| Unique ID issued by UMIN | UMIN000044726 |
|---|---|
| Receipt number | R000051015 |
| Scientific Title | Effect of disinfectants on suture contamination in arthroscopic rotator cuff repair: a randomized controlled study |
| Date of disclosure of the study information | 2021/07/01 |
| Last modified on | 2026/01/10 16:48:09 |
Effect of disinfectants on suture contamination in arthroscopic rotator cuff repair: a randomized controlled study
Effect of disinfectants on suture contamination in arthroscopic rotator cuff repair: a randomized controlled study
Effect of disinfectants on suture contamination in arthroscopic rotator cuff repair: a randomized controlled study
Effect of disinfectants on suture contamination in arthroscopic rotator cuff repair: a randomized controlled study
| Japan |
rotator cuff tear
| Orthopedics |
Others
NO
The purpose of the study is to verify the effectiveness of disinfectants by randomly assigning them and examining the bacteria on sutures for rotator cuff repair.
Efficacy
Positive rate of Cutibacterium acnes by culture of sutures
postoperative surgical site infection
Interventional
Parallel
Randomized
Individual
Double blind -all involved are blinded
Active
YES
YES
3
Prevention
| Medicine |
Disinfect the surgical site with povidone-iodine before surgery
Disinfect the surgical site with alcohol-containing povidone-iodine before surgery
Disinfect the surgical site with olanexidine before surgery
| Not applicable |
| Not applicable |
Male
Patients undergoing arthroscopic rotator cuff repair for primary repairable rotator cuff tears
Patients with allergies to alcohol, povidone iodine, and olanexidine
200
| 1st name | Hideki |
| Middle name | |
| Last name | Kamijo |
Funabashi Orthopaedic Hospital
Sports Medicine & Joint Center
274-0822
1-833 Hasama Funabashi, Chiba
047-425-5585
hideki_kamijou@yahoo.co.jp
| 1st name | Hideki |
| Middle name | |
| Last name | Kamijo |
Funabashi Orthopaedic Hospital
Sports Medicine & Joint Center
274-0822
1-833 Hasama Funabashi, Chiba
047-425-5585
hideki_kamijou@yahoo.co.jp
Funabashi Orthopaedic Hospital
Funabashi Orthopaedic Hospital
Self funding
Funabashi Orthopaedic Hospital
1-833 Hasama Funabashi, Chiba
047-425-5585
rinri@fff.or.jp
NO
| 2021 | Year | 07 | Month | 01 | Day |
https://search.jamas.or.jp/search/do/detail/sidx/13/sid/1
Partially published
https://search.jamas.or.jp/search/do/detail/sidx/13/sid/1
150
Cutibacterium acnes was detected in 92 of 150 shoulders. There were no significant differences in C acnes positivity among groups. Overall bacterial contamination was higher in the olanexidine group. Shorter surgical time and suture exposure time were associated with lower culture positivity. No association was observed between bacterial contamination and rotator cuff retear at 1 year. No symptomatic postoperative infections occurred.
| 2026 | Year | 01 | Month | 10 | Day |
A total of 150 male patients (150 shoulders) who underwent primary arthroscopic rotator cuff repair at our institution between July 2021 and October 2022 were enrolled.
The mean age was 62 years (range, 36 to 84 years), with 93 right and 57 left shoulders.
Patients were randomly allocated into three groups according to the preoperative skin antiseptic used: povidone iodine group (P), alcohol containing povidone iodine group (AP), and olanexidine gluconate group (O), with 50 shoulders in each group.
There were no significant differences among the three groups regarding age, operated side, surgical time, suture exposure time, number of medial anchors, rotator cuff tear size, concomitant subscapularis tears, smoking status, or presence of diabetes.
Between July 2021 and October 2022, 159 male shoulders scheduled for primary arthroscopic rotator cuff repair were assessed for eligibility.
Of these, 9 shoulders were excluded due to no anchor use (n = 2), use of povidone iodine containing drapes (n = 3), allergy to antiseptics (n = 2), and skin disease (atopic dermatitis) (n = 2).
A total of 150 shoulders were finally enrolled and randomly allocated to one of three groups: the povidone iodine group (P), alcohol containing povidone iodine group (AP), or olanexidine gluconate group (O), with 50 shoulders in each group.
All patients received the allocated intervention, and all enrolled shoulders were included in the analysis of the primary outcomes.
No adverse events related to the antiseptics were observed during the study period.
In addition, no serious adverse events, including symptomatic postoperative infections, were reported.
The primary outcome measure was the rate of positive bacterial cultures obtained from sutures collected during arthroscopic rotator cuff repair, including Cutibacterium acnes and other bacteria.
Secondary outcome measures included:
(1) culture positivity rates by bacterial species,
(2) the association between surgical time and suture exposure time with culture positivity, and
(3) the relationship between bacterial contamination and rotator cuff retear assessed by MRI at 1 year postoperatively.
Completed
| 2021 | Year | 06 | Month | 25 | Day |
| 2021 | Year | 06 | Month | 18 | Day |
| 2021 | Year | 07 | Month | 01 | Day |
| 2022 | Year | 12 | Month | 31 | Day |
| 2023 | Year | 04 | Month | 01 | Day |
| 2023 | Year | 04 | Month | 01 | Day |
| 2023 | Year | 04 | Month | 01 | Day |
| 2021 | Year | 07 | Month | 01 | Day |
| 2026 | Year | 01 | Month | 10 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000051015