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The Step Before the First Incision That Most Patients Never See #shorts Before the first incision of every hip and knee replacement, there is a step most patients never see: the skin prep. In our OR, we prep the leg with 2% chlorhexidine and 70% isopropyl alcohol. The alcohol kills bacteria on contact. The chlorhexidine binds to the skin and keeps working after it dries. Speed plus staying power. The evidence is worth knowing. In one study of 99 knee replacement patients, skin cultures grew bacteria in 20% before prep and 5% after. A 2021 meta-analysis of 8 randomized trials in orthopaedic surgery found chlorhexidine-alcohol left about half as many positive cultures as povidone-iodine. In one hip study, it took about 3.5 minutes versus 13.5 for an iodine scrub-and-paint protocol. The solution is only half of it. Technique matters just as much: - Clip, never shave. - Prep the entire limb, working outward from the incision. - Let it dry completely before draping. Alcohol is flammable. Infection after primary hip or knee replacement is uncommon, roughly 0.3 to 1.9%, but the stakes are high. Every layer of prevention counts, and skin prep is one of the simplest layers we control. Patient guide: corycalendinemd.com/blog/joint-replacement-skin-prep/ Surgeons, what does your prep protocol look like? . 📲 SUBSCRIBE NOW for new #surgery videos 𝗖𝗢𝗥𝗬 𝗖𝗔𝗟𝗘𝗡𝗗𝗜𝗡𝗘, 𝗠𝗗 | Orthopedic Surgeon · Franklin/Nashville, Tennessee 🌐 https://corycalendinemd.com 📅 Free joint replacement guide: https://corycalendinemd.com/free-joint-replacement-guide/ 🌐 See Dr. Calendine in your Google & AI search results: https://corycalendinemd.com/preferred 📍 Bone and Joint Institute of Tennessee · 3000 Edward Curd Lane, Franklin, TN 37067 📞 (615) 791-2630 About Dr. Cory Calendine, MD - 3000 Edward Curd Lane, Franklin, TN 37067 In the operating room, I get to perform more than 700 hip & knee replacement surgeries each year. From LIVE surgical demos to viral video highlights, together let's explore - react - discuss all things related to bone and joint health. #orthopedicsurgeon #jointreplacement THANK YOU for your comments, questions and suggestions. If there’s a medical topic or question you want me to discuss, please comment below. We are building a library of orthopedic medical video content focused on your requests and responses. 📽️ Watch latest hip & knee surgery videos ▶️ https://www.youtube.com/channel/UCtuCgnGoZNPFvJ2EzRZNHgw/videos 𝐋𝐄𝐓'𝐒 𝐂𝐎𝐍𝐍𝐄𝐂𝐓: TikTok ▶️ https://www.tiktok.com/@corycalendinemd LinkTree ▶️ https://linktr.ee/corycalendinemd 𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑𝐒: Opinions expressed are solely my own and do not express the views or opinions of my employer. Information in this video is not intended or implied to be a substitute for professional medical advice, diagnosis and/or treatment. All content [images, digital graphics, text, and other information] contained in this video is for general information purposes only and does not replace or substitute for a consultation with a qualified physician or health professional.

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