Life cycle assessment and optimisation of surgical instrument trays for reverse shoulder arthroplasty.

ABSTRACT:

Objectives

Shoulder arthroplasty has a large environmental impact. Part of the environmental impact is caused by the sterilisation of surgical instruments. This study examines the effect of optimising surgical instrument trays for reverse shoulder arthroplasty (RSA), to reduce the environmental impact.

Methods

An adjusted LEAN 5s method was used to optimise the number of instruments of shoulder arthroplasty specific trays. A Life Cycle Assessment was performed to calculate the CO₂-eq.

Results

After careful selection, 139 of the 254 (55%) instruments were removed from the original RSA trays. Out of the 139 removed instruments, 19 were placed in a supplemental tray. The number of base trays was reduced with 3 trays. The estimated impact by reducing these tray

SUBMITTER: Klarenbeek IC 

PROVIDER: S-EPMC11780606 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature