About this trial
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.
Eligibility criteria
Qualifiers
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
Disqualifiers
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
Trial design
Treatments tested in this trial
- Time to bathing (delayed)
- Time to bathing (early)
Treatment groups
Sponsors and collaborators
Hospital for Special Surgery, New York
Lead sponsor
New York Presbyterian Hospital
Collaborator