Influence of Antiseptic Washes on Wound Healing Complications After THA

Study Purpose

The purpose of this research trial is to evaluate the effect of two types of washing solutions on wound healing after total hip replacement surgery. Washing solutions are used routinely during total hip replacements to clean the wound after the components have been placed and the wound is about to be closed with sutures. It is currently not known which washing solution may be better for wound healing and whether a certain solution decreases the risk of wound healing complications after total hip replacement. Therefore, this research trial is being conducted. Study participants will be randomized into one of two groups: washing the surgical wound with povidone-iodine solution (Surgiphor, Becton Dickinson, Franklin Lakes, NJ) or chlorhexidine solution (Irrisept, Irrimax Corporation, Lawrenceville, GA). All patients will undergo standard of care total hip replacements without any other change in surgery. The best type of solution that cleans the wound and potentially leads to better wound healing is unknown. This study will evaluate whether there is difference in surgical wound healing between the two washing solutions. The study will pay for the washing solutions. Patients will follow up for standard postoperative visits. At the 2-week and 6-week visits, pictures of the surgical incision will be taken and saved in the electronic medical record and evaluated in a standardized way for healing of the incision and the appearance of the scar. Postoperative complications and returns to the hospital or additional surgeries will be collected from the electronic medical record.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - osteoarthritis or avascular necrosis of the femoral head, failed conservative management, indicated for total hip replacement.

Exclusion Criteria:

- reported or documented allergy to chlorhexidine or povidone-iodine

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT07104084
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

N/A
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

F. Johannes Plate
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Frank J Plate, MD, PhDFrank J Plate, MD, PhDFrank J Plate, MD, PhD
Principal Investigator Affiliation University of PittsburghUniversity of PittsburghUniversity of Pittsburgh
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other, Industry
Overall Status Not yet recruiting
Countries United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Hip Osteoarthritis, Avascular Necrosis of Femur Head
Additional Details

Study participants will be randomized into one of two groups: washing the surgical wound with povidone-iodine solution (Surgiphor, Becton Dickinson, Franklin Lakes, NJ) or chlorhexidine solution (Irrisept, Irrimax Corporation, Lawrenceville, GA). All patients will undergo standard of care total hip replacements without any other change in surgery. The best type of solution that cleans the wound and potentially leads to better wound healing is unknown. This study will evaluate whether there is difference in surgical wound healing between the two washing solutions. Patients will follow up for standard postoperative visits. At the 2-week and 6-week visits, pictures of the surgical incision will be taken and saved in the electronic medical record and evaluated in a standardized way for healing of the incision and the appearance of the scar. Postoperative complications and returns to the hospital or additional surgeries will be collected from the electronic medical record.

Arms & Interventions

Arms

Experimental: Chlorhexidine washing solution

Following component implantation a 3-minute chlorhexidine lavage followed by saline lavage will be performed.

Experimental: Povidone-iodine washing solution

Following component implantation a 3-minute povidone-iodine lavage followed by saline lavage will be performed.

Interventions

Device: - lavage chlorhexidine

Patient will receive a chlorhexidine lavage for 3 minutes following total hip component placement followed by saline lavage.

Device: - lavage povidone-iodine

Patient will receive povidone-iodine lavage for 3 minutes following total hip component placement followed by saline lavage.

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

UPMC East, Monroeville, Pennsylvania

Status

Address

UPMC East

Monroeville, Pennsylvania, 15146

Site Contact

Dana Farrell, BS,PMP

[email protected]

(412) 383-0955

UPMC Shadyside, Pittsburgh, Pennsylvania

Status

Address

UPMC Shadyside

Pittsburgh, Pennsylvania, 15232

Site Contact

Dana Farrell, BS,PMP

[email protected]

(412) 383-0955