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The Orthopaedic Instrumentation Nomenclature Know-how (OINK) study.

Daniel Joel Epstein1, Andrew Philpott2, Michael Bullen3

  • 1Northern Health, 185 Cooper St, Epping VIC 3076, Australia.

Journal of Orthopaedics
|June 13, 2025
PubMed
Summary
This summary is machine-generated.

Orthopaedic surgical instrument names lack consensus, causing communication issues. While some instruments achieved agreed-upon definitions among orthopaedic teams, others remain unclear, highlighting the need for standardized terminology in orthopaedic surgery.

Keywords:
DefinitionOrthopaedicSurgical instrumentsTerminologyTheatre

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Area of Science:

  • Orthopaedic Surgery
  • Surgical Instrumentation
  • Medical Terminology

Background:

  • Orthopaedic surgery utilizes a wide variety of instruments, many with multiple names.
  • Discrepancies in instrument nomenclature lead to communication challenges, delays in operating theatres, and difficulties for surgical trainees.
  • A lack of consensus on preferred instrument names hinders clear communication within surgical teams.

Purpose of the Study:

  • To assess the level of consensus on the names of orthopaedic surgical instruments among healthcare professionals.
  • To identify specific instruments where nomenclature clarity is lacking.
  • To explore differences in terminology between orthopaedic specialists and other medical professionals.

Main Methods:

  • An online assessment tool featuring images of 14 surgical instruments was distributed to orthopaedic team members.
  • Respondents from metropolitan and regional hospitals in Victoria, Australia, were asked to identify the correct instrument name.
  • Responses were collected and analyzed using means analysis to determine consensus.

Main Results:

  • A total of 136 responses were analyzed from orthopaedic, medical, and non-healthcare personnel.
  • Consensus definitions were reached for instruments including mallet, osteotome, nail, wire, rasp, nibbler, prosthesis, and orthosis among orthopaedic respondents.
  • Significant differences in opinion were observed between orthopaedic specialists and other medical professionals regarding instrument terminology.

Conclusions:

  • Consensus has been achieved for the names of several orthopaedic surgical instruments.
  • However, clarity and consensus on terminology remain elusive for certain instruments.
  • Standardizing orthopaedic instrument nomenclature is crucial for improving operating room efficiency, patient safety, and surgical technique dissemination.