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Increasing efficiency by optimizing table position for elective primary THA and TKA: a prospective monocentric pilot

Dirk Zajonz1,2,3, Celina Höhn4,5, Juliane Neumann5

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Arthroplasty (London, England)
|March 3, 2022
PubMed
Summary

Optimizing operating room setups for hip and knee arthroplasties significantly increased handovers per minute and reduced handover times in hip surgeries. This enhanced efficiency and staff satisfaction in orthopedic procedures.

Keywords:
Increase of efficiencyOperating roomTHATKATable position

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Area of Science:

  • Orthopedic Surgery
  • Operating Room Efficiency
  • Surgical Workflow Optimization

Background:

  • Hip and knee arthroplasties are common procedures with potential for quality and efficiency improvements.
  • Optimizing operating room table setups can standardize and simplify intraoperative processes.

Purpose of the Study:

  • To analyze and optimize existing surgical setups for primary hip and knee arthroplasties.
  • To evaluate the impact of an optimized setup on intraoperative efficiency and staff satisfaction.

Main Methods:

  • Simulation and analysis of existing surgical setups using computer programs.
  • Prospective monocentric analysis comparing old and new setups for hip and knee arthroplasties.
  • Documentation of handover times, handovers per minute, and time between incision and suture, alongside staff satisfaction surveys.

Main Results:

  • Optimized setup increased handovers per minute in both hip (2.10 vs 1.62/min) and knee (2.40 vs 1.83/min) arthroplasties.
  • Hip arthroplasties showed significantly reduced handover times (1.08s vs 1.82s) with the new setup.
  • No significant difference in the time between incision and suture was observed; staff satisfaction was high, particularly regarding visibility in hip surgeries.

Conclusions:

  • The optimized setup enhances operating room efficiency by increasing handovers per minute and reducing handover times, especially in hip arthroplasties.
  • The new setup leads to high surgical staff satisfaction and offers a practical alternative for hip and knee arthroplasties.
  • While operative time was not reduced, the optimized setup facilitates smoother workflows and interference-free instrument passing.