![]() ![]() ![]() Body mass index, gender, number of procedures performed did not have a statistical difference in the number of opioids taken. The median number of 5-325 mg hydrocodone-acetaminophen pills consumed was 8.5 for distal metatarsal osteotomies and 10 for first metatarsophalangeal joint procedures. Smokers consumed 2.4 times the number of narcotics compared to nonsmokers (p =. Those patients consumed a median of 36.7% and 39.1% of their prescription for hallux valgus and hallux rigidus procedures respectively. Ninety-five patients were available for opioid consumption data analysis. Of the 185 patients, 14 (7.56%) received a refill. As the number of pills given decreased, so did the number of pills consumed (p =. There were 28 different prescriptions given during the study. The number of opioids consumed was obtained and compared to a number of variables. One hundred eighty-five opioid naive patients were followed after undergoing surgery for hallux valgus or hallux rigidus. The purpose of this study was to develop a guideline for prescribing postoperative pain medication for hallux valgus and rigidus procedures. The opioid epidemic has forced surgeons to analyze how we manage postoperative pain with a goal to prescribe the optimal number of pills that will reduce a patient's pain while limiting the amount that is left over. Prescribing postoperative pain medications is essential to foot and ankle surgery however, prescribing an amount that results in an excess of pills has shown to lead to opioid abuse. ![]()
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