• Arthroscopy · Mar 2021

    Multicenter Study Observational Study

    Opioid Consumption After Knee Arthroscopy.

    • Parth M Kamdar, Nicole Liddy, Christopher Antonacci, Nikhil K Mandava, Demetris Delos, Katherine B Vadasdi, James G Cunningham, Marc S Kowalsky, R Timothy Greene, Frank G Alberta, and Paul M Sethi.
    • New York Medical College, Valhalla, New York, U.S.A.; Orthopaedic & Neurosurgery Specialists, ONS Foundation for Clinical Research and Education, Greenwich, Connecticut, U.S.A.. Electronic address: pkamdar@student.nymc.edu.
    • Arthroscopy. 2021 Mar 1; 37 (3): 919-923.e10.

    PurposeTo prospectively observe opioid consumption in patients undergoing knee arthroscopy and to create an evidence-based guideline for opioid prescription.MethodsThis prospective multicenter observational study enrolled patients undergoing outpatient knee arthroscopy for meniscal repair, meniscectomy, or chondroplasty. Patients were provided with a pain journal to record postoperative opioid consumption, Numeric Pain Rating Scale (NPRS) pain scores, and Likert scale satisfaction scores for 1 week postoperatively. State databases were reviewed for additional opioid prescriptions.ResultsOne hundred patients were included in this study. Patients were prescribed a median of 5 pills (37.5 oral morphine equivalent [OME]). Median postoperative opioid consumption was 0 pills, with a mean of 0.6 pills (4.4 OME), and 74% of patients did not consume any opioid medication postoperatively. All patients consumed ≤5 pills (37.5 OME), and no patient required a refill. Patients reported a mean daily NPRS value of 1.9 out of 10 and a mean Likert score of 4.4 out of 5.ConclusionWe found that current opioid prescribing habits exceed the need for postoperative pain management. Overall, all patients consumed ≤5 opioid pills, and 92% of patients discontinued opioids by the second postoperative day. In spite of the low prescription quantity, patients reported high satisfaction rates and low NPRS pain scores and required no refills. Therefore, we recommend that patients undergoing knee arthroscopy are prescribed no more than 5 oxycodone 5-mg pills.Level Of EvidenceII, prospective prognostic cohort investigation.Copyright © 2020 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

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