Retrospective Study
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Mar 18, 2019; 10(3): 137-144
Published online Mar 18, 2019. doi: 10.5312/wjo.v10.i3.137
Comparison of implant related complications amongst patients with opioid use disorder and non-users following total knee arthroplasty
Rushabh M Vakharia, Karim G Sabeh, Ajit M Vakharia, Dhanur M Damodar, Tsun Yee Law, Martin W Roche
Rushabh M Vakharia, Tsun Yee Law, Martin W Roche, Department of Orthopedic Surgery, Holy Cross Orthopedic Institute, Fort Lauderdale, FL 33334, United States
Karim G Sabeh, Department of Orthopedic Surgery, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, United States
Ajit M Vakharia, Department of Medicine, Morehouse School of Medicine, Atlanta, GA 30310, United States
Dhanur M Damodar, Department of Orthopedic Surgery, University of Miami Hospital, Miami, FL 33135, United States
Author contributions: Vakharia RM, Sabeh KG, Vakharia AM, Damodar D, Law TY and Roche WM contributed significantly towards project design, analysis, and manuscript writing and editing.
Institutional review board statement: This study has been determined exempt from Institutional Review Board (IRB) review by the Holy Cross Hospital Research Office.
Informed consent statement: As this study utilizes publicly available data from a nationwide database, informed consent was not obtained from individual subjects included in the study. Study data contained no patient identifiers and cannot be linked to an individual patient.
Conflict-of-interest statement: No potential conflicts of interest relevant to this article were reported.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Rushabh M Vakharia, MD, Research Fellow, Department of Orthopedic Surgery, Holy Cross Orthopedic Institute, 5597 North Dixie Highway, Fort Lauderdale, FL33308, United States. rush.vakharia@gmail.com
Telephone: +1-954-4894579 Fax: +1-954-2298698
Received: August 16, 2018
Peer-review started: August 17, 2018
First decision: October 4, 2018
Revised: December 13, 2018
Accepted: January 9, 2019
Article in press: January 9, 2019
Published online: March 18, 2019
Core Tip

Core tip: A retrospective analysis of the Medicare database demonstrated that patients with opioid dependence or abuse diagnosis had higher rates of implant related complications, 90-d readmission rates, and cost of care in patients undergoing primary total knee arthroplasty.