Arthritis of the First Metatarsophalangeal Joint, Hallux Valgus
Conditions
Keywords
infection, skin preparation, fore-foot surgery, chloride-hexidine, povidine-jodine, alcohol
Brief summary
The study will prospectively compare the efficacy and safety of chloride hexidine soluted in alcohol with povidine-jodine soluted in alcohol in forefoot surgery.
Detailed description
It will be a comparative study in which we will swab cultures before skin preparation directly after skin preparation and at the and of the operation (hallux valgus correction and arthrodesis of the first metatarsophalangeal joint. There will be a quantitative and quality analysis of the swabs. We will also measure allergic reactions. During the post-operative period of 6 weeks we will measure the wound infections stated by Prezies.
Interventions
skin preparation while be done either with chloride-hexidine 0,5% soluted in alcohol 70% or povidine-jodine 1% soluted in alcohol 70%
Sponsors
Study design
Eligibility
Inclusion criteria
* age above 18 years * written informed consent * indication for hallux valgus correction or arthrodesis of the first metatarsophalageal joint
Exclusion criteria
* allergic for jodine-povidine and/or chloride-hexidine * active infection * skin defect * blood clotting or coagulation disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| number of positive swab cultures | From start surgery week until 48 hours post-operatively | During surgery swabs will be taken before skin desinfection, after skin desinfection and at the end of the surgery. We will count the number of positive swab cultures taken from the webspace of their first and second toe and at the place of incision 48 hours post-operatively. |
| wound infection | until 6 weeks postoperatively | we will count the number of wound infections, stated by Prezies, for a period of 6 weeks postoperatively |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Allergic events | Until 6 weeks postoperatively | we will look at the number of allergic events occuring. |
Countries
Netherlands