Early Versus Delayed Bathing of Orthopaedic Surgical Wounds

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorHospital for Special Surgery, New York

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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

Disqualifiers

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

Trial design

Design model

Parallel

Treatments tested in this trial

  • Time to bathing (delayed)

    Other intervention

    Delayed bathing-- patients will be told to begin showering after wound exam and suture removal (10-20 day postoperative).

  • Time to bathing (early)

    Other intervention

    Early bathing--Patients will be told to remove dressings and begin showering with body soap on postoperative day 3.

Treatment groups

56 Participants
are divided into 2 treatment groups
Group A: Delayed BathingActive comparator 1 intervention
Group B: Early BathingActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

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."

Time frame
Weeks 2, 6 and 12 post surgery

Secondary outcomes

1

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

Time frame
Weeks 12 post surgery

Other outcomes

Sponsors and contacts

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Hospital for Special Surgery, New York

Lead sponsor

New York Presbyterian Hospital

Collaborator