Tibial Or Pilon Fractures

A Study Says More Than Three Fourth Of Patients With Tibial Or Pilon Fractures Do Not Need Narcotic Drugs For Pain Control


A group of scientists has said that more than three fourth of patients who have gone through high energy articular fractures do not need Schedule II narcotics after getting multimodal analgesia. Experts have said that they usually need such narcotics drugs either at the time of discharge or in the immediate postoperative period. The study has revealed that there has been no difference in the pain scores and amount of pain linked to emergency room visits among the patients, who have received Schedule II narcotics post-surgery and those who have not. The author of the study Benjamin R. Childs has said that many physicians have found that their inpatients have been doing well post-surgery without narcotics. These health professionals have stopped prescribing narcotics to their outpatients as well.

Some health professionals have been stunned to see such findings as these fractures are quite painful. Healthcare providers have been giving Schedule II narcotics to such patients to ease out the pain. Childs and his teammates have looked at the data of patients who have been diagnosed with tibial plateau fractures from October 2016 to October 2018. The data have included those patients in the age range of 18 to 95 years, who have gone through a surgical treatment. The multimodal pain regimen of the patients has included acetaminophen, tramadol, gabapentin, and non-steroidal anti-inflammatory drugs at the time of discharge. If the pain has been under control, patients have been given Schedule II narcotics.

The new study has included 133 patients. Experts have studied nearly 144 surgical fractures, which has included 57 pilon fractures and 86 tibial plateau fractures. Nearly 15 patients have been given Schedule II narcotics after discharge. Around 118 patients have been given multimodal non-narcotics regime. Nearly 8 patients out of those, who have been given multimodal regime have required Schedule II narcotic drugs. This requirement has come up three months after discharge. Experts have said this is not surprising as opioid use has been quite frequent among people with multiple injuries for pain control. Earlier, experts have thought that half of the patients will need narcotic drugs and half of them will be fine with a normal pain control regime. However, almost nobody has required narcotics to control their pain during the study. No patient has visited the emergency room for pain control issues. The long-term pain control as well has shown great results.

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