The Variable Effects of NSAIDs on Osteotomy Healing and Opioid Consumption

Abstract

Background:In an effort to fight the opioid epidemic, an NSAID pain protocol was created for osteotomy patients. The study asked if NSAIDs negatively affect bone healing or reduce the need for opioids.Methods:This was a retrospective review of 155 limbs that underwent osteotomy of a long bone with fixation. Patients received an NSAID-free protocol or an NSAID protocol. Time to union and bone healing index were recorded.Results:There was not a significant difference in the time to union (P = 0.89) or bone healing index (P = 0.07). In the deformity correction group, the total milligrams of morphine equivalents prescribed after discharge was significantly less in patients receiving NSAIDs (P < 0.001).Conclusions:The use of NSAIDs after osteotomy surgery did not negatively affect bone healing and resulted in a dramatic decrease in narcotic consumption for deformity correction patients.Level of Evidence:Level III retrospective cohort study