A Randomized Prospective Study of Glove Perforation in Orthopaedic Surgery: Is a Thick Glove More Effective?
Chang Dong Han ; Jieun Kim ; Kwan Kyu Park ; Hyuk Min Kwon ; Byung Ho Lee ; Sung Hwan Moon
Journal of Arthroplasty, Vol.28(10) : 1878~1881, 2013
Journal of Arthroplasty
We compared perforation rates among operative staff who were randomly assigned either thick latex surgical gloves or conventional gloves for use in performing total knee arthroplasty. A total of 1120 gloves were assessed in 70 total knee arthroplasties. Additionally, the degree of tactile sensitivity provided by the gloves was compared using a two-point discrimination (TPD) test. Perforation occurred in 27 surgeries (38.5%) and in 48 gloves (4.29%). Binary logistic regression analysis revealed that the operator was a risk factor for perforation rate (Odds ratio 14.448, P < .0.01) and that the type of glove was not (P = .896). In the TPD test, tactile sensitivity was lower for a thick outer glove than the conventional double glove (P < .001 for each site). Not only did thick surgical gloves lower tactile sensitivity, they also offered no superior protective effect over conventional gloves.