Ankle Fractures, Trauma Injury
Conditions
Brief summary
The use of Toradol for pain control in surgical orthopedic cases is currently a topic of interest within the field. The proposed study is a prospective randomized study evaluating postoperative pain, opioid requirement, complication/reoperation rates and nonunion rates in patients undergoing surgical treatment for isolated lateral malleolar fibula fractures. Patients will be randomized to either the Treatment Group (Toradol) or the Control Group (Non-Toradol). Both Toradol and non-Toradol drug regimens are currently prescribed by the Foot and Ankle Team at the Rothman Institute and this study will serve as a valuable comparison.
Interventions
the investigators aimed to evaluate the effect of postoperative ketorolac after ankle fracture surgery on postoperative opioid consumption, pain control, an patient satisfaction.
standard of care post operative pain management protocol
Sponsors
Study design
Eligibility
Inclusion criteria
* patients over age of 18 undergoing outpatient open reduction and internal fixation (ORIF) by a fellowship-trained foot and ankle orthopaedic surgeon for isolated lateral malleolar, bimalleolar, or trimalleolar ankle fractures.
Exclusion criteria
* open fracture * allergies to one or more of the study medications * existing use of narcotics * renal insufficiency as defined by history and preoperative creatinine level * pregnancy * hospital admittance
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual analog score for pain | Days 1-7 post-op | To evaluate the pain VAS scores of all patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Opioid pill intake | Days 1-7 post-op | opioid requirement |
| Radiographic healing | 12-33 weeks | Ankle fracture healing post op via radiographs |