A Randomized Prospective Study of Glove Perforation in Orthopaedic Surgery: Is a Thick Glove More Effective?

Influence of orthopedic reinforced gloves versus double standard gloves on contamination events during small animal orthopedic surgery

“…We did not attempt to assess differences in intraoperative surgeon detection rates between the different gloving methods used in this study. We were, however, able to confirm associations between duration of surgery and surgical role (primary surgeon vs assistant) with increased contamination events . Contrary to other studies, we did not find that the use of powered instruments, surgical wire, or the effect of nondominant versus dominant hand were associated with contamination events.…”

“…To our knowledge, our study is the first randomized controlled trial comparing double gloving with standard gloves to orthopedic reinforced gloves during orthopedic surgery. No difference between double gloving with standard gloves and double gloving with one standard and one orthopedic glove was previously reported in a controlled trial comparing contamination events during orthopedic procedures . In this trial, the outer orthopedic glove was perforated in 4% of procedures.…”

High Risk of Surgical Glove Perforation From Surgical Rotatory Instruments

“…Limited data are available regarding risk of compromise of glove integrity in specific orthopaedic procedures [1,2,4,6,8,9,20]. At least one glove was found to be perforated in 39% of TKAs, with a perforation incidence of 4.29% of the gloves worn in these procedures [8]. The mechanism of contamination was not reported in that study.…”

“…In their study, perforation was observed in 15.4% of gloves during the first 90 minutes of orthopaedic procedures and this increased to 18.1% if the glove was worn between 91 to 150 minutes, and to 23.7% if the glove was worn longer than 150 minutes [16]. Limited data are available regarding risk of compromise of glove integrity in specific orthopaedic procedures [1,2,4,6,8,9,20]. At least one glove was found to be perforated in 39% of TKAs, with a perforation incidence of 4.29% of the gloves worn in these procedures [8].…”

Perioperative Medical Management for Total Joint Arthroplasty

“…Hester et al found a low rate (4.3 %) of glove perforation when a cloth glove was worn between two inner latex gloves and also has a lower impact on tactile sensation when compared to double gloving with an outer cloth glove, especially when manipulating cement (Hester et al 1992 ). Thick gloves do not seem to prevent perforation: in a randomized prospective study of glove perforation in orthopedic surgery, Han et al showed that thick gloves reduced tactile sensation and perforated as frequently as standard double gloves (Han et al 2013 ). Sutton et al showed that triple gloving with a cut-resistant liner interposed between two latex gloves significantly reduced the rate of perforation when com-pared to double gloving with two latex gloves (Sutton et al 1998 ).…”