Visible glove perforation in total knee arthroplasty

Purpose: The risk of superficial surgical site infection (SSI) and periprosthetic joint infection (PJI) after glove perforation is not evident. This study was to identify risk factors for glove perforation in primary TKR (total knee replacement) and the risk of subsequent superficial SSI and PJI. Me...

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Main Authors: Lee Qunn Jid, Mak Wai Ping, Wong Yiu Chung, Wai Yuk Leung
Format: Article
Language:English
Published: SAGE Publishing 2017-02-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/2309499017695610
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author Lee Qunn Jid
Mak Wai Ping
Wong Yiu Chung
Wai Yuk Leung
author_facet Lee Qunn Jid
Mak Wai Ping
Wong Yiu Chung
Wai Yuk Leung
author_sort Lee Qunn Jid
collection DOAJ
description Purpose: The risk of superficial surgical site infection (SSI) and periprosthetic joint infection (PJI) after glove perforation is not evident. This study was to identify risk factors for glove perforation in primary TKR (total knee replacement) and the risk of subsequent superficial SSI and PJI. Methods and materials: Results of visible glove perforation of both inner and outer gloves during TKR were reviewed. A case–control analysis was performed on the preoperative and operative variables to identify predictive risk factors for glove perforation. Rate of SSI and PJI was compared between perforation and non-perforation groups, including 1226 series and 183 case–control subset. Results: One thousand two hundred twenty-six primary TKR from 2011 to 2014 was reviewed. Fifty-five knees had visible glove perforations. The operation perforation rate was 4.5%. Risk factors identified were body mass index (BMI) > 30, bilateral surgery, operation time >120 min and non-trainee surgeons. Superficial SSI was significantly higher in glove perforation group (9.15 vs. 0.51% and 0.55%). PJI was not significantly different (1.82% vs. 0.60% and 1.1%). The adjusted odds ratio for superficial SSI after perforation was 15.2, independent of BMI and operation time. Conclusion: Visible glove perforation in TKR is associated with several risk factors. The risk of superficial SSI is higher after perforation.
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spelling doaj.art-e6da12cf4e6444eda333b63d6c87a62d2022-12-21T23:39:12ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902017-02-012510.1177/2309499017695610Visible glove perforation in total knee arthroplastyLee Qunn Jid0Mak Wai Ping1Wong Yiu Chung2Wai Yuk Leung3 Joint Replacement Center, Yan Chai Hospital, Tsuen Wan, Hong Kong SAR, China Joint Replacement Center, Yan Chai Hospital, Tsuen Wan, Hong Kong SAR, China Joint Replacement Center, Yan Chai Hospital, Tsuen Wan, Hong Kong SAR, China Joint Replacement Center, Yan Chai Hospital, Tsuen Wan, Hong Kong SAR, ChinaPurpose: The risk of superficial surgical site infection (SSI) and periprosthetic joint infection (PJI) after glove perforation is not evident. This study was to identify risk factors for glove perforation in primary TKR (total knee replacement) and the risk of subsequent superficial SSI and PJI. Methods and materials: Results of visible glove perforation of both inner and outer gloves during TKR were reviewed. A case–control analysis was performed on the preoperative and operative variables to identify predictive risk factors for glove perforation. Rate of SSI and PJI was compared between perforation and non-perforation groups, including 1226 series and 183 case–control subset. Results: One thousand two hundred twenty-six primary TKR from 2011 to 2014 was reviewed. Fifty-five knees had visible glove perforations. The operation perforation rate was 4.5%. Risk factors identified were body mass index (BMI) > 30, bilateral surgery, operation time >120 min and non-trainee surgeons. Superficial SSI was significantly higher in glove perforation group (9.15 vs. 0.51% and 0.55%). PJI was not significantly different (1.82% vs. 0.60% and 1.1%). The adjusted odds ratio for superficial SSI after perforation was 15.2, independent of BMI and operation time. Conclusion: Visible glove perforation in TKR is associated with several risk factors. The risk of superficial SSI is higher after perforation.https://doi.org/10.1177/2309499017695610
spellingShingle Lee Qunn Jid
Mak Wai Ping
Wong Yiu Chung
Wai Yuk Leung
Visible glove perforation in total knee arthroplasty
Journal of Orthopaedic Surgery
title Visible glove perforation in total knee arthroplasty
title_full Visible glove perforation in total knee arthroplasty
title_fullStr Visible glove perforation in total knee arthroplasty
title_full_unstemmed Visible glove perforation in total knee arthroplasty
title_short Visible glove perforation in total knee arthroplasty
title_sort visible glove perforation in total knee arthroplasty
url https://doi.org/10.1177/2309499017695610
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AT makwaiping visiblegloveperforationintotalkneearthroplasty
AT wongyiuchung visiblegloveperforationintotalkneearthroplasty
AT waiyukleung visiblegloveperforationintotalkneearthroplasty