Actively Recruiting

Phase 1
Phase 2
Age: 18Years +
All Genders
NCT06640491

Intraosseous (IO) Cefazolin and Vancomycin in Primary Total Knee Arthroplasty (TKA)

Led by The Methodist Hospital Research Institute · Updated on 2025-05-18

40

Participants Needed

1

Research Sites

550 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

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

Official Title

Intraosseous (IO) Cefazolin and Vancomycin in Primary Total Knee Arthroplasty (TKA)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patient is scheduled to undergo an elective primary total knee arthroplasty.
  • Patient is able to understand the study design and intervention and gives informed consent to participate in the study.
  • Patient is 18 years or older.
Not Eligible

You will not qualify if you...

  • Contraindication to receiving vancomycin or cefazolin.
  • Body mass index (BMI) > 40.
  • Uncontrolled Diabetes (defined as A1c > 7.5%).
  • Patient received or is scheduled to receive IV vancomycin or cefazolin within 7 days prior to their planned procedure.
  • Any hardware, condition, or anatomic status that prevents the tibial tubercle from being a viable intraosseous injection site.
  • Refusal to participate
  • Any condition, in the opinion of the primary investigator, that deems the participant unsuitable for participation in the research study.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Houston Methodist Hospital

Houston, Texas, United States, 77030

Actively Recruiting

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Research Team

T

Thomas Sullivan

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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