Cannabis Use Does Not Affect Outcomes After Total Hip Arthroplasty |
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| Institution: | 1. Colorado Joint Replacement, Denver, Colorado;2. Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland;3. Department of Orthopaedic Surgery, University of North Carolina, Chapel Hill, North Carolina;4. Department of Mechanical and Materials Engineering, University of Denver, Denver, Colorado;5. Department of Orthopaedics, University of Colorado School of Medicine, Denver, Colorado;6. Department of Biomedical Engineering, University of Tennessee, Knoxville, Tennessee;1. OrthoCarolina Hip and Knee Center, Atrium Musculoskeletal Institute, Charlotte, North Carolina;2. Covenant Physician Partners, Nashville, Tennessee;3. Department of Orthopedic Surgery, Stanford University School of Medicine, Palo Alto, California;1. Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, South Korea;2. Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul, South Korea;1. Department of Orthopaedic Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia;2. Department of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland;3. Department of Orthopaedic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania;4. Department of Orthopaedic Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia;1. Orthopaedic + Fracture Specialists, Portland, Oregon;2. Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, Missouri;3. Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Boston, Massachusetts;4. Connecticut Orthopaedics, Hamden, Connecticut;5. Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana;6. Department of Orthopaedic Surgery, Mid-Atlantic Permanente Medical Group, Washington, District of Columbia;7. Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania;1. Maine Medical Center, Portland, Maine;2. OrthoCarolina Hip and Knee Center, Atrium Musculoskeletal Institute, Charlotte, North Carolina;3. Covenant Physician Partners, Nashville, Tennessee |
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| Abstract: | BackgroundCannabis use in patients undergoing arthroplasty has increased with ongoing legalization throughout the United States. The purpose of this study was to report total hip arthroplasty (THA) outcomes in patients self-reporting cannabis use.MethodsThere were 74 patients who underwent primary THA from January 2014 to December 2019 at a single institution with minimum 1-year follow-up who had their self-reported cannabis use retrospectively reviewed. Patients who had a history of alcohol or illicit drug abuse were excluded. A match control was conducted based on age; body mass index; sex; Charlson Comorbidity Index; insurance status; and use of nicotine, narcotics, antidepressants, or benzodiazepines to patients undergoing THA who did not self-report cannabis use. Outcomes included Harris Hip Score (HHS), Hip Disability and Osteoarthritis Outcome Score for Joint Reconstruction (HOOS JR), in hospital morphine milligram equivalents (MMEs) consumed, outpatient MMEs prescribed, in hospital lengths of stay (LOS), postoperative complications, and readmissions.ResultsThere was no difference in the preoperative, postoperative, or change in Harris Hip Score or HOOS JR between cohorts. There was also no difference in hospital MMEs consumed (102.4 versus 101, P = .92), outpatient MMEs prescribed (119 versus 156, P = .11) or lengths of stay (1.4 versus 1.5 days, P = .32). Also, readmissions (4 versus 4, P = 1.0) and reoperations (2 versus 1, P = .56) were not different between groups.ConclusionSelf-reported cannabis use does not influence 1-year outcomes after THA. Further studies are warranted to determine the efficacy and safety of perioperative cannabis use after THA to help guide orthopaedic surgeons in counseling patients. |
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| Keywords: | cannabis total hip arthroplasty opioids patient reported outcomes complications |
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