Study tests if safer painkillers can replace opioids for Kids' broken elbows
NCT ID NCT06187584
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether nonopioid pain relievers (acetaminophen and ibuprofen) work as well as opioids (hydrocodone/acetaminophen) for children after surgery for a severe elbow fracture. 137 children aged 4 to 10 were randomly assigned to one of the two pain regimens. Their pain levels were tracked for five days after surgery, and parents rated their satisfaction with pain control. The goal is to find a safer, effective standard for managing pain after this common childhood injury.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Hydrocodone/acetaminophen, acetaminophen, ibuprofen
- What this could lead to
- If successful, this could show that nonopioid pain relievers work just as well as opioids for children after this type of elbow surgery, reducing the need for stronger, riskier medications.
- What could go wrong
- This is a single completed study with 137 children, so results may not apply to all patients or fracture types. Pain is subjective, and individual responses vary.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
137 people
The number who actually took part.
- Started
-
Apr 2019
- Finished
-
Dec 2023
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
5 to 9 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients presenting to Children's Mercy Hospital * Patients 48-119 months of age * Closed and completely displaced Gartland type III SCHFs (ICD-10 codes: S42.411A, S42.412A and S42.413A) Exclusion Criteria: * Patients younger than 48 months of age or older than 120 months of age * Nondisplaced SCHFs (ICD-10): S42.414-, S42.415- and S42.416-) * Open and completely displaced Gartland type III SCHFs (ICD-10: S42.411B, S42.412B and S42.413B) * Injury requiring open reduction and/or vascular injury requiring treatment * Patients presenting with additional injuries * Patients with known allergy to medications used in this study * Patients receiving regular treatment with opioids or NSAIDs * Patients with underlying medical issues affecting cognitive status * Patients with hepatic, gastrointestinal, renal or hematologic disease/disorders * Children that are wards of the state, prisoners or of CM employees * Non-English speaking families * Patients not admitted before and after surgery * Fractures not surgically treated within 18 hours of injury * Use of local anesthetic at surgical site
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Children's Mercy Hospital & Clinics
Kansas City, Missouri, 64108, United States
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