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Treatment of pediatric diaphyseal femur fractures -- evidence-based clinical practice guideline
Jevsevar DS, She K, Shaffer W, Cummins D, Murray J, Brenton B, Woznica A, Sevarino K, Linskey E [American Academy of Orthopaedic Surgeons]
practice guideline

SUMMARY OF RECOMMENDATIONS: The original guideline on the treatment of pediatric diaphyseal femur fractures (PDFF) was the third guideline developed by the AAOS in-house. It had fourteen recommendations of varying strengths. However, per current AAOS policy, all recommendations in the original guideline identified as "inconclusive" were removed from this 2015 reissue (see appendix XI for a full list of the inconclusive recommendations that were removed). Based on the current procedure for updating AAOS guidelines, the medical librarian ran a preliminary search to identify literature that could address and possibly change the original recommendations. The AAOS Evidence-Based Medicine Unit then used the inclusion criteria from the original guideline to determine if any articles published after the final literature search date of the original guideline were relevant to the original recommendations. The following is a summary of the recommendations in the AAOS' clinical practice guideline on the treatment of pediatric diaphyseal femur fractures (PDFF). This summary does not contain rationales that explain how and why these recommendations were developed nor does it contain the evidence supporting these recommendations. All readers of this summary are strongly urged to consult the full guideline and evidence report for this information. We are confident that those who read the full guideline and evidence report will also see that the recommendations were developed using systematic evidence-based processes designed to combat bias, enhance transparency, and promote reproducibility. This summary of recommendations is not intended to stand alone.

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