Glove perforation in orthopaedics: Probability of tearing gloves during high-risk events in trauma surgery
Journal of Orthopaedic Trauma Aug 27, 2018
Lakomkin N, et al. - In trauma-related orthopaedic surgical procedures, the risk of glove perforation during common maneuvers or events was evaluated. The highest overall tear rate (85%) was reported during cleaning drill bit flutes by hand. A 50% perforation rate was documented for catching a glove along the guide wire when passing a cannulated drill bit. A tear rate of 40% was reported for catching a glove around a rotating drill shaft. A significantly higher perforation rate was reported for palpating the end of a flexible nail cut with a wire cutter vs a nail cut with a proprietary, nail-specific tool. Blind digital fracture reduction vs directly visualizing the reduction yielded no statistically different tear rate. A perforation rate of 15% resulted from inserting screws while stabilizing the threads with one's fingers. Since microperforation of surgical gloves often goes undetected, awareness among orthopaedic surgeons was recommended.
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