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Risk factors for postoperative opioid use in arthroscopic shoulder labrum surgery

Arthroscopy Mar 23, 2020

Jildeh TR, Taylor KA, Tramer JS, et al. - This study was attempted to investigate the relationship between pre- and postoperative opioid use in patients undergoing arthroscopic shoulder labral repair, as well as patient risk factors associated with increased postoperative opioid use following the procedure. Between August 2013 and November 2017, researchers conducted a retrospective review of all individuals undergoing arthroscopic shoulder labral surgery at a single institution. The total number of individuals included in the study were 340. They further examined Patient demographics, injury characteristics, surgical interventions, and postoperative opioid use for the first 12 months after surgery. The chronicity of preoperative opioid use, number of concomitant methods at the time of initial surgery, and presence of biceps tenodesis were noted to significantly increase postoperative opioid demand in individuals undergoing arthroscopic labral surgery. It is demonstrated that orthopaedic surgeons should consider risk factors for raised opioid use postoperatively and adapt treatment strategies and patient counseling accordingly.

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