[an error occurred while processing this directive] Dr Leo M Rozmaryn Blog
  • Concierge-level care in a sub specialty setting
  • Elbow Arthroscopy
  • Arthritis Management
    (Rheumatoid Arthritis, Osteoarthritis)
  • Wrist Arthroscopy
  • Tendon Transfers
  • Hand Infections
  • Hand, Wrist & Elbow Trauma
  • Microvascular Surgery
  • Sports Injury Managementof the Hand, Wrist and Elbow
  • Performing Arts Medicine
  • Fingertip Injuries

Blog

  • The Epidemic of Narcotic Overuse in Hand and Upper Extremity Patients

    Over the past 20 years there has been an explosive increase in the prescribing and consumption of opioid medications in the US. It is now estimated that Americans despite being only 5% of the world’s population consume 80% of the opioid narcotics produced world-wide. As a consequence, the death rate from the misuse of these drugs has more than doubled since 1999. It is estimated that in any given month 5.1 million Americans used narcotics for non-medical reasons and $42 billion in lost economic productivity nation-wide is linked to its adverse effects.

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  • Are antibiotics needed before or after routine hand surgery?

    Of all post-operative complications, none is of greater concern than infection at the surgical site. While the use of antibiotics preoperatively can lower the post operative infection rate in elective bone and joint surgery, there is no evidence to support their continued use post operatively. It’s only when there is an established contaminated wound, such as with open fracture in a trauma situation, can post-operative antibiotics have a significant role.

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