RecruitingPhase 4NCT05421741

Prophylactic Antibiotic Coated Nail to Prevent Infection: A Clinical Trial


Sponsor

Wake Forest University Health Sciences

Enrollment

484 participants

Start Date

May 15, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

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.


Eligibility

Min Age: 18 Years

Inclusion Criteria2

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

Exclusion Criteria6

  • 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

Interventions

OTHERStandard Intramedullary Nail

Standard Intramedullary Nail

DRUGAntibiotic coated intramedullary Nail

Antibiotic coated intramedullary nail: A mixture of 40gm bag of acrylic cement, antibiotic powder (Vancomycin 2gm) and 560mg gentamicin liquid. The intramedullary is coated with the mixture using a cement gun tube.


Locations(14)

University of Florida Gainesville

Gainesville, Florida, United States

Florida Orthopaedic Institute

Temple Terrace, Florida, United States

Atrium Health Navicent

Macon, Georgia, United States

University of Kentucky

Lexington, Kentucky, United States

University of North Carolina Chapel Hill

Chapel Hill, North Carolina, United States

Atrium Health Carolinas Medical Center

Charlotte, North Carolina, United States

Atrium Health Cabarrus

Concord, North Carolina, United States

Atrium Health Wake Forest Baptist

Winston-Salem, North Carolina, United States

Penn State Milton S. Hershey Medical Center

Hershey, Pennsylvania, United States

Vanderbilt University Medical Center

Nashville, Tennessee, United States

University of Texas Houston

Houston, Texas, United States

San Antonio Military Medical Center

San Antonio, Texas, United States

Carilion Clinic

Roanoke, Virginia, United States

Valley Health System

Winchester, Virginia, United States

View Full Details on ClinicalTrials.gov

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NCT05421741