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Waste Generation in Pediatric Orthopaedic Hardware Removal Surgery.

Tyler M Staten1, Wade E Quilter1, Brittany N Garcia2

  • 1Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA.

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Pediatric hardware removal surgeries generate substantial waste, averaging 6.8 kg per case. Reducing this waste through better labeling and pack optimization can lower environmental and financial burdens.

Keywords:
Healthcare sustainabilityPediatric orthopaedic surgeryRemoval of hardwareSurgical wasteWaste reduction

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Area of Science:

  • Orthopaedic Surgery
  • Environmental Health
  • Healthcare Waste Management

Background:

  • Hardware removal (ROH) is a common pediatric orthopaedic procedure.
  • Surgeons must weigh ROH benefits against risks, costs, and waste generation.
  • Understanding waste impact is crucial for patient and population health.

Purpose of the Study:

  • To quantify and characterize intraoperative waste from pediatric ROH surgery.
  • To identify key waste contributors and inform reduction strategies.
  • To assess the environmental and financial impact of pediatric ROH waste.

Main Methods:

  • Audit of 10 pediatric ROH cases at a tertiary care hospital.
  • Collection, categorization, and weighing of all intraoperative waste.
  • Classification of waste by usage (unused, used but not soiled, used and soiled) and labeling.

Main Results:

  • Average of 6.8 kg of solid waste generated per case (range 5.3–8.1 kg).
  • Drapes (1.2 kg) and hard plastics (1.14 kg) were major waste contributors.
  • Only 11% of plastic waste had recycling labels; 7.76 kg of waste was unused.

Conclusions:

  • Pediatric ROH generates significant waste, with potential national annual contribution exceeding 450,000 pounds.
  • Clearer recycling labels, optimized procedure packs, and reduced draping can decrease waste.
  • Balancing surgical benefits with waste reduction promotes high-value, sustainable care.