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Knee Surgeon and Specialist Stefan D. Tarlow, M.D.

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Opioids and Total Knee Replacement – Preoperative Use Detrimental

October 9, 2017 By Stefan D. Tarlow MD

Most patients with advanced arthritis of the knee do not use strong pain pills in the year prior to knee replacement surgery.  America has an opioid epidemic with many accidental deaths and social problems linked to use of this class of drug.  Most of this use can be traced to the abuse of doctor prescribed hydrocodone and oxycodone.

A report published in the Journal of Bone and Joint Surgery calls to our attention an orthopedic concern in people using opioids in the 2 year period prior to Total Knee Replacement surgery. Specifically, the chronic opioid group obtain less pain relief from the joint replacement surgery.  This group of patients had lower satisfaction scores and a greater number of patients in the opioid group had additional knee surgeries for pain and stiffness.

In summary, patients that are on opioids for an extended period of time prior to their joint replacement are at a greater likelihood of having a surgical failure.

Filed Under: Total Knee Replacement, Joint Replacement Surgery, knee osteoarthritis Tagged With: hydrocodone, opioids, oxycodone, total knee replacement

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Scottsdale Knee Specialist & Surgeon – Stefan D. Tarlow M.D

Stefan D. Tarlow, MD, is Arizona’s premier “knees only” orthopedic surgeon.

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Total Knee Replacement: Causes, What To Expect, and Recovery

The Knee MD of Phoenix

TSA- Checkpoint and Knee Replacement

Evidence Based Treatments for Knee Osteoarthritis

Knee Osteoarthritis Treatment Ranked for Pain and Function

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  • ABOUT
    ▼
    • About Dr. Tarlow
    • About the Practice
    • Health Plans
    • Medicare & Self-Pay
  • SURGICAL TREATMENTS
    ▼
    • Robotic Mako Total Knee Replacement
    • Makoplasty Robotic Partial Knee Surgery
    • Robotic Cementless (Press Fit) Total Knee Replacement
    • ACL Reconstruction
    • Knee Arthroscopy
    • In-Office Platelet Rich Plasma (PRP) Knee Injection
    • Knee Cartilage Repair Restoration Surgery
    • Subchondroplasty
    • Knee Arthritis Treatment Options
    • Patello Femoral (Knee Cap) Replacement Surgery
    • My Knee Cap Hurts
    • Hyalofast Cartilage Restoration Surgery
  • SPORTS INJURIES
    ▼
    • Basketball Knee Injuries
    • Skiing Knee Injuries
    • Soccer Knee Injuries
    • Volleyball Knee Injuries
  • CONTACT
  • LOCATIONS
  • Articles