Table 5

PICO 2 – summary of all outcomes

AuthorOutcome definitionGroupsNMale, n (%)Age, year, mean (SD)OutcomeStudy conclusions
Non-union
 McDonald14Clinical healing (walking) and radiographic healing (blinded review)Ketorolac
No ketorolac
64
64
23 (36)
30 (57)
48 (15)
46 (17)
0 (0)
0 (0)
Ketorolac reduced post-op pain and OMEs but unclear effect on healing due to study power.
Morphine equivalents
 McDonald14OME at 7 daysKetorolac
No ketorolac
64
64
23 (36)
30 (57)
48 (15)
46 (17)
105 (89)
145 (104)
Decreased use of opioid medications.
 Xu7OME at 48 hoursKetorolac
No ketrolac
31
32
16(51)
17 (53)
50 (11)
49 (12)
130 (48 hours)
194 (48 hours)
Significantly less opioid use in ketorolac group.
Pain
 Xu7Pain (VAS) at 48 hoursKetorolac
No ketorolac
31
32
16(51)
17 (53)
50 (11)
49 (12)
2 (48 hours)
2 (48 hours)
No difference in pain control between ketorolac and no ketorolac groups.
 McDonald14Pain on each postoperative dayKetorolac
No ketorolac
64
64
23 (36)
30 (57)
48 (15)
46 (17)
30 (7 days)
30 (7 days)
Ketorolac reduced pain in first 3 days postoperatively.
 Eftekharian8Pain (VAS) at 4 hoursKetorolac
Placebo
25
25
15 (60)
15 (60)
30 (8)
26 (8)
1 (4 hours)
1 (hours)
Single dose ketorolac was effective in the management of mild to moderate acute postoperative pain.
  • MME, morphine milligram equivalents; OME, oral morphine equivalent; VAS, visual analog scale.