Post-Op Pain Control for Prophylactic Intramedullary Nailing.

IV Ketorolac to be given over the course of the first 24 hours after surgery. See arm/group description for further details.

An IV normal saline placebo prepared by the hospital pharmacy.

acetaminophen 500 mg PO Q4 hours PRN for mild pain

oxycodone-acetaminophen 5-325 mg PO Q4 hours PRN for moderate to severe pain

morphine IV PRN (or other opioid) for severe breakthrough pain

At discharge, patients will be prescribed 1-2 hydrocodone-acetaminophen 5-325 mg Q4 hours. Those with preexisting liver disease will be prescribed the equivalent in oxycodone.

Upon discharge, patients will be prescribed the equivalent of 1-2 hydrocodone 5mg Q4 hours upon should they have preexisting liver disease and are unable to consume acetaminophen.