Advertisement

Archives of Orthopaedic and Trauma Surgery

, Volume 131, Issue 4, pp 455–458 | Cite as

Unsuitability and high perforation rate of latex-free gloves in arthroplasty: a cause for concern

  • S. ThomasEmail author
  • E. Aldlyami
  • S. Gupta
  • M. R. Reed
  • S. D. Muller
  • P. F. Partington
Orthopaedic Surgery

Abstract

Introduction

Any increase in perforations in surgical gloves is a concern. We conducted a prospective study to find a clinically acceptable brand of latex-free gloves suitable for orthopaedic surgery.

Method

Five different brands of gloves approved for use were selected. Two of the latex-free gloves were rejected as their clinical usability in arthroplasty was poor. The Cardinal Esteem latex-free glove has a smooth surface and was slippery, especially in total knee arthroplasty. The Biogel Skin Sense under glove was found to be unacceptably thick, affecting both surgical dexterity and tactility.

Results

The three remaining gloves were Biogel latex (control), Synthesis Polyco (latex-free) and Cardinal Esteem SMT (latex-free). Gloves were then collected for testing from 241 arthroplasties. Gloves used for primary knee/hip replacements were tested using a validated water distension test. Latex-free gloves were found to have higher perforation rates compared to latex.

Conclusion

Our study demonstrates that currently available latex-free gloves have inferior clinical performance and are not recommended for use in arthroplasty surgery.

Keywords

Latex gloves Latex-free gloves Glove perforation 

Notes

Conflict of interest statement

None.

References

  1. 1.
    Ranta PM, Ownby DR (2004) A review of natural rubber latex allergy in health care workers. Healthcare epidemiol 38:252–256Google Scholar
  2. 2.
    West DJ (1984) The Risk of Hepatitis B infection among Health Professionals in the United states. A review. Am J Med Sci 287:26–33PubMedCrossRefGoogle Scholar
  3. 3.
    Weiss SH, Saxinger WC, Rechtman D et al (1985) HTLV-III infection among health care workers. Association with needle-stick injuries. JAMA 254(15):2089–2093PubMedCrossRefGoogle Scholar
  4. 4.
    Hunt LW, Fransway AF, Reed CE et al (1995) An epidemic of occupational allergy to latex involving health care workers. J Occup Environ Med 37:1204–1209PubMedCrossRefGoogle Scholar
  5. 5.
    Arello R, Bradley J, Sussman G (1992) Prevalence of latex sensitization among hospital physicians occupationally exposed to latex glove. Anaesthesiology 77:905–908CrossRefGoogle Scholar
  6. 6.
    Yassin M, Lieri M, Fischer T et al (1994) Latex allergy in hospital employees. Ann Allergy 72:245–249PubMedGoogle Scholar
  7. 7.
  8. 8.
    Korniewicz DM, Garson L, Plitcha S (2003) Health care workers: risk factors for non latex and latex gloves during surgery. AIHA J 64(6):851Google Scholar
  9. 9.
    Newsom SW, Smith MO, Shaw P (1998) A randomised trial of the durability of non-allergenic latex-free surgical gloves versus latex gloves. Ann R Coll Surg Engl 80(4):288–292PubMedGoogle Scholar
  10. 10.
    Maffulli N, Testa V, Capasso G (1991) Glove perforation in hand surgery. J Hand Surg [Am] 16(6):1034–1037CrossRefGoogle Scholar
  11. 11.
    Eckersley JR, Williamson DM (1990) Glove punctures in an orthopaedic trauma unit. Injury 21:177–178PubMedCrossRefGoogle Scholar
  12. 12.
    Wright KU, Moran CG, Briggs PJ (1993) Glove perforation during hip arthroplasty. A randomised prospective study of a new taper point needle. J Bone Joint Surg Br 75(6):918–920PubMedGoogle Scholar
  13. 13.
    Aldlyami E, Kulkarni A, Reed MR, Muller SD, Partington PF (2010) Latex-free gloves safer for whom? J Arthroplasty 25(1):27–30PubMedCrossRefGoogle Scholar
  14. 14.
    Al-Maiyah M, Bajwa A, Mackenney P, Port A, Gregg PJ, Hill D, Finn P (2005) Glove perforation contamination in primary total hip arthroplasty. J Bone Joint Surg Br 87(4):556–559PubMedCrossRefGoogle Scholar
  15. 15.
    Hartley JE et al (1996) Randomised trial of blunt-tipped versus cutting needles to reduce glove puncture during mass closure of the abdomen. Br J Surg 83:1156–1157PubMedCrossRefGoogle Scholar
  16. 16.
    Bousquet J,  Flahault A, Vandenplas O, Ameille J, Duron J, Pecquet C, Chevrie K, Annesi-Maesano I (2006) Natural rubber latex allergy among health care workers: a systematic review of the evidence. J Allergy Clin Immunol 118(2):447–454PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • S. Thomas
    • 1
    • 2
    Email author
  • E. Aldlyami
    • 1
  • S. Gupta
    • 1
  • M. R. Reed
    • 1
  • S. D. Muller
    • 1
  • P. F. Partington
    • 1
  1. 1.Department of OrthopaedicsWansbeck Hospital, Northumbria Healthcare NHS Foundation TrustNewcastle upon TyneUK
  2. 2.Newcastle upon TyneUK

Personalised recommendations