Koehler RM, et al. - A computerized literature search of PubMed/MEDLINE was conducted to evaluate the state of opioid use after extremity trauma in orthopedic surgery. Orthopedic surgeons were noted to be overprescribing opioids. Patients who consume more opioids reported greater pain intensity and less satisfaction with pain control. Researchers recommended orthopedic trauma surgeons to tailor their postoperative opioid prescriptions to the individual patient and utilize alternative options in order to control postoperative pain. Patients unable to manage pain postoperatively should be followed closely and receive the proper chronic pain management, mental and social health services referrals. Patients should be counseled regarding narcotic addiction and dependence.