F. Vandeputte, Christophe Hausswirth, Alexandre Coste, Cyril Schmit, Olivier Vanderhaeghen, Aline Vandeputte, Jeroen Dille, Frederik Matthys, K. Corten
{"title":"在全髋关节置换术中,自动组件植入对外科医生工效学、疲劳和压力水平的影响","authors":"F. Vandeputte, Christophe Hausswirth, Alexandre Coste, Cyril Schmit, Olivier Vanderhaeghen, Aline Vandeputte, Jeroen Dille, Frederik Matthys, K. Corten","doi":"10.60118/001c.87622","DOIUrl":null,"url":null,"abstract":"Total Hip Arthroplasty (THA) surgery is physically and cognitively challenging. Sub-optimal posture during component impaction may influence surgeon’s ergonomics and fatigue. Thirty THA procedures were executed for 3 days. Only during the first day, manual impaction (MI) was performed. Postural risk was evaluated with Rapid Upper Limb Assessment (RULA) and Rapid Entire Body Assessment (REBA) score. Three cognitive tasks (Simon, pattern comparison and pursuit rotor test) and five physical tests (isometric wall-sit, plank-to-fatigue, handgrip, supra-postural task, and shoulder endurance) assessed surgeon’s psycho-physiological load in the morning, midday, and afternoon. Surgeon’s cortisol concentration and sound level of the broaching process was also recorded. RULA and REBA scores were 1.7 to 3 times lower with automated impaction (AI). Physical exhaustion was lower with AI: isometric wall-sit test (10.6% vs. 22.9%), plank-to-fatigue (2.2% vs. 43.8%), supra-postural task (-0.7% vs. -7.7%), handgrip force production (dominant hand -6.7% vs. -12.7%; contralateral +4.7% vs. +7.7%), and in shoulder endurance (-15s vs. -56s). After AI, the cognitive performance showed faster response times and lower error rates for all cognitive tests compared to MI. The salivary cortisol level decreased during the AI-days by 51% in comparison to a 38% increase following the MI-day. Mean broaching time with AI was 7’3’’ compared to 6’20’’ with MI. The mean sound level with the AI-device was 64.3 dBA compared to 68.2 dBA with manual impaction. Automated THA component impaction improved the surgeon’s ergonomics which resulted in reduced hormonal stress levels and lower physical and cognitive exhaustion.","PeriodicalId":298624,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"21 5","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Effect Of Automated Component Impaction On The Surgeon’s Ergonomics, Fatigue And Stress Levels In Total Hip Arthroplasty\",\"authors\":\"F. Vandeputte, Christophe Hausswirth, Alexandre Coste, Cyril Schmit, Olivier Vanderhaeghen, Aline Vandeputte, Jeroen Dille, Frederik Matthys, K. Corten\",\"doi\":\"10.60118/001c.87622\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Total Hip Arthroplasty (THA) surgery is physically and cognitively challenging. Sub-optimal posture during component impaction may influence surgeon’s ergonomics and fatigue. Thirty THA procedures were executed for 3 days. Only during the first day, manual impaction (MI) was performed. Postural risk was evaluated with Rapid Upper Limb Assessment (RULA) and Rapid Entire Body Assessment (REBA) score. Three cognitive tasks (Simon, pattern comparison and pursuit rotor test) and five physical tests (isometric wall-sit, plank-to-fatigue, handgrip, supra-postural task, and shoulder endurance) assessed surgeon’s psycho-physiological load in the morning, midday, and afternoon. Surgeon’s cortisol concentration and sound level of the broaching process was also recorded. RULA and REBA scores were 1.7 to 3 times lower with automated impaction (AI). Physical exhaustion was lower with AI: isometric wall-sit test (10.6% vs. 22.9%), plank-to-fatigue (2.2% vs. 43.8%), supra-postural task (-0.7% vs. -7.7%), handgrip force production (dominant hand -6.7% vs. -12.7%; contralateral +4.7% vs. +7.7%), and in shoulder endurance (-15s vs. -56s). After AI, the cognitive performance showed faster response times and lower error rates for all cognitive tests compared to MI. The salivary cortisol level decreased during the AI-days by 51% in comparison to a 38% increase following the MI-day. Mean broaching time with AI was 7’3’’ compared to 6’20’’ with MI. The mean sound level with the AI-device was 64.3 dBA compared to 68.2 dBA with manual impaction. Automated THA component impaction improved the surgeon’s ergonomics which resulted in reduced hormonal stress levels and lower physical and cognitive exhaustion.\",\"PeriodicalId\":298624,\"journal\":{\"name\":\"Journal of Orthopaedic Experience & Innovation\",\"volume\":\"21 5\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-12-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Orthopaedic Experience & Innovation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.60118/001c.87622\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Experience & Innovation","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.60118/001c.87622","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
The Effect Of Automated Component Impaction On The Surgeon’s Ergonomics, Fatigue And Stress Levels In Total Hip Arthroplasty
Total Hip Arthroplasty (THA) surgery is physically and cognitively challenging. Sub-optimal posture during component impaction may influence surgeon’s ergonomics and fatigue. Thirty THA procedures were executed for 3 days. Only during the first day, manual impaction (MI) was performed. Postural risk was evaluated with Rapid Upper Limb Assessment (RULA) and Rapid Entire Body Assessment (REBA) score. Three cognitive tasks (Simon, pattern comparison and pursuit rotor test) and five physical tests (isometric wall-sit, plank-to-fatigue, handgrip, supra-postural task, and shoulder endurance) assessed surgeon’s psycho-physiological load in the morning, midday, and afternoon. Surgeon’s cortisol concentration and sound level of the broaching process was also recorded. RULA and REBA scores were 1.7 to 3 times lower with automated impaction (AI). Physical exhaustion was lower with AI: isometric wall-sit test (10.6% vs. 22.9%), plank-to-fatigue (2.2% vs. 43.8%), supra-postural task (-0.7% vs. -7.7%), handgrip force production (dominant hand -6.7% vs. -12.7%; contralateral +4.7% vs. +7.7%), and in shoulder endurance (-15s vs. -56s). After AI, the cognitive performance showed faster response times and lower error rates for all cognitive tests compared to MI. The salivary cortisol level decreased during the AI-days by 51% in comparison to a 38% increase following the MI-day. Mean broaching time with AI was 7’3’’ compared to 6’20’’ with MI. The mean sound level with the AI-device was 64.3 dBA compared to 68.2 dBA with manual impaction. Automated THA component impaction improved the surgeon’s ergonomics which resulted in reduced hormonal stress levels and lower physical and cognitive exhaustion.