Expanded multimodal protocols can significantly reduce opioid use post-total hip replacement, study finds

A study led by Andrew Wickline, MD, of New Hartford, N.Y.-based Genesee Orthopedics recently explored whether an expanded 90-day multimodal protocol after total hip replacement could significantly reduce or lead to opioid-free recovery, with minimal physical therapy.

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The study evaluated 207 patients who had a total hip replacement from the direct anterior approach and recorded opioid consumption at preoperative, postoperative, three-week and six-week slots.

At the six-week follow-up, 79 patients required no opioids, 75 used 1-5 pills, 47 used 6-10 pills and 6 used more than 10 pills.

Overall, 97 percent of patients required 10 pills or less and the average number of opioids was 3.5 pills per patient. Ninety-five percent of patients required no formal physical therapy at six weeks.

Click here to read more details on the study.

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