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      Preoperative Opioid Use Is Associated With Higher Revision Rates in Total Joint Arthroplasty: A Systematic Review.

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          Abstract

          Although preoperative opioid use has been associated with poor postoperative patient-reported outcome measures and delayed return to work in patients undergoing total joint arthroplasty, direct surgery-related complications in patients on chronic opioids are still not clear. Thus, we sought to perform a systematic review of the literature to evaluate the influence of preoperative opioid use on postoperative complications and revision following primary total joint arthroplasty.

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          Author and article information

          Journal
          J Arthroplasty
          The Journal of arthroplasty
          Elsevier BV
          1532-8406
          0883-5403
          Nov 2021
          : 36
          : 11
          Affiliations
          [1 ] The Stavros Niarchos Foundation Complex Joint Reconstruction Center, Hospital for Special Surgery, New York, NY; Department of Orthopedics and Traumatology, Clinica Ars Medica, Gravesano, Ticino, Switzerland.
          [2 ] Department of Orthopedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
          [3 ] Department of Orthopedics and Traumatology, Clinica Ars Medica, Gravesano, Ticino, Switzerland; Department of Orthopaedics, IRCCS Istituto Ortopedico Galeazzi, Milano, Italy.
          [4 ] The Stavros Niarchos Foundation Complex Joint Reconstruction Center, Hospital for Special Surgery, New York, NY.
          [5 ] The Stavros Niarchos Foundation Complex Joint Reconstruction Center, Hospital for Special Surgery, New York, NY; Hadassah Medical Center, Jerusalem, Israel.
          Article
          S0883-5403(21)00557-X
          10.1016/j.arth.2021.06.017
          34247870
          b2678c86-5ac1-429a-9def-a31cb6258e4d
          History

          periprosthetic joint infection,preoperative opioid use,systematic analysis,total joint arthroplasty,arthroplasty postoperative complications,opioid misuse

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