Before these appropriate use criteria are consulted, it is assumed that:

  1. Arthroplasty as a treatment option means total hip arthroplasty, occasionally resurfacing, rarely hemiarthroplasty or hip resection arthroplasty (girdlestone procedure).
  2. Hip preservation as a treatment means periacetabular or femoral osteotomy for hip dysplasia or deformity and arthroscopic or open surgery for femoroacetabular impingement and/or labral tears.
  3. Modifiable risk factors may include, but are not limited to: patient obesity, mental health disorders, tobacco use, or uncontrolled diabetes.
  4. Surgical treatment should only be considered following dissatisfaction with appropriate nonoperative treatments.


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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