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Orthopaedic surgeons play a key role in combating the opioid epidemic. Understanding opioid and nonopioid medications, including oral morphine equivalents, is crucial for informed prescribing and pain management.

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Area of Science:

  • Pharmacology and Orthopaedic Surgery

Background:

  • The US declared the opioid epidemic a national public health emergency in 2017, necessitating physician involvement.
  • Orthopaedic surgeons are significant prescribers of narcotic medications, placing them in a critical position to mitigate the opioid crisis.

Purpose of the Study:

  • To emphasize the importance of orthopaedic surgeons understanding the science behind opioid and nonopioid pain management.
  • To equip orthopaedic surgeons with knowledge for informed prescribing practices to help control the opioid epidemic.

Main Methods:

  • Review of the basic science of opioid and nonopioid medication mechanisms.
  • Explanation of oral morphine equivalents (OMEs).
  • Discussion on drug interactions that affect opioid potency.

Main Results:

  • Knowledge of medication mechanisms, OMEs, and drug interactions empowers surgeons.
  • Informed prescribing can lead to better pain control and reduced opioid reliance.
  • Surgeons can become leaders in addressing the opioid epidemic through education.

Conclusions:

  • Educating orthopaedic surgeons on pain pharmacology is essential for managing the opioid epidemic.
  • Understanding medication science enables safer and more effective pain management strategies post-orthopaedic surgery.