A Prospective Analysis of Glove Perforation in Primary and Revision Total Hip and Total Knee Arthroplasty

Prevention of Periprosthetic Joint Infection

“…However, with a double gloving protocol, the inner glove could still be perforated and become contaminated during the course of the procedure. Therefore, some studies have shown that in procedures such as implantation, triple gloving is the protocol of choice (68,69).…”

CORR Insights®: High Risk of Surgical Glove Perforation From Surgical Rotatory Instruments

“…Although surgical gloves are generally considered a crucial component of universal precautions [11], many papers suggest that intraoperative surgical glove holes, punctures, and/or tears commonly occur among all members of the surgical team [3,[6][7][8]13].…”

“…These perforations usually involve the gloves of the operating surgeon (77%), but surgical assistants (13%), and scrub nurses (10%) are also at risk [4]. Furthermore, the risk of glove perforations appears to increase with increased duration of a surgical procedure [3,9,14], in bony versus soft-tissue procedures [14], and during the manipulation of complex instrumentation or implants in deep wounds [10]. There are good data to suggest that double gloving may prevent the complete loss of this protective barrier [6]; however, utilizing double gloves, alone, does not reliably prevent both outer and inner glove perforations [14].…”

“…There are good data to suggest that double gloving may prevent the complete loss of this protective barrier [6]; however, utilizing double gloves, alone, does not reliably prevent both outer and inner glove perforations [14]. Finally, the nature and/or type of surgical procedure may also significantly impact the risk for glove perforation [3].…”

Prevention of periprosthetic joint infection: Pre-, intra-, and post-operative strategies

“…Therefore, some studies have shown that in procedures such as implantation, triple gloving is the protocol of choice. 68,69 Sutton et al 70 introduced the triple gloving protocol in 1998. The authors used two latex gloves with a cut-resistant layer between them.…”