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Area of Science:

  • Orthopedic Surgery
  • Pain Management
  • Pharmacology

Background:

  • Chronic preoperative opioid use is a growing concern in orthopedic surgery.
  • Distal radius fractures are common injuries requiring surgical intervention.
  • Understanding the impact of preoperative opioid use on surgical outcomes is crucial.

Purpose of the Study:

  • To investigate the influence of chronic preoperative opioid use on complications, reoperation rates, and postoperative opioid use.
  • To assess outcomes for patients undergoing open reduction and internal fixation (ORIF) of distal radius fractures.

Main Methods:

  • Retrospective review of 111 patients undergoing ORIF of distal radius fractures (2019-2021).
  • Analysis of patient demographics, comorbidities, perioperative details, complications, and outcomes.
  • Opioid prescription data obtained from the SCRIPTS database.

Main Results:

  • 9.01% of patients were identified as chronic preoperative opioid users.
  • Preoperative opioid use was not linked to increased surgical complications.
  • Chronic opioid users were more likely to continue using opioids 90 and 180 days postoperatively.

Conclusions:

  • Preoperative opioid use does not elevate surgical complication risk in distal radius fracture ORIF.
  • Patients with preoperative opioid use face a higher risk of prolonged postoperative opioid consumption.
  • History of substance use increases risk for hardware complications, prolonged pain, and greater postoperative opioid use.