Use of Silk Fibroin Dressings in Primary Total Hip Arthroplasty

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorThe University of Texas Health Science Center, Houston

About this trial

The purpose of this study is to document the incidence of allergic contact dermatitis (ACD) to silk fibroin and 2-octyl cyanoacrylate mesh dressings, to document the incidence of acute wound dehiscence requiring reoperation after application of silk fibroin and 2-octyl cyanoacrylate mesh dressings, to identify differences in clinic utilization for complications related to silk fibroin and 2-octyl cyanoacrylate mesh dressings and to collect patient reported outcome measures (PROMs) related to patient comfort and satisfaction for silk fibroin and 2-octyl cyanoacrylate mesh dressings after total hip arthroplasty.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

primary total hip arthroplasty performed by Dr. Rodriguez, Dr. Freedhand or Dr. Shahi

Disqualifiers

Prior documented medical adhesive contact allergy.

Negative pressure wound dressings.

Any procedure involving a wound problem at the planned surgical site.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Dermabond PRINEO

    Device

    Participants will have the Dermabond PRINEO wound dressing applied after surgery and will undergo standard postoperative examination that will evaluate and remove the dressing, as well as examine and document a physical examination of the surgical wound. Photos of the surgical wound will be uploaded to the patient's electronic medical record during dressing removal.

  • Silk fibroin

    Device

    Participants will have the Silk fibroin wound dressing applied after surgery and will undergo standard postoperative examination that will evaluate and remove the dressing, as well as examine and document a physical examination of the surgical wound. Photos of the surgical wound will be uploaded to the patient's electronic medical record during dressing removal.

Treatment groups

350 Participants
are divided into 2 treatment groups
Group A: Dermabond PRINEO skin closure systemActive comparator 1 intervention
Group B: Silk fibroin wound dressingExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Number of participants with allergic contact dermatitis (ACD) to dressings as assessed by clinical examination by a blinded observer at dressing removal

ACD includes erythema, with or without weeping or pruritus, in a geometric border at the surgical site with absence of fluctuance or purulence

Time frame
At the time of dressing removal about 10-14 days after surgery
2

Number of participants with acute wound dehiscence resulting in reoperation

Time frame
within 6 weeks of index procedure

Secondary outcomes

1

Clinic utilization as assessed by the the total number of additional patient communications or visits regarding dressings or wound complications.

This will include telephone calls, electronic messages, additional office visits and additional ER visits.

Time frame
6-8 weeks after the operation
2

Patient overall comfort as assessed by question 6 on the Patient Reported Outcomes (PROMs) questionnaire .

This will be measured on a linear scale from 0(very uncomfortable) to 10 (very comfortable), higher number indicating better outcome

Time frame
2-4 weeks after the operation
3

Patient satisfaction with the dressing as assessed by question 7 on the Patient Reported Outcomes (PROMs) questionnaire .

This will be measured on a linear scale from 0(very dissatisfied) to 10 (very satisfied), higher number indicating better outcome

Time frame
2-4 weeks after the operation

Other outcomes

Sponsors and contacts

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