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Clinical Practice Guidelines

The American College of Foot and Ankle Surgeons develops Clinical Practice Guidelines (CPGs) to provide physicians with an organized systematic approach to the treatment of specific conditions and pathology.

The current library of ACFAS CPGs represents the work of expert panels which have developed the guidelines using the available literature, followed by peer review. All guidelines are published in the Journal of Foot & Ankle Surgery.

PDF files of ACFAS CPGs may be accessed via the links below.

Diagnosis and Treatment of Forefoot Disorders

The Diagnosis and Treatment of Forefoot Disorders is a 43-page document that includes text, images and pathways. It was published in the March/April 2009 issue of the Journal of Foot & Ankle Surgery.

Adult Flatfoot

The Diagnosis and Treatment of Adult Flatfoot Clinical Practice Guideline is a 36-page document that includes text, images and pathways. It was published in the March/April 2005 issue of the Journal of Foot & Ankle Surgery.

Pediatric Flatfoot

The Diagnosis and Treatment of Pediatric Flatfoot CPG is a 33-page document that includes text, images and pathways. It was published in the November/December 2004 issue of the Journal of Foot & Ankle Surgery.

To facilitate downloading, pathways 2-8 and the References section have been extracted from the main document and can be downloaded separately. You can download the entire CPG at once, just the pathways as one document, or each pathway individually. All files are in pdf format.

Download Option 1 -- Full CPG 

Download Option 2 -- Pathways as One Document

Download Option 3 -- Pathways Individually

First MPJ Disorders CPG

The Diagnosis and Treament of First Metatarsophalangeal Joint Disorders Clinical Practice Guideline was published in the Journal of Foot & Ankle Surgery in May 2003.  Download it by section below. All files in pdf format.

Section 1

Section 2

Section 3

Section 4

Section 5

Section 6

Diagnosis and Treatment of Heel Pain

The ACFAS Diagnosis and Treatment of Heel Pain Clinical Practice Guideline was published in the Journal of Foot & Ankle Surgery in September 2001.  A revision will be published in Spring 2010.

Download a pdf of the 12-page guideline. 

Diabetic Foot Disorders

The Diabetic Foot Disorders Clinical Practice Guideline (CPG) was published in the September/October 2006 Journal of Foot & Ankle Surgery. You can download the CPG in its entirety or section by section.

Because these are high-resolution pdf files containing many graphics, they are very large file sizes.

Sections and Pathways