故フレディ・フー博士の共著で、整形外科手術が環境に与える影響を検証する新研究を発表 New Research, co-authored by the late Dr. Freddie Fu, Reviews the Environmental Impacts of Orthopedic Surgery
整形外科手術における環境の持続可能性 Environmental Sustainability in Orthopaedic Surgery
Engler, Ian D. ; Curley, Andrew J. ; Fu, Freddie H. ; Bilec, Melissa M.
Journal of the American Academy of Orthopaedic Surgeons June 1, 2022
Climate change has been increasingly recognized in the healthcare sector over recent years, with global implications in infrastructure, economics, and public health. As a result, a growing field of study examines the role of healthcare in contributing to environmental sustainability. These analyses commonly focus on the environmental impact of the operating room, due to extensive energy and resource utilization in surgery. While much of this literature has arisen from other surgical specialties, several environmental sustainability studies have begun appearing in the field of orthopaedic surgery, consisting mostly of waste audits and, less frequently, more comprehensive environmental life cycle assessments. The present study aims to review this limited evidence. The results suggest that methods to reduce the environmental impact of the operating room include proper selection of anesthetic techniques that have a smaller carbon footprint, minimization of single use instruments, use of minimalist custom-design surgical packs, proper separation of waste, and continuation or implementation of recycling protocols. Future directions of research include higher-level studies, such as comprehensive life cycle assessments, to identify more opportunities to decrease the environmental impact of orthopaedic surgery.