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Comparison of the effectiveness of oral antibiotic prophylaxis versus intravenous antibiotics in preventing postoperative infections in elective total knee arthroplasty: a randomized clinical trial

Comparison of the effectiveness of oral antibiotic prophylaxis versus intravenous antibiotics in preventing postoperative infections in elective total knee arthroplasty: a randomized clinical trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
IRCT
Registry ID
IRCT20250630066302N2
Enrollment
140
Registered
2026-05-28
Start date
2026-06-22
Completion date
Unknown
Last updated
2026-06-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Infection and inflammatory reaction due to internal joint prosthesis. Infection and inflammatory reaction due to internal joint prosthesis

Interventions

Intervention 1: Control group: In the control group, patients will receive 1 gram (patients under 80 kg) or 2 grams (for patients over 80 kg) in 200 ml of saline as a short-term intravenous injection

Sponsors

Mashhad University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Inclusion criteria include patients with advanced and symptomatic knee osteoarthritis, regardless of age, who are scheduled for elective total knee arthroplasty due to lack of response to conservative treatments (medication and physiotherapy).

Exclusion criteria

Exclusion criteria: Acute or emergency knee surgery history of knee infection history of previous knee surgery use of antibiotics within 3 days prior to the start of the study history of cephalosporin sensitivity failure to use antibiotics correctly in related subgroup due to missing dose or GI side effects history of uncontrolled underlying disease such as diabetes, which can lead to a weakened immune system Patients with a compromised immune system

Design outcomes

Primary

MeasureTime frame
Surgical site, prosthesis and systemic infection. Timepoint: in 3 months following surgery. Method of measurement: clinical examination.;Range of motion. Timepoint: pre-operative / in 3 months following surgery. Method of measurement: goniometry.;Pain. Timepoint: pre-operative / in 3 months following surgery. Method of measurement: Visual analogue scale (VAS).

Countries

Iran (Islamic Republic of)

Contacts

Public ContactMohammad Hosein Khajavi Rad

Mashhad University of Medical Sciences

m.h.khajavi.rad@gmail.com+98 51 3841 2081

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Jun 11, 2026