment has been excluded.
  2. The patient or their representative has given adequate and informed consent for planned procedure and understands risks, benefits, and alternatives.
  3. The operating surgeon is trained and capable of performing planned operative techniques.
  4. The facility has proper implants, ancillary equipment available, and capable support personnel.
  5. Utilize a restrictive transfusion trigger (hemoglobin <8) to minimize use of blood transfusion according to published AAOS Guideline on Management of Hip fractures in the Elderly (
  6. For the sake of this AUC, Elderly is defined as age 60 and above.


Volunteer physicians from multiple medical specialties created and categorized these Appropriate Use Criteria. These Appropriate Use Criteria are not intended to be comprehensive or a fixed protocol, as some patients may require more or less treatment or different means of diagnosis. These Appropriate Use Criteria represent patients and situations that clinicians treating or diagnosing musculoskeletal conditions are most likely to encounter. The clinician’s independent medical judgment, given the individual patient’s clinical circumstances, should always determine patient care and treatment.

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