The effect of polymethyl methacrylate on latex-free surgical gloves

T B Edwards1, S Habetz, R D D'ambrosia

  • 1Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana 70112, USA.

Insights

Latex-free surgical gloves may degrade when exposed to bone cement (polymethyl methacrylate). Allergard gloves were destroyed, while Biogel Neotech and Duraprene gloves remained intact, offering safe alternatives for latex-sensitive patients.

Area of Science:

  • Orthopedic Surgery
  • Materials Science
  • Allergy and Immunology

Background:

  • Increasing prevalence of latex allergy necessitates careful selection of medical devices.
  • Total knee arthroplasty procedures require reliable surgical gloves.
  • Polymethyl methacrylate (PMMA) bone cement is a common material used in orthopedic surgery.

Observation:

  • Holes were observed in latex-free surgical gloves during a total knee arthroplasty when handling PMMA.
  • This prompted an investigation into the compatibility of different latex-free glove brands with PMMA.

Findings:

  • Allergard latex-free surgical gloves demonstrated degradation upon contact with PMMA.
  • Biogel Neotech and Duraprene latex-free gloves showed no adverse effects when exposed to PMMA.
  • Glove material integrity is compromised by specific interactions with bone cement components.

Implications:

  • Allergard gloves are unsuitable for surgical procedures involving PMMA.
  • Biogel Neotech and Duraprene gloves are recommended as safe alternatives for patients with latex allergy undergoing procedures with bone cement.
  • Material compatibility testing is crucial for ensuring patient safety in healthcare settings.

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