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Prophylactic Antibiotic Coated Nail to Prevent Infection: A Clinical Trial

RecruitingPhase 4

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

* Patients 18 years or older
* Gustilo Type II or III open tibia fracture requiring definitive fixation with intramedullary nail

Exclusion Criteria:

* Less than 18 years of age
* Allergy to vancomycin or gentamicin
* Unable to speak English or Spanish
* Pregnant and lactating women
* Prisoner
* Unable to follow up for 12 months

About the study

This prospective randomized clinical trial will compare outcomes between patients treated primarily with a prophylactic antibiotic coated nail and those treated with traditional standard of care intramedullary (IM) nailing.

What is being tested

Sponsor: Wake Forest University Health Sciences · Participants: 242 · Started: May 15, 2023

Contact the study team

Official record on ClinicalTrials.gov — NCT05421741

Locations in the U.S.

FloridaUniversity of Florida Gainesville, Gainesville
Florida Orthopaedic Institute, Temple Terrace
GeorgiaAtrium Health Navicent, Macon
IllinoisThe University of Chicago, Chicago
KentuckyUniversity of Kentucky, Lexington
North CarolinaUniversity of North Carolina Chapel Hill, Chapel Hill
Atrium Health Carolinas Medical Center, Charlotte
Atrium Health Cabarrus, Concord
Atrium Health Wake Forest Baptist, Winston-Salem
PennsylvaniaPenn State Milton S. Hershey Medical Center, Hershey
TennesseeVanderbilt University Medical Center, Nashville
TexasUniversity of Texas Houston, Houston
San Antonio Military Medical Center, San Antonio
VirginiaCarilion Clinic, Roanoke (Not yet recruiting)
Valley Health System, Winchester

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.