2021
State Medical Cannabis Laws Associated With Reduction in Opioid Prescriptions by Orthopaedic Surgeons in Medicare Part D Cohort.
Lopez C, Boddapati V, Jobin C, Hickernell T. State Medical Cannabis Laws Associated With Reduction in Opioid Prescriptions by Orthopaedic Surgeons in Medicare Part D Cohort. Journal Of The American Academy Of Orthopaedic Surgeons 2021, 29: e188-e197. PMID: 32404683, DOI: 10.5435/jaaos-d-19-00767.Peer-Reviewed Original ResearchConceptsMedical cannabis lawsMedicare Part D patientsState medical cannabis lawsTotal daily dosesDaily dosesOpioid medicationsOpioid prescriptionsOrthopaedic surgeonsOpioid prescribingD patientsSignificant reductionPopulation-based ecological studyTotal opioid prescriptionsCannabis lawsAnalgesic optionsAnalgesic alternativeOpioid useHigh prescribersOrthopedic patientsPatient cohortD cohortSignificant associationPatient accessMedicationsOpioids
2018
Should Cannabinoids Be Added to Multimodal Pain Regimens After Total Hip and Knee Arthroplasty?
Hickernell T, Lakra A, Berg A, Cooper H, Geller J, Shah R. Should Cannabinoids Be Added to Multimodal Pain Regimens After Total Hip and Knee Arthroplasty? The Journal Of Arthroplasty 2018, 33: 3637-3641. PMID: 30170713, DOI: 10.1016/j.arth.2018.07.027.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAnalgesics, OpioidArthroplasty, Replacement, HipArthroplasty, Replacement, KneeCannabinoid Receptor AgonistsCannabinoidsClinical ProtocolsCohort StudiesDronabinolFemaleHumansLength of StayMaleMiddle AgedMorphinePain ManagementPain MeasurementPain, PostoperativePatient SatisfactionPhysical Therapy ModalitiesRetrospective StudiesConceptsLength of stayNausea/vomitingMorphine equivalentsTotal joint arthroplastyDronabinol groupTJA patientsPhysical therapyVisual analog scale pain scoreVisual analog scale scoreMultimodal pain regimenOpioid morphine equivalentsPost-arthroplasty patientsPrimary TJA patientsTotal morphine equivalentsScale pain scoresAnalog scale scoreBody mass indexEffects of dronabinolMann-Whitney U testT-testStudent's t-testAnesthesiologists (ASA) scoreMultimodal painPain regimenPain scoresRisk factors for conversion surgery to total hip arthroplasty of a hemiarthroplasty performed for a femoral neck fracture
Grosso M, Danoff J, Thacher R, Murtaugh T, Hickernell T, Shah R, Macaulay W. Risk factors for conversion surgery to total hip arthroplasty of a hemiarthroplasty performed for a femoral neck fracture. Hip International 2018, 28: 168-172. PMID: 29890908, DOI: 10.1177/1120700018768654.Peer-Reviewed Original ResearchConceptsFemoral neck fracturesLeg length discrepancyConversion surgeryAbsence of dementiaNeck fracturesRisk factorsIndex surgeryHip arthroplastyYounger ageHigher body mass indexContralateral femoral headConversion of hemiarthroplastyBody mass indexMultivariate logistic regressionCase-control studyTotal hip arthroplastyRisk of conversionFemoral head sizeHead sizeControl patientsPatient characteristicsMass indexLength discrepancyUnivariate analysisIntraoperative considerations