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Related Experiment Videos

Glove tears during arthroscopic shoulder surgery using solid-core suture.

Kevin M Kaplan1, Konrad I Gruson, Chris T Gorczynksi

  • 1Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York 10003, USA. kaplak02@med.nyu.edu

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|January 11, 2007
PubMed
Summary

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Arthroscopic knot tying with solid-core sutures frequently causes glove tears and finger lacerations in surgeons. Frequent glove changes or using more durable gloves may reduce risks during shoulder surgery.

Area of Science:

  • Orthopedic Surgery
  • Surgical Safety
  • Biomaterials Science

Background:

  • Arthroscopic knot tying with solid-core suture materials has been linked to an increase in surgeon finger injuries.
  • Understanding the mechanisms of glove compromise is crucial for preventing intraoperative lacerations.

Purpose of the Study:

  • To investigate the incidence of glove perforations and finger lacerations during arthroscopic shoulder surgery.
  • To assess the association between knot tying and glove integrity.

Main Methods:

  • Analysis of 400 surgical gloves from 50 arthroscopic shoulder repair procedures using No. 2 solid-core sutures.
  • Double gloving was employed, with one surgeon dedicated to knot tying.
  • Gloves were inspected and tested for tears using an electroconductivity meter.

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Main Results:

  • The knot-tying surgeon experienced significantly more glove tears (34%) compared to controls.
  • Tears predominantly occurred on the radial side of the index finger at the distal interphalangeal joint.
  • Inner glove tears were significantly associated with finger lacerations (P < .03).

Conclusions:

  • High frequency of intraoperative glove tears and finger lacerations during arthroscopic knot tying with solid-core sutures.
  • Risk mitigation strategies include frequent glove changes and the use of more robust glove materials.
  • Enhanced surgeon and patient safety is a key clinical consideration.