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Effects of hypochlorous acid, povidone-iodine, and Carrel-Dakin solution irrigation on open fracture healing: a rat femur model

PMC · added Oct 2026

Summary

In rats with open femur fractures, a single irrigation with hypochlorous acid or Carrel-Dakin (dilute hypochlorite) solution did not delay bone healing the way povidone-iodine did.

Key points

  • 32 rats had a contaminated open femur fracture, then irrigation with saline, 0.5% povidone-iodine, hypochlorous acid or buffered Carrel-Dakin solution.
  • Hypochlorous acid and Carrel-Dakin showed a similar or better healing profile than saline; povidone-iodine showed the delayed healing pattern.
  • The authors say this is not proof of antimicrobial efficacy and not a clinical recommendation.
  • An animal study with a single irrigation and no antibiotics.