• J Surg Orthop Adv · Jan 2020

    Opioid Prescribing Guidelines for Arthroscopic Partial Meniscectomy Based on Patient-reported Opioid Consumption.

    • Justin Turcotte, Samuel Taylor, Andrew Palsgrove, Jeffrey Gelfand, Benjamin Petre, and Daniel Redziniak.
    • Anne Arundel Medical Center, Department of Orthopedics, Annapolis, Maryland.
    • J Surg Orthop Adv. 2020 Jan 1; 29 (4): 240-243.

    AbstractThe purpose of our study was to determine the optimum number of opioid pills and morphine milligram equivalents (MME) required to treat postoperative pain following arthroscopic partial meniscectomy. A retrospective cohort study of 77 patients undergoing arthroscopic partial meniscectomy between January, 2017 and May, 2019 was conducted. Of patients, 19.48% took no opioids following surgery. Patients were prescribed 84.34 ± 49.54 MME on average and took 28.23 ± 40.99 MME. This equated to an average of 16.52 ± 8.85 narcotic pills prescribed and 4.90 ± 6.26 pills taken. Of 77 patients, 66 (85.7%) took less than 10 total pills, and 57 (74.0%) took 5 or fewer. Patients undergoing arthroscopic partial meniscectomy are commonly overprescribed opioids postoperatively. On average, patients consumed just under five narcotic pills, less than one-third of the number prescribed. A standard prescription of 5 opioid pills or 25 MME is recommended for patients undergoing arthroscopic partial meniscectomy. (Journal of Surgical Orthopaedic Advances 29(4):240-243, 2020).

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