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

IF 1.5 Q3 ORTHOPEDICS
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.

肩关节置换术中手术器械托盘的生命周期评估与优化。
目的:肩关节置换术有很大的环境影响。部分环境影响是由手术器械的消毒引起的。本研究探讨了优化手术器械托盘用于反向肩关节置换术(RSA)的效果,以减少对环境的影响。方法:采用调整后的精益5s法优化肩关节置换术专用托盘的器械数量。进行生命周期评估以计算co2当量。结果:经过仔细选择,254个器械中的139个(55%)从原始RSA托盘中取出。在139个移除的器械中,有19个放置在补充托盘中。基础托盘数量减少为3个托盘。从标准的术前设置中减少这些托盘的估计影响是每年减少28%的环境影响(524千克二氧化碳当量)。讨论:本研究证实了优化RSA器械托盘的可行性,提供了一种直接的方法来减少肩关节置换术对环境的影响。我们的研究结果表明,策略性的器械选择有助于降低骨科手术对环境的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Shoulder and Elbow
Shoulder and Elbow Medicine-Rehabilitation
CiteScore
2.80
自引率
0.00%
发文量
91
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