Life cycle assessment and optimisation of surgical instrument trays for reverse shoulder arthroplasty.

IF 1.5 Q3 ORTHOPEDICS

Shoulder and Elbow Pub Date : 2025-01-30 DOI:10.1177/17585732251315424

Isabella C Klarenbeek, Anne C van der Eijk, Esther Rc Janssen, Freek Hollman, Paul C Willems, Okke Lambers Heerspink

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引用次数: 0

Abstract

Objectives: Shoulder arthroplasty has a large environmental impact. Part of the environmental impact is caused by the sterilisation of surgical instruments. This study examines the effect of optimising surgical instrument trays for reverse shoulder arthroplasty (RSA), to reduce the environmental impact.

Methods: An adjusted LEAN 5s method was used to optimise the number of instruments of shoulder arthroplasty specific trays. A Life Cycle Assessment was performed to calculate the CO₂-eq.

Results: After careful selection, 139 of the 254 (55%) instruments were removed from the original RSA trays. Out of the 139 removed instruments, 19 were placed in a supplemental tray. The number of base trays was reduced with 3 trays. The estimated impact by reducing these trays from the standard pre-operative setup is a reduction of 28% of the environmental impact annually (524 kg CO₂ equivalent).

Discussion: This study confirms the feasibility of optimising instrument trays for RSA, offering a straightforward method to reduce the environmental impact of shoulder arthroplasty. Our results show that strategic instrument selection can contribute to lowering the environmental impact of orthopaedic surgery.

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来源期刊

Shoulder and Elbow Medicine-Rehabilitation

CiteScore

2.80

自引率

0.00%

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