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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Substance Abuse

Background:

  • Substance abuse is prevalent, affecting up to 20% of patients with hand infections.
  • Opioid, amphetamine, and marijuana use impacts surgical care and outcomes.
  • Hand surgeons frequently encounter patients using nonprescription drugs.

Purpose of the Study:

  • To review commonly abused substances in hand surgery.
  • To provide guidance on identifying substance abuse.
  • To discuss implications for surgical risks and outcomes.

Main Methods:

  • Literature review of substance abuse in hand surgery.
  • Analysis of drug effects on surgical decision-making.
  • Discussion of management strategies.

Main Results:

  • Drug abuse affects treatment timing, adherence, and follow-up.
  • Physiologic effects impact surgical risk, wound, and bone healing.
  • Social factors associated with drug abuse complicate patient management.

Conclusions:

  • Understanding drug abuse is crucial for effective patient care.
  • Identifying substance abuse aids in surgical decision-making.
  • Management strategies are needed to improve surgical outcomes.