Interventional Study Exploring the Occurrence of Surgical Site Infections.

NCT ID: NCT06661473

Last Updated: 2025-12-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

105 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-03

Study Completion Date

2026-01-31

Brief Summary

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Interventional study exploring surgical site complication occurrences in high-risk revision patients undergoing TKA or THA using NPWT.

Detailed Description

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Conditions

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Total Knee Arthroplasty Total Hip Arthroplasty Revision Total Knee Arthroplasty Revision

Keywords

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high risk TKA revision high risk THA revision NPWT

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Avance Solo ciNPT

Group Type OTHER

Avance Solo Negative Pressure Wound Therapy

Intervention Type DEVICE

Avance Solo NPWT 7-14 days after high-risk revision TKA or THA.

Interventions

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Avance Solo Negative Pressure Wound Therapy

Avance Solo NPWT 7-14 days after high-risk revision TKA or THA.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Written informed consent
2. Patient ≥ 18 years
3. Elective unilateral revision THA or TKA.
4. High risk patients for surgical wound complications as deemed by investigators
5. Primary closure technique by suture or staples
6. Linear or curvilinear incisions ≤ 25 cm in length
7. The patient able to understand the study and is willing to consent to the clinical investigation
8. Patients able to understand how to operate with the negative pressure system at home

Exclusion Criteria

1. The need for emergency surgery
2. Multiple Incision Approach at the time of surgery (alternative approach from primary surgery using 1 incision is permitted)
3. Patients requiring bilateral revision total hip or knee arthroplasty surgery
4. Active infections of the offending joint.
5. History of multiple infections in the offending joint
6. Patients with known allergies to product components (silicone adhesives and polyurethane films (direct contact with wound), acrylic adhesives (direct contact with skin), polyethylene fabrics and superabsorbent powders (polyacrylates) (within the dressing)
7. Subjects with contraindications (as per the Avance Solo Instructions for use)
8. Pregnant, breastfeeding females, or females of childbearing potential not willing to use contraception for the duration of the investigation
9. Patients with presence of remote skin infection or active systemic infection at the time of revision surgery.
10. Patient with incisions \> 25cm in length or type of incisions that cannot be sufficiently covered by Avance Solo Border dressing (i.e., the wound pad does not overlap the edges of the incision by at least 1.5 cm as per the IFU)
11. Use of surgical glue as part of incisional closure method
12. Patients who in the opinion of the investigator may not complete or comply with follow up treatment for any reason
13. Patients participating in ongoing clinical investigations, or during the past 30 days, that may impact the outcome of this investigation based on the judgement of the investigator.
14. Any clinically significant condition that, in the investigator's opinion, would significantly impair the subject's ability to comply with the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Molnlycke Health Care AB

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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MedStar Health

Washington D.C., District of Columbia, United States

Site Status

Ortho Indy

Indianapolis, Indiana, United States

Site Status

Life Bridge Health- Sinai Hospital

Baltimore, Maryland, United States

Site Status

Twin Cities Orthopedics

Minneapolis, Minnesota, United States

Site Status

St. Louis University

St Louis, Missouri, United States

Site Status

Northwell

Garden City, New York, United States

Site Status

Bon Secours Mercy Health

Youngstown, Ohio, United States

Site Status

Spokane Joint Replacement Center

Spokane, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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Asolo SSC

Identifier Type: -

Identifier Source: org_study_id