UMIN-CTR Clinical Trial

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

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Basic information

Public title

Effect of disinfectants on suture contamination in arthroscopic rotator cuff repair: a randomized controlled study

Acronym

Effect of disinfectants on suture contamination in arthroscopic rotator cuff repair: a randomized controlled study

Scientific Title

Effect of disinfectants on suture contamination in arthroscopic rotator cuff repair: a randomized controlled study

Scientific Title:Acronym

Effect of disinfectants on suture contamination in arthroscopic rotator cuff repair: a randomized controlled study

Region

Japan


Condition

Condition

rotator cuff tear

Classification by specialty

Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Positive rate of Cutibacterium acnes by culture of sutures

Key secondary outcomes

postoperative surgical site infection


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Active

Stratification

YES

Dynamic allocation


Institution consideration


Blocking

YES

Concealment



Intervention

No. of arms

3

Purpose of intervention

Prevention

Type of intervention

Medicine

Interventions/Control_1

Disinfect the surgical site with povidone-iodine before surgery

Interventions/Control_2

Disinfect the surgical site with alcohol-containing povidone-iodine before surgery

Interventions/Control_3

Disinfect the surgical site with olanexidine before surgery

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male

Key inclusion criteria

Patients undergoing arthroscopic rotator cuff repair for primary repairable rotator cuff tears

Key exclusion criteria

Patients with allergies to alcohol, povidone iodine, and olanexidine

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Hideki
Middle name
Last name Kamijo

Organization

Funabashi Orthopaedic Hospital

Division name

Sports Medicine & Joint Center

Zip code

274-0822

Address

1-833 Hasama Funabashi, Chiba

TEL

047-425-5585

Email

hideki_kamijou@yahoo.co.jp


Public contact

Name of contact person

1st name Hideki
Middle name
Last name Kamijo

Organization

Funabashi Orthopaedic Hospital

Division name

Sports Medicine & Joint Center

Zip code

274-0822

Address

1-833 Hasama Funabashi, Chiba

TEL

047-425-5585

Homepage URL


Email

hideki_kamijou@yahoo.co.jp


Sponsor or person

Institute

Funabashi Orthopaedic Hospital

Institute

Department

Personal name



Funding Source

Organization

Funabashi Orthopaedic Hospital

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Funabashi Orthopaedic Hospital

Address

1-833 Hasama Funabashi, Chiba

Tel

047-425-5585

Email

rinri@fff.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2021 Year 07 Month 01 Day


Related information

URL releasing protocol

https://search.jamas.or.jp/search/do/detail/sidx/13/sid/1

Publication of results

Partially published


Result

URL related to results and publications

https://search.jamas.or.jp/search/do/detail/sidx/13/sid/1

Number of participants that the trial has enrolled

150

Results

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.

Results date posted

2026 Year 01 Month 10 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

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.

Participant flow

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.

Adverse events

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.

Outcome measures

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.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2021 Year 06 Month 25 Day

Date of IRB

2021 Year 06 Month 18 Day

Anticipated trial start date

2021 Year 07 Month 01 Day

Last follow-up date

2022 Year 12 Month 31 Day

Date of closure to data entry

2023 Year 04 Month 01 Day

Date trial data considered complete

2023 Year 04 Month 01 Day

Date analysis concluded

2023 Year 04 Month 01 Day


Other

Other related information



Management information

Registered date

2021 Year 07 Month 01 Day

Last modified on

2026 Year 01 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000051015