Effects of a Surgical Site Injection on Pain Scores and Narcotic Use After Orthopaedic Trauma Surgery

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    NYU Langone Health
Updated on 26 January 2021


This is a phase I, randomized, single-blind, placebo-controlled, single-center study of the effects of surgical site injection on pain and narcotic utilization in participants who undergo surgery for lower extremity fractures. 200 participants with lower extremity fractures who are admitted for operative fixation will be included in the study. Participants will be randomized to receive either a pain cocktail injection around the fracture site and surrounding tissues or control (no injection). An analysis of pain scores, rehabilitation progress, length of stay, narcotic utilization, and satisfaction scores will be performed.

Condition Pertrochanteric Fracture
Treatment General Anesthetics, Marcaine, Duramorph , ketorolac, Bupivacaine (Marcaine)
Clinical Study IdentifierNCT03693404
SponsorNYU Langone Health
Last Modified on26 January 2021


Yes No Not Sure

Inclusion Criteria

Lower extremity fracture including femoral neck, intertrochanteric, sub-trochanteric, and femoral shaft fracture

Exclusion Criteria

Pregnant women
Treatment with Arthroplasty
Patients who receive a peripheral nerve block
Patients who receive intra-op or post-op ketamine
Patients with concomitant TBI or MR
Polytrauma patients
Pathologic Fractures
Patients who live greater than 10 miles from NYU or who will not be followed by an NYU provider
Patients with a contraindication to any of the medications on the study list due to other medical problems such as renal or liver disease or due to allergy/intolerance
Patients with prior extremity weakness resulting from stroke or other neurological condition
Prior or current history of narcotic use
Patients with advanced dementia
NYUMC Students, Residents, Faculty
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