Brief Description:  Early ambulation and multi-modal analgesia are two interventions that enhance recovery and decrease hospital length of stay after surgery.  Minimize opioid use through multi-modal analgesia and patient education. Optimize perioperative hydration and nutrition. Maximize early post- operative ambulation. 

Conditions. Pelvic/acetabular fractures (specific cases pending not polytrauma), Hip fractures, Femoral shaft fractures, Distal femur fractures,  Tibial plateau fractures,  Tibial shaft fractures. Inclusion criteria: > 18 years old.