Povidone-iodine versus chlorhexidine wound wash after total hip replacement
Official title: Comparison of Wound Healing Complications After Anterior Total Hip Arthroplasty Using Povidone-iodine or Chlorhexidine as Antiseptic Wash
Run by University of Pittsburgh · NCT07104084 · Data updated 2026-11-12
We will test whether washing the surgical wound with povidone-iodine or chlorhexidine helps wounds heal better after total hip replacement in people with hip osteoarthritis or avascular necrosis of the femoral head.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 420 (estimated) |
| Sponsor | University of Pittsburgh Academic / other |
| Locations | 2 sites (Monroeville, Pennsylvania and 1 other locations) |
| Status | Recruiting |
| Started | October 9, 2025 |
| Main results expected | September 1, 2027 |
| Study ends | January 1, 2028 |
| Registry record updated | February 5, 2026 |
| Trial ID | NCT07104084 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with hip osteoarthritis or femoral head avascular necrosis who have failed conservative management and are scheduled for a primary total hip replacement, and who do not have an allergy to povidone-iodine or chlorhexidine.
✕Probably not a fit
Patients who are allergic to chlorhexidine or povidone-iodine, who are not undergoing a primary total hip replacement, or who cannot have surgery at the study hospitals are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults scheduled for primary total hip replacement for hip osteoarthritis or avascular necrosis will be randomly assigned to wound irrigation with either povidone-iodine or chlorhexidine at the time of wound closure. All other aspects of the operation and postoperative care will follow standard practice. Incision photographs will be taken at two and six weeks and reviewed using a standardized method, and electronic medical records will be checked for postoperative complications, readmissions, or additional surgeries. Patients with known allergy to either antiseptic are excluded.
Why it matters
Potential benefit: If successful, one antiseptic wash could reduce wound-healing complications, infections, and the need for additional surgery after total hip replacement.
How similar studies have gone: Antiseptic wound irrigation has been studied in various surgical settings with mixed results, and there is no definitive consensus specifically for total hip replacement.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * osteoarthritis or avascular necrosis of the femoral head, failed conservative management, indicated for total hip replacement Exclusion Criteria: * reported or documented allergy to chlorhexidine or povidone-iodine
Where it's running
-
UPMC East
Monroeville, Pennsylvania, United States Recruiting -
UPMC Shadyside
Pittsburgh, Pennsylvania, United States Recruiting
Study contacts
- Principal investigator: Frank J Plate, MD, PhD — University of Pittsburgh
- Study coordinator: Frank J Plate, MD, PhD
- Email: platefj2@upmc.edu
- Phone: (412) 687-3900
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.