2019 ISAKOS Biennial Congress ePoster #2106
Postoperative Opioid Usage Following Outpatient Arthroscopic Sports Medicine Procedures
Shelby R. Smith, BS, Philadelphia, PA UNITED STATES
Christopher J. Hadley, BS, Barnegat, NJ UNITED STATES
William D. Emper, MD, Bryn Mawr, PA UNITED STATES
Christopher M. Aland, MD, Newtown, PA UNITED STATES
Kevin Freedman, MD, Bryn Mawr, PA UNITED STATES
John P. Salvo Jr., MD, Marlton, NJ UNITED STATES
Sommer Hammoud, MD, Philadelphia, PA UNITED STATES
Rothman Orthopaedic Institute, Philadelphia, PA, UNITED STATES
FDA Status Not Applicable
The results of our study indicate that following common orthopedic surgical procedures, patients on average have a large number of opioid pills remaining 3 weeks after surgery (10.76 pills).
Opioid-based analgesia is effective and widely prescribed in elective outpatient orthopaedic procedures. However, there has been simultaneous growth in both the number of opioid analgesic prescriptions and abuse of opioid medications in the United States. There is a paucity of literature examining the quantity of opioids prescribed following common orthopaedic sports procedures as well as the average number of opioid pills consumed and the amount remaining after discontinuation.
Patients between the ages of 15 and 40 were included in this prospective study if they were undergoing any of the following procedures at our institution from June 2017 – May 2018: anterior cruciate ligament (ACL) reconstruction, meniscectomy, meniscal repair, arthroscopic shoulder labral repair, and arthroscopic hip surgery.
Of the 52 patients who met the inclusion criteria, 20 (38.5%) patients underwent ACL reconstruction, 17 (32.7%) arthroscopic hip labrum repair, 8 (15.4%) partial meniscectomy, 4 (7.7%) meniscus repair and 3 (5.8%) arthroscopic shoulder labrum repair. The average age was 27.05 (range, 16-40) years old and included 30 males and 22 females. Of the 52 patients, only 7 (13.5%) patients reported having consumed opioid pills between days 15 and 21 after surgery. The overall average number of opioid pills consumed was 13.00, with the majority consumed the day after surgery at an average of 3.19 pills (Table 1). Patients had an average of 10.76 opioid pills remaining at the final follow-up, 3 weeks after surgery. Additionally, patients intended to do the following with their remaining opioid pills: I do not have pills remaining (n=7), keep them for potential use (n=7), throw them away in the trash (n=6), flush them down the toilet (n=7), give them to someone who needs them (n=0) and dispose of them in some other way (n=9). For those patients who selected to dispose of their remaining pills in some other way, six intended to drop them off at a police station, two intended to return them to their doctor and one intended to return them to their pharmacy.
The results of our study indicate that following common orthopedic surgical procedures, patients on average have a large number of opioid pills remaining 3 weeks after surgery (10.76 pills). A small portion of patients (13.5%) indicated they intended to keep their additional opioid pills for future use. By presenting the patterns of postoperative opioid consumption, surgeons can utilize this information to evaluate their current opioid prescribing protocols.