Surgical glove perforation during intramedullary nailing of intertrochanteric fractures
Abstract Intramedullary nail fixation is a routine procedure for treatment of intertrochanteric fractures. Aseptic technique is vital for reducing postoperative complications, as intraoperative glove perforations increase the risk of surgical site infections. The aim of this study was to determine t...
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Nature Portfolio
2025-01-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-024-84994-w |
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| author | Jonas Santol Madeleine Willegger Carola Hanreich Lukas Albrecht Marcus Lisy Stefan Hajdu Julia Starlinger |
| author_facet | Jonas Santol Madeleine Willegger Carola Hanreich Lukas Albrecht Marcus Lisy Stefan Hajdu Julia Starlinger |
| author_sort | Jonas Santol |
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| description | Abstract Intramedullary nail fixation is a routine procedure for treatment of intertrochanteric fractures. Aseptic technique is vital for reducing postoperative complications, as intraoperative glove perforations increase the risk of surgical site infections. The aim of this study was to determine the incidence of surgical glove perforation during intramedullary nailing of intertrochanteric fractures and to identify surgery-specific steps at risk. A prospective series of 148 short intramedullary nail implantations was analysed. Intraoperative glove perforations and causative events were recorded. All gloves from the scrubbed surgical team were collected and examined for micro- and macroperforations. 1771 gloves were tested. A total of 341 perforations in 309 gloves were detected, resulting in an overall glove perforation rate of 17%. Surgeon experience had no influence on the overall incidence of glove perforations. Usage of the awl and insertion of the proximal locking screw resulted in 33.9% of all detected glove perforations. Perforation rate significantly increased with operative time (p = 0.003). Regular glove changing after surgery-specific risk-steps and during longer surgeries could decrease the rate of glove perforations during intramedullary nailing of intertrochanteric fractures and reduce the risk of potential septic contamination or even disease transmission for both, the surgeon, and the patient. |
| format | Article |
| id | doaj-art-5f7dbc0332824a738b1032bc9fd5ddc6 |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nature Portfolio |
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| spelling | doaj-art-5f7dbc0332824a738b1032bc9fd5ddc62025-01-12T12:16:04ZengNature PortfolioScientific Reports2045-23222025-01-011511910.1038/s41598-024-84994-wSurgical glove perforation during intramedullary nailing of intertrochanteric fracturesJonas Santol0Madeleine Willegger1Carola Hanreich2Lukas Albrecht3Marcus Lisy4Stefan Hajdu5Julia Starlinger6Department of Orthopedics and Trauma Surgery, Medical University of ViennaDepartment of Orthopedics and Trauma Surgery, Medical University of ViennaDepartment of Orthopedics and Trauma Surgery, Medical University of ViennaDepartment of Orthopedics and Trauma Surgery, Medical University of ViennaDepartment of Orthopedics and Trauma Surgery, Medical University of ViennaDepartment of Orthopedics and Trauma Surgery, Medical University of ViennaDepartment of Orthopedics and Trauma Surgery, Medical University of ViennaAbstract Intramedullary nail fixation is a routine procedure for treatment of intertrochanteric fractures. Aseptic technique is vital for reducing postoperative complications, as intraoperative glove perforations increase the risk of surgical site infections. The aim of this study was to determine the incidence of surgical glove perforation during intramedullary nailing of intertrochanteric fractures and to identify surgery-specific steps at risk. A prospective series of 148 short intramedullary nail implantations was analysed. Intraoperative glove perforations and causative events were recorded. All gloves from the scrubbed surgical team were collected and examined for micro- and macroperforations. 1771 gloves were tested. A total of 341 perforations in 309 gloves were detected, resulting in an overall glove perforation rate of 17%. Surgeon experience had no influence on the overall incidence of glove perforations. Usage of the awl and insertion of the proximal locking screw resulted in 33.9% of all detected glove perforations. Perforation rate significantly increased with operative time (p = 0.003). Regular glove changing after surgery-specific risk-steps and during longer surgeries could decrease the rate of glove perforations during intramedullary nailing of intertrochanteric fractures and reduce the risk of potential septic contamination or even disease transmission for both, the surgeon, and the patient.https://doi.org/10.1038/s41598-024-84994-w |
| spellingShingle | Jonas Santol Madeleine Willegger Carola Hanreich Lukas Albrecht Marcus Lisy Stefan Hajdu Julia Starlinger Surgical glove perforation during intramedullary nailing of intertrochanteric fractures Scientific Reports |
| title | Surgical glove perforation during intramedullary nailing of intertrochanteric fractures |
| title_full | Surgical glove perforation during intramedullary nailing of intertrochanteric fractures |
| title_fullStr | Surgical glove perforation during intramedullary nailing of intertrochanteric fractures |
| title_full_unstemmed | Surgical glove perforation during intramedullary nailing of intertrochanteric fractures |
| title_short | Surgical glove perforation during intramedullary nailing of intertrochanteric fractures |
| title_sort | surgical glove perforation during intramedullary nailing of intertrochanteric fractures |
| url | https://doi.org/10.1038/s41598-024-84994-w |
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