Interventional Study Exploring the Occurrence of Surgical Site Infections.
An Interventional Study to Explore the Occurrence of Surgical Site Complications in High-risk Patients After Revision of Total Hip or Knee Joint Arthroplasty Receiving Closed Incision Negative Pressure Wound Therapy.
1 other identifier
interventional
104
1 country
8
Brief Summary
Interventional study exploring surgical site complication occurrences in high-risk revision patients undergoing TKA or THA using NPWT.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Oct 2024
8 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 3, 2024
CompletedFirst Submitted
Initial submission to the registry
October 23, 2024
CompletedFirst Posted
Study publicly available on registry
October 28, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 23, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 23, 2025
CompletedMarch 31, 2026
December 1, 2025
1.2 years
October 23, 2024
March 30, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Incidence of surgical site infections
90 days from revision surgery
Study Arms (1)
Avance Solo ciNPT
OTHERInterventions
Avance Solo NPWT 7-14 days after high-risk revision TKA or THA.
Eligibility Criteria
You may qualify if:
- Written informed consent
- Patient ≥ 18 years
- Elective unilateral revision THA or TKA.
- High risk patients for surgical wound complications as deemed by investigators
- Primary closure technique by suture or staples
- Linear or curvilinear incisions ≤ 25 cm in length
- The patient able to understand the study and is willing to consent to the clinical investigation
- Patients able to understand how to operate with the negative pressure system at home
You may not qualify if:
- The need for emergency surgery
- Multiple Incision Approach at the time of surgery (alternative approach from primary surgery using 1 incision is permitted)
- Patients requiring bilateral revision total hip or knee arthroplasty surgery
- Active infections of the offending joint.
- History of multiple infections in the offending joint
- 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)
- Subjects with contraindications (as per the Avance Solo Instructions for use)
- Pregnant, breastfeeding females, or females of childbearing potential not willing to use contraception for the duration of the investigation
- Patients with presence of remote skin infection or active systemic infection at the time of revision surgery.
- 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)
- Use of surgical glue as part of incisional closure method
- Patients who in the opinion of the investigator may not complete or comply with follow up treatment for any reason
- 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.
- Any clinically significant condition that, in the investigator's opinion, would significantly impair the subject's ability to comply with the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (8)
MedStar Health
Washington D.C., District of Columbia, 20001, United States
Ortho Indy
Indianapolis, Indiana, 46077, United States
Life Bridge Health- Sinai Hospital
Baltimore, Maryland, 21215, United States
Twin Cities Orthopedics
Minneapolis, Minnesota, 55435, United States
St. Louis University
St Louis, Missouri, 63110, United States
Northwell
Garden City, New York, 11040, United States
Bon Secours Mercy Health
Youngstown, Ohio, 45103, United States
Spokane Joint Replacement Center
Spokane, Washington, 99218, United States
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 23, 2024
First Posted
October 28, 2024
Study Start
October 3, 2024
Primary Completion
December 23, 2025
Study Completion
December 23, 2025
Last Updated
March 31, 2026
Record last verified: 2025-12
Data Sharing
- IPD Sharing
- Will not share