NICE Trauma and Orthopaedic Guidelines

This resource page contains links to  NICE Guidelines, Quality Standards, Interventional Procedures Guidance and Technology Appraisal Guidance relevant to different areas of Trauma and Orthopaedics. The NICE Guidelines include:

• Hip
• Knee
• Shoulder and Elbow
• Hand and Wrist
• Spine
• Foot and Ankle 
• Paediatric Orthopaedics
• Trauma

For any queries on the documents themselves, please see the NICE website here.

The BOA would like to thank Professor Jonathan Rees for his work compiling this list.

Hip

NICE Guidelines, Quality Standards, Interventional Procedures Guidance and Technology Appraisal Guidance

• Joint replacement (primary): hip, knee and shoulder(2020) NICE guideline NG15
• Surgical site infections: prevention and treatment 2019 NICE guideline NG125
• Venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism (2018) NICE guideline NG89
• Hip fracture in adults (2017) NICE quality standard QS16.
• Osteoarthritis (2015) NICE quality standard QS87.
• Osteoarthritis: care and management (2014) NICE guideline CG177.
• Arthroscopic femoro–acetabular surgery for hip impingement syndrome (2011) NICE interventional procedures guidance IPG408.
• The OSCAR 3 ultrasonic arthroplasty revision instrument for removing bone cement during prosthetic joint revision (2014) NICE medtech innovation briefing MIB13.
• Total hip replacement and resurfacing arthroplasty for end-stage arthritis of the hip (2014) NICE technology appraisal guidance TA304.
• Minimally invasive total hip replacement (2010) NICE interventional procedures guidance IPG363.
• Rivaroxaban for the prevention of venous thromboembolism after total hip or total knee replacement in adults (2009) NICE technology appraisal guidance TA170.
• Dabigatran etexilate for the prevention of venous thromboembolism after hip or knee replacement surgery in adults (2008) NICE technology appraisal guidance TA157.
• Open femoro–acetabular surgery for hip impingement syndrome (2011) Interventional procedures guidance IPG403
• Extracorporeal shockwave therapy for refractory greater trochanteric pain syndrome (2011) Interventional procedures guidance IPG376

Knee

NICE Guidelines, Quality Standards, Interventional Procedures Guidance and Technology Appraisal Guidance

• Joint replacement (primary): hip, knee and shoulder(2020) NICE guideline NG15
• Surgical site infections: prevention and treatment 2019 NICE guideline NG125
• Venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism (2018) NICE guideline NG89
• Autologous chondrocyte implantation for treating symptomatic articular cartilage defects of the knee (2017) NICE technology appraisal guidance TA477.
• Microstructural scaffold (patch) insertion without autologous cell implantation for repairing symptomatic chondral knee defects (2016) NICE interventional procedures guidance IPG560.
• Implantation of a shock or load absorber for mild to moderate symptomatic medial knee osteoarthritis (2015) NICE interventional procedures guidance IPG512.
• Osteoarthritis (2015) NICE quality standard QS87.
• Osteoarthritis: care and management (2014) NICE guideline CG177.
• Partial replacement of the meniscus of the knee using a biodegradable scaffold (2012) NICE interventional procedures guidance IPG430.
• Platelet-rich plasma injections for osteoarthritis of the knee (2019) NICE interventional procedures guidance IPG637
• Mosaicplasty for symptomatic articular cartilage defects of the knee (2018) Interventional procedures guidance IPG607
• Autologous chondrocyte implantation using chondrosphere for treating symptomatic articular cartilage defects of the knee (2018) Technology appraisal guidance TA508
• The OSCAR 3 ultrasonic arthroplasty revision instrument for removing bone cement during prosthetic joint revision (2014) NICE medtech innovation briefing MIB13.
• Joint distraction for knee osteoarthritis without alignment correction 2015 Interventional procedures guidance [IPG529]
• Mini-incision surgery for total knee replacement (2010) NICE interventional procedures guidance IPG345.
• Arthroscopic radiofrequency chondroplasty for discrete chondral defects of the knee 2014 Interventional procedures guidance IPG493
• Arthroscopic knee washout, with or without debridement, for the treatment of osteoarthritis (2007) NICE interventional procedures guidance IPG230.
• Arthroscopic trochleoplasty for patellar instability 2014 Interventional procedures guidance IPG474
• Rivaroxaban for the prevention of venous thromboembolism after total hip or total knee replacement in adults (2009) NICE technology appraisal guidance TA170.
• Dabigatran etexilate for the prevention of venous thromboembolism after hip or knee replacement surgery in adults (2008) NICE technology appraisal guidance TA157.

Shoulder and Elbow

NICE Guidelines, Quality Standards, Interventional Procedures Guidance and Technology Appraisal Guidance

• Joint replacement (primary): hip, knee and shoulder(2020) NICE guideline NG15
• Surgical site infections: prevention and treatment 2019 NICE guideline NG125
• Venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism (2018) NICE guideline NG89
• Biodegradable subacromial spacer insertion for rotator cuff tears (2016) NICE interventional procedures guidance IPG558.
• Osteoarthritis (2015) NICE quality standard QS87.
• Osteoarthritis: care and management (2014) NICE guideline CG177.
• Shoulder resurfacing arthroplasty (2010) NICE interventional procedures guidance IPG354.
• Superior capsular augmentation for massive rotator cuff tears (2018) Interventional procedures guidance IPG619
• Autologous blood injection for tendinopathy (2013) Interventional procedures guidance IPG438

Hand and Wrist

NICE Guidelines, Quality Standards, Interventional Procedures Guidance and Technology Appraisal Guidance

• Surgical site infections: prevention and treatment 2019 NICE guideline NG125
• Venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism (2018) NICE guideline NG89
• Osteoarthritis (2015) NICE quality standard QS87.
• Osteoarthritis: care and management (2014) NICE guideline CG177.
• Total wrist replacement (2008) NICE interventional procedures guidance IPG271.
• Artificial trapeziometacarpal joint replacement for end-stage osteoarthritis (2005) NICE interventional procedures guidance IPG111.
• Artificial metacarpophalangeal and interphalangeal joint replacement for end-stage arthritis (2005) NICE interventional procedures guidance IPG110.
• Total distal radioulnar joint replacement for symptomatic joint instability or arthritis (2017) Interventional procedures guidance IPG595
• Collagenase clostridium histolyticum for treating Dupuytren's contracture (2017) Technology appraisal guidance TA459
• Radiation therapy for early Dupuytren's disease (2016) Interventional procedures guidance IPG573
• Suture fixation of acute disruption of the distal tibiofibular syndesmosis (2015) Interventional procedures guidance IPG521

Spine

NICE Guidelines, Quality Standards, Interventional Procedures Guidance and Technology Appraisal Guidance

• Surgical site infections: prevention and treatment 2019 NICE guideline NG125
• Venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism (2018) NICE guideline NG89
• Minimally invasive sacroiliac joint fusion surgery for chronic sacroiliac pain 2017 Interventional procedures guidance IPG578
• Percutaneous interlaminar endoscopic lumbar discectomy for sciatica 2016 Interventional procedures guidance IPG555
• Spinal injury: assessment and initial management (2016) NICE guideline NG41
• Transaxial interbody lumbosacral fusion for severe chronic low back pain 2018 Interventional procedures guidance IPG620
• Lateral interbody fusion in the lumbar spine for low back pain 2017 Interventional procedures guidance IPG574
• Epiduroscopic lumbar discectomy through the sacral hiatus for sciatica 2016 Interventional procedures guidance IPG570
• Low back pain and sciatica in over 16s: assessment and management 2016 NICE guideline NG59
• Percutaneous insertion of craniocaudal expandable implants for vertebral compression fracture 2016 Interventional procedures guidance IPG568
• Percutaneous transforaminal endoscopic lumbar discectomy for sciatica 2016 Interventional procedures guidance IPG556
• Percutaneous coblation of the intervertebral disc for low back pain and sciatica 2016 Interventional procedures guidance IPG543
• Percutaneous electrothermal treatment of the intervertebral disc annulus for low back pain and sciatica 2016 Interventional procedures guidance IPG544
• Percutaneous intradiscal radiofrequency treatment of the intervertebral disc nucleus for low back pain 2016 Interventional procedures guidance IPG545
• Insertion of an annular disc implant at lumbar discectomy 2014 Interventional procedures guidance IPG506
• The MAGEC system for spinal lengthening in children with scoliosis 2014 Medical technologies guidance MTG18
• Percutaneous vertebroplasty and percutaneous balloon kyphoplasty for treating osteoporotic vertebral compression fractures April 2013 Technology appraisal guidance TA279
• Peripheral nerve-field stimulation for chronic low back pain 2013 Interventional procedures guidance IPG451
• Interspinous distraction procedures for lumbar spinal stenosis causing neurogenic claudication 2010 Interventional procedures guidance IPG365
• Percutaneous intradiscal laser ablation in the lumbar spine 2010 Interventional procedures guidance IPG357
• Prosthetic intervertebral disc replacement in the cervical spine 2010 Interventional procedures guidance IPG341
• Prosthetic intervertebral disc replacement in the lumbar spine 2009 Interventional procedures guidance IPG306
• Percutaneous endoscopic laser cervical discectomy 2009 Interventional procedures guidance [IPG303]

Foot and Ankle

NICE Guidelines, Quality Standards, Interventional Procedures Guidance and Technology Appraisal Guidance

• Surgical site infections: prevention and treatment 2019 NICE guideline NG125
• Venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism (2018) NICE guideline NG89
• Joint distraction for ankle osteoarthritis (2015) NICE interventional procedures guidance IPG538.
• Osteoarthritis (2015) NICE quality standard QS87.
• Osteoarthritis: care and management (2014) NICE guideline CG177.
• Extracorporeal shockwave therapy for Achilles tendinopathy (2016) Interventional procedures guidance IPG571
• Radiofrequency ablation for symptomatic interdigital (Morton’s) neuroma (2015) Interventional procedures guidance IPG539
• Surgical correction of hallux valgus using minimal access techniques (2010) Interventional procedures guidance [IPG332]
• Autologous blood injection for tendinopathy (2013) Interventional procedures guidance IPG438
• Autologous blood injection for plantar fasciitis (2013) Interventional procedures guidance IPG437

Paediatric Orthopaedics

NICE Guidelines, Interventional Procedures Guidance and Clinical Guideline

• Surgical site infections: prevention and treatment 2019 NICE guideline NG125
• Open reduction of slipped capital femoral epiphysis (2015) Interventional procedures guidance IPG511
• Spasticity in under 19s: management 2012 NICE Clinical guideline CG145

Trauma

NICE Guidelines, Quality Standards, Interventional Procedures Guidance and Technology Appraisal Guidance

• Surgical site infections: prevention and treatment 2019 NICE guideline NG125
• Venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism (2018) NICE guideline NG89
• Hip fracture in adults (2017) NICE quality standard QS16.
• Hip fracture: management (2011) NICE guideline CG124.
• Fractures (complex): assessment and management (2016) NICE guideline NG37
• Fractures (non-complex): assessment and management (2016) NICE guideline NG38
• Major trauma: assessment and initial management (2016) NICE guideline NG39
• Major trauma: service delivery (2016) NICE guideline NG40
• Spinal injury: assessment and initial management (2016) NICE guideline NG41