Early Versus Delayed Bathing of Orthopaedic Surgical Wounds

Description

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.

Conditions

Surgical Wound, Post Operative Wound Infection

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Study Overview

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Study Details

Study overview

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.

Early Versus Delayed Bathing of Orthopaedic Surgical Wounds: a Prospective Randomized Controlled Study

Early Versus Delayed Bathing of Orthopaedic Surgical Wounds

Condition
Surgical Wound
Intervention / Treatment

-

Contacts and Locations

New York

NewYork-Presbyterian/Weill Cornell Medical Center, New York, New York, United States, 10065

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility 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)
  • * 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)

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Hospital for Special Surgery, New York,

William M Ricci, MD, PRINCIPAL_INVESTIGATOR, Hospital for Special Surgery, New York

Study Record Dates

2025-02