Surgical Wound Clinical Trial
— EVDBOfficial title:
Early Versus Delayed Bathing of Orthopaedic Surgical Wounds: a Prospective Randomized Controlled Study
This is a single center randomized control trial assessing the effect of early versus delayed bathing on orthopaedic surgical wounds in patients undergoing surgical treatment of fractures. Patients will be recruited by screening all patients undergoing surgical treatment for fractures at our institution. Patients who provide written consent will be randomized to one of two treatment arms after confirming eligibility criteria. Group A will be advised to begin early normal bathing (non-submerged showering) with uncovered surgical wounds. Group B will be advised to follow traditional delayed bathing with covered wounds. Those who do not wish to participate in the randomized trial will be invited to participate observationally (no randomization) and have the same prospective follow-up.
Status | Recruiting |
Enrollment | 56 |
Est. completion date | February 2025 |
Est. primary completion date | December 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Patients over 18 years of age - Patient who are not pregnant - Isolated acute fractures of the upper or lower extremities (humerus, radius, ulna, femur, tibia, or fibula) - Diagnosis of a fracture meeting indication for operative intervention - Any fracture not requiring a splint for post-operative management - Non-complicated wounds (non-traumatic wounds, closed injuries, fractures not requiring external fixation, and acute fracture surgery) Exclusion Criteria: - Fractures associated with presumed infection - Patients with multiple fractures - Fractures in patients with underlying associated immune compromise - Fractures in patients with underlying peripheral vascular disease - Use of VAC - Surgery performed through previous surgical wound - Patient homeless - Fractures in patients with underlying diabetes mellitus - Complicated wounds (traumatic wounds, need for post-op wound care, open injuries, need for external fixation) |
Country | Name | City | State |
---|---|---|---|
United States | NewYork-Presbyterian/Weill Cornell Medical Center | New York | New York |
Lead Sponsor | Collaborator |
---|---|
Hospital for Special Surgery, New York | New York Presbyterian Hospital |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Patient satisfaction associated with early and delayed surgical site bathing | The primary endpoint of the study will be a statistically significant difference in patient satisfaction as measured using a Likert Scale between the two groups. Scale will be on scale 0-10. A score of 10 will be "Very Satisfied" and a score of 0 will be "Very Dissatisfied." | Weeks 2, 6 and 12 post surgery | |
Secondary | Infection rate of orthopaedic surgical wounds between early and delayed bathing | The secondary endpoint in this study will be a statistically significant or clinically important difference in infection rate of orthopaedic surgical wounds between the early and delayed bathing groups | Weeks 12 post surgery |
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