Intraosseous (IO) Cefazolin and Vancomycin in Primary Total Knee Arthroplasty (TKA)
NCT06640491 · Status: RECRUITING · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2025-05-18
Summary
The goal of this clinical trial is to compare the efficacy of intravenous (IV) and intraosseous (IO) antibiotic administration techniques during primary total knee arthroplasty (TKA) in adults undergoing a TKA procedure at Houston Methodist Hospital. The main questions it aims to answer are:
Does IO administration of vancomycin and cefazolin protect against perioperative exposure risks? Is there a difference in post-operative complication rates between IV and IO administration of these drugs?
Participants will be randomized to receive either the standard of care IV administration of Vancomycin and Cefazolin, or the IO administration of Vancomycin and Cefazolin.
Conditions
- Total Knee Arthroplasty
Interventions
- DRUG
-
IO Administration of Cefazolin
Intraosseous injection of cefazolin to guard against infection.
- DRUG
-
IO Administration of Vancomycin
Intraosseous injection of vancomycin to guard against infection.
- DRUG
-
IV Administration of Cefazolin
Intravenous dose of cefazolin to guard against infection.
- DRUG
-
IV Administration of Vancomycin
Intravenous dose of vancomycin to guard against infection.
Sponsors & Collaborators
-
The Methodist Hospital Research Institute
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-05-15
- Primary Completion
- 2030-12-01
- Completion
- 2035-12-01
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Intraosseous Vancomycin in Primary Total Hip Arthroplasty - Designing a Protocol
NCT04042233 ·Status: COMPLETED ·Phase: PHASE4
-
Intrawound Administration of Vancomycin in TKA
NCT05338021 ·Status: COMPLETED ·Phase: NA
-
Regional Prophylactic Vancomycin With Restricted Tourniquet Time in Primary Total Knee Replacement
NCT03506347 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Intra-articular Vancomycin Powder in Knee and Hip Arthroplasty
NCT04399642 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Regional Prophylactic Vancomycin in Revision Total Knee Replacement
NCT02020031 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Intraarticular Antibiotic in TKA
NCT04297631 ·Status: COMPLETED ·Phase: PHASE4
-
Antibiotic Elution in Total Knee Arthroplasty
NCT03928522 ·Status: COMPLETED ·Phase: PHASE4
-
Antibiotic Prophylaxis in Patients Undergoing Elective Total Knee Arthroplasty- Multi-center Trial
NCT03283878 ·Status: COMPLETED ·Phase: PHASE4
-
Antibiotic Elution After Two-stage Knee Revision
NCT06944184 ·Status: COMPLETED
-
Ancef Dosage in Knee Arthroplasty : Tourniquet Clinical Trial
NCT05604157 ·Status: RECRUITING ·Phase: NA
-
Comparison of Outcomes Between Intraosseous Femoral and Tibial Injection in Simultaneous Bilateral Total Knee Arthroplasty Patients
NCT06243575 ·Status: RECRUITING ·Phase: NA
-
Abbreviated Protocol for Two-Stage Exchange
NCT04662632 ·Status: COMPLETED ·Phase: PHASE2
-
How Many Dexamethasone Doses Should Be Given Perioperatively?
NCT06715709 ·Status: ENROLLING_BY_INVITATION ·Phase: PHASE4
-
Parenteral Versus Combined Parenteral With Vancomycin-soaked Graft in ACL Reconstruction
NCT06166381 ·Status: RECRUITING ·Phase: NA
-
Isokinetic Performance After Cruciate-substituting Ultra-congruent and Posterior Stabilized Total Knee Arthroplasties
NCT04419311 ·Status: COMPLETED ·Phase: NA
-
Infection Rates Between Using of Vancomycin Versus Gentamycin in Primary ACLR
NCT06050785 ·Status: NOT_YET_RECRUITING
-
Trial of Unicompartmental Versus Total Knee Arthroplasty
NCT03385759 ·Status: UNKNOWN ·Phase: NA
-
Metal Ion Concentrations After Total Knee Arthroplasty
NCT06447922 ·Status: ACTIVE_NOT_RECRUITING
-
Total Knee Arthroplasty (TKA) Cemented Versus Cementless Tibial Prosthesis Study
NCT01041937 ·Status: COMPLETED ·Phase: NA
-
Steroids in Total Knee Arthroplasty
NCT02219581 ·Status: TERMINATED ·Phase: PHASE4
-
Do Corticosteroid Injections During Total Knee Replacement Improve Early Clinical Results?
NCT00492973 ·Status: COMPLETED ·Phase: NA
-
Safety and Efficacy in Patients Treated for Hip or Knee PJI With Vancomycin and Tobramycin Joint Irrigation
NCT03721328 ·Status: COMPLETED ·Phase: PHASE2
-
COntralateral CorticoSTeroid Injection in Total Knee Arthroplasty
NCT06809998 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
A Second Trial of the Abbreviated Protocol Two-Stage Exchange
NCT05607030 ·Status: COMPLETED ·Phase: PHASE2
-
Efficacy of Local Antibiotic Injection Via a Catheter for Treating Acute Periprosthetic Infections After Knee DAIR Surgery
NCT06468163 ·Status: NOT_YET_RECRUITING ·Phase: NA