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Implementing Evidence-based Opioid Prescribing in Pediatric Orthopaedics
Monica Kogan1, Kyleen Jan, Amelia Hummel
1From the Rush University Medical Center, Chicago, IL.
The Journal of the American Academy of Orthopaedic Surgeons
|April 28, 2026
Summary
Effective pain management in pediatric orthopaedics is crucial. This review examines the Pediatric Orthopaedic Society of North America guidelines to optimize pain control and address opioid misuse concerns.
Area of Science:
- Pediatric Orthopaedics
- Pain Management
- Public Health
Background:
- Effective pain management is vital for pediatric orthopaedic procedures.
- Opioid misuse is a significant public health issue, with pediatric patients often first exposed post-orthopaedically.
- The Pediatric Orthopaedic Society of North America (POSNA) offers guidelines for pain management tailored to procedure intensity.
Purpose of the Study:
- To review the POSNA guidelines for pediatric orthopaedic pain management.
- To identify barriers to the implementation of these guidelines.
- To explore opportunities for optimizing postoperative pain management and mitigating opioid risks.
Main Methods:
- Literature review focusing on POSNA guidelines.
- Analysis of implementation challenges and variability.
- Examination of strategies for risk mitigation in pediatric pain management.
Main Results:
- POSNA guidelines provide a framework but face implementation challenges.
- Variability in guideline adoption exists.
- Opportunities to enhance pain management while reducing opioid risks are identified.
Conclusions:
- Optimizing postoperative pain management in pediatric orthopaedics requires addressing guideline implementation barriers.
- Future research and guideline evolution are essential to ensure patient safety and combat the opioid crisis.
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