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Opioid Consumption After Knee Arthroscopy
Robert D Wojahn1, Ljiljana Bogunovic1, Robert H Brophy1
1Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, Missouri.
The Journal of Bone and Joint Surgery. American Volume
|October 3, 2018
Summary
Most patients require few opioid pills after knee arthroscopy, with a median of 7. Meniscal repair, smoking, and prior opioid use predict higher consumption, aiding responsible prescribing.
Area of Science:
- Orthopedic Surgery
- Pain Management
- Pharmacology
Background:
- The opioid epidemic necessitates responsible prescribing practices.
- Surgeons lack guidance for postoperative opioid decisions.
- Knee arthroscopy patients' opioid use is not well-characterized.
Purpose of the Study:
- To assess opioid consumption following knee arthroscopy.
- To identify preoperative predictors of increased opioid usage.
Main Methods:
- Prospective observational study of 221 knee arthroscopy patients.
- Daily opioid consumption recorded in postoperative diaries.
- Preoperative factors analyzed for association with opioid use.
Main Results:
- Median opioid consumption was 7 pills; 81% used ≤20 pills.
- 56% discontinued opioids by postoperative day 3.
- Meniscal repair, smoking, and preoperative opioid use predicted higher consumption.
Conclusions:
- Median postoperative opioid need after knee arthroscopy is low.
- Meniscal repair, smoking, and prior opioid use are key predictors of higher consumption.
- Findings can inform evidence-based opioid prescribing guidelines.
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