Oladeji PO, Broggi MS, Spencer C, et al. - Researchers aimed at determining the correlation between preoperative opioid use and outcomes following ankle fracture open reduction and surgical fixation (ORIF). Using the Truven Marketscan claims database, they identified 61,424 patients who underwent ankle fracture surgery from 2009 to 2018 based on CPT codes. Among these patients, preoperative opioids were not provided to 80.9%, while 6.6%, 6.9%, 1.7%, and 3.9% received < 1, 1-< 5, 5-< 10, and ≥ 10 oral morphine equivalents per day over a 6-month time period, respectively. Overall observations suggest that prior to ankle fracture surgery, opioids use is a common scenario. Unfortunately, a higher risk for postoperative complications, ER visits, and readmissions was observed in correlation with preoperative opioid use. Furthermore, higher dose opioid use linked with greater risk. Based on the results, they recommend surgeons to encourage reduced opioid use prior to ankle fracture surgery.