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Early Versus Delayed Bathing of Orthopaedic Surgical Wounds

Recruiting

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

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion 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)

Exclusion Criteria:

* 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)

About the study

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.

What is being tested

Sponsor: Hospital for Special Surgery, New York · Participants: 56 · Started: Jan 29, 2024

Contact the study team

Official record on ClinicalTrials.gov — NCT06014411

Locations in the U.S.

New YorkNewYork-Presbyterian/Weill Cornell Medical Center, New York

Conditions

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