Glove perforation and contamination in primary total hip arthroplasty

Abstract

The Journal of Bone and Joint Surgery. British volumeVol. 87-B, No. 11 CorrespondenceFree AccessGlove perforation and contamination in primary total hip arthroplastyA. AGARWAL, R. AGARWALA. AGARWALSearch for more papers by this author, R. AGARWALSearch for more papers by this authorPublished Online:1 Nov 2005https://doi.org/10.1302/0301-620X.87B11.16977AboutSectionsPDF/EPUB ToolsDownload CitationsTrack CitationsPermissionsAdd to Favourites ShareShare onFacebookTwitterLinked InRedditEmail Sir,We read with interest the article in the April 2005 issue by Al-Maiyah et al1 entitled ‘Glove perforation and contamination in primary total hip arthroplasty’.There are many variables in this study which, if eliminated, would provide more conclusive evidence of the effectiveness of the technique. The criterion for a 20-minute glove change in this study for surgery of an average duration of 70 minutes seemed arbitrary and with no justification. As the surgeon and his team were unblinded they may have become biased, working more attentively and carefully in the study group, resulting in fewer glove perforations and contaminations.Furthermore, upon analysing the results of Table I we note that the surgeon for each operation in the study group changed gloves only once more on average compared with the control group ((120 - 94 pairs)/25 operations = 1.04). The fact that this extra change of gloves per member of the surgical team in a single operation produces such a difference in the incidence of glove perforations and contaminations somehow appears unlikely. References 1 Al-Maiyah M, Bajwa A, Finn P, et al. Glove perforation and contamination in primary total hip arthroplasty. J Bone Joint Surg [Br] 2005;87-B:556–9. Link, Google ScholarFiguresReferencesRelatedDetailsCited byA Randomized Prospective Study of Glove Perforation in Orthopaedic Surgery: Is a Thick Glove More Effective?The Journal of Arthroplasty, Vol. 28, No. 10A Prospective Analysis of Glove Perforation in Primary and Revision Total Hip and Total Knee ArthroplastyThe Journal of Arthroplasty, Vol. 27, No. 7 Vol. 87-B, No. 11 Metrics History Published online 1 November 2005 Published in print 1 November 2005 InformationCopyright © 2005, The British Editorial Society of Bone and Joint Surgery: All rights reservedPDF download