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Environmental Sustainability in Orthopaedic Surgery.
Ian D Engler1, Andrew J Curley, Freddie H Fu
1From the Department of Orthopaedic Surgery, Freddie Fu Sports Medicine Center, University of Pittsburgh Medical Center, Pittsburgh, PA (Engler, Curley, and Fu), and the Department of Civil and Environmental Engineering, Mascaro Center for Sustainable Innovation, University of Pittsburgh, Pittsburgh, PA (Bilec).
Orthopaedic surgery can reduce its environmental impact by minimizing waste, using sustainable anesthetic techniques, and implementing recycling. Further life cycle assessments are needed to identify more opportunities for greener surgical practices.
Area of Science:
- Environmental Science
- Healthcare Sustainability
- Orthopaedic Surgery
Background:
- Healthcare contributes significantly to environmental impact.
- Operating rooms are a major focus due to high resource utilization.
- Orthopaedic surgery is beginning to explore its environmental footprint.
Purpose of the Study:
- To review existing evidence on environmental sustainability in orthopaedic surgery.
- To identify methods for reducing the environmental impact of surgical procedures.
- To suggest future research directions for greener orthopaedic practices.
Main Methods:
- Literature review of environmental sustainability studies in orthopaedic surgery.
- Analysis of current practices and their environmental implications.
- Identification of key areas for improvement in operating room sustainability.
Main Results:
- Sustainable anesthetic techniques reduce carbon footprint.
- Minimizing single-use instruments and optimizing surgical packs lowers waste.
- Proper waste separation and recycling are crucial for environmental responsibility.
Conclusions:
- Implementing sustainable practices in orthopaedic operating rooms is feasible and necessary.
- Further comprehensive life cycle assessments are recommended.
- Reducing environmental impact enhances healthcare sustainability.

