Opioid Use Prior to Total Knee Arthroplasty

Pain Management


Acute Pain Management


Chronic Opioid Use Prior to Total Knee Arthroplasty


Zywiel MG, Stroh DA, Lee SY, et al (Univ of Toronto, Ontario, Canada; Sinai Hosp of Baltimore, MD; Hallym Univ Med Ctr, Kangdonggu, Seoul, South Korea; et al) J Bone Joint Surg Am 93:1988-1993, 2011§



S.E. Abram, MD



Evidence Ranking


• B



Expert Rating


• 1



Abstract



Background


Chronic use of opioid medications may lead to dependence or hyperalgesia, both of which might adversely affect perioperative and postoperative pain management, rehabilitation, and clinical outcomes after total knee arthroplasty. The purpose of this study was to evaluate patients who underwent total knee arthroplasty following six or more weeks of chronic opioid use for pain control and to compare them with a matched group who did not use opioids preoperatively.



Methods


Forty-nine knees in patients who had a mean age of fifty-six years (range, thirty-seven to seventy-eight years) and who had regularly used opioid medications for pain control prior to total knee arthroplasty were compared with a group of patients who had not used them. Length of hospitalization, aseptic complications requiring reoperation, requirement for specialized pain management, and clinical outcomes were assessed for both groups.

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Jan 28, 2017 | Posted by in ANESTHESIA | Comments Off on Opioid Use Prior to Total Knee Arthroplasty
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