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An Innovative Strategy for Sustainability Assurance in Orthopedic Surgery.

Flaviu Moldovan1, Liviu Moldovan2

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Summary

This study identifies key areas for sustainable orthopedic surgery, including waste reduction and material reuse. Developed indicators were validated in practice to ensure long-term environmental and economic viability in this growing surgical field.

Keywords:
alternative interventionsenvironmenthealthcarehospitalorthopedicssustainability

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Area of Science:

  • Orthopedic Surgery
  • Sustainable Healthcare Practices
  • Environmental Impact Reduction

Background:

  • Orthopedic surgery is experiencing rapid growth due to an aging population.
  • Healthcare systems need to ensure the sustainable development of orthopedic services.
  • This study addresses the need for sustainability in a high-growth surgical specialty.

Purpose of the Study:

  • To identify key areas for sustainability in orthopedic surgery.
  • To define relevant activities for assuring sustainability.
  • To develop appropriate evaluation tools for sustainable orthopedic practices.

Main Methods:

  • Designed key areas for sustainable surgery based on global hospital practices.
  • Developed new indicators for evaluating sustainability in orthopedic surgery.
  • Validated the proposed framework through practical implementation in an orthopedic hospital.

Main Results:

  • Identified four key areas: consumption rationalization, waste management, textile/equipment reuse, and anesthetic/alternative interventions.
  • Developed evaluation indicators with five fulfillment levels, rated on a 1-5 scale.
  • Indicators were informed by international studies and practical validation.

Conclusions:

  • Practical implementation confirmed the suitability of the developed indicators.
  • Sustaining changes requires engagement from surgeons and patients.
  • The research supports the long-term orientation towards assuring sustainability in orthopedic surgery.