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Musculoskeletal Occupational Injuries among Orthopedic Surgeons: Risk Factors and Insights from a Cross-Sectional
Sathish Muthu1,2, Girinivasan Chellamuthu1,3, Akilan Chinnappan4
1Orthopaedic Research Group, Coimbatore, Tamil Nadu, India.
Journal of Orthopaedic Case Reports
|October 13, 2025
Summary
Musculoskeletal occupational injuries (MSOI) are common among orthopedic surgeons due to demanding work. Key factors like weight and practice duration increase MSOI severity, necessitating ergonomic improvements and wellness programs.
Area of Science:
- Orthopedic Surgery
- Occupational Health
- Ergonomics
Background:
- Orthopedic surgeons face high rates of musculoskeletal occupational injuries (MSOI) due to the physically demanding nature of their work.
- These injuries can impact surgeons' health, productivity, and career longevity.
- Understanding risk factors is crucial for developing effective prevention strategies.
Purpose of the Study:
- To identify key risk factors contributing to MSOI among orthopedic surgeons in Tamil Nadu.
- To evaluate the impact of these risk factors on career longevity and surgical practice.
- To explore preventive measures for mitigating MSOI severity.
Main Methods:
- A cross-sectional survey was conducted among 5000 orthopedic surgeons, with 792 participants responding.
- Data collected included demographics, practice characteristics, injury prevalence, and severity.
- Statistical analysis was performed to associate risk factors with MSOI severity.
Main Results:
- Significant correlations found between MSOI severity and factors such as weight, years in practice, multiple subspecialties, operating position, lack of visual aids, and lead apron use.
- The lower back (58%) and neck (47.7%) were the most commonly affected areas.
- Only 13.6% of injured surgeons sought treatment, primarily physiotherapy.
Conclusions:
- The prevalence of MSOI among Indian orthopedic surgeons is high, influenced by professional demands and ergonomic challenges.
- Targeted interventions, including ergonomic modifications, awareness campaigns, and weight management, are vital.
- These measures are essential for reducing injury rates and supporting surgeon well-being.
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