Vajapey Sravya P, Li Mengnai, Glassman Andrew H
Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
J Orthop. 2021 Apr 2;25:23-30. doi: 10.1016/j.jor.2021.03.026. eCollection 2021 May-Jun.
Occupational injuries and hazards related to orthopaedic surgery are not well studied, and what is published on this topic is largely based on in vitro or in vivo animal studies.
To evaluate the self-reported prevalence of musculoskeletal (MSK) overuse disorders and other conditions among orthopaedic surgeons, especially those performing total hip (THA) or total knee arthroplasty (TKA), and report the factors placing these surgeons at higher risk for occupational health hazards.
This was a cross-sectional study of 66 currently practicing orthopaedic surgeons in the Midwestern United States. An online survey was sent to the participants, and all responses were collected anonymously. The survey consisted of 18 multiple-choice questions.
Almost 82% of surgeons surveyed had either a musculoskeletal (MSK) overuse disorder, kidney stones, cataracts, infertility, deafness, or a combination of the above. Fifty-three percent of these respondents believed their medical conditions arose due to their job demands or exposure. A majority of the orthopaedic surgeons surveyed wanted to retire at either 60-65 years of age (31.8%) or 66-70 years of age (47%). Nearly 88% of the survey respondents believed they will be able to meet the demands of their job until their intended retirement age. The prevalence of an overuse disorder was highest for those who have been in practice for 21-30 years (100%). There was a trend toward higher rate of surgery for overuse condition in Adult Reconstruction (AR) surgeons. Rotator cuff disease was the most common MSK disorder affecting AR surgeons.
A majority (>80%) of orthopaedic surgeons suffer from a musculoskeletal overuse disorder, kidney stones, cataracts, infertility, deafness, or a combination of these. A significant proportion (53%) of surgeons believe one or more of their medical conditions developed due to occupational exposure.
与骨科手术相关的职业伤害和危害尚未得到充分研究，关于这一主题发表的内容很大程度上基于体外或体内动物研究。
评估骨科医生，尤其是那些进行全髋关节置换术（THA）或全膝关节置换术（TKA）的医生自我报告的肌肉骨骼（MSK）过度使用性疾病及其他病症的患病率，并报告使这些医生面临更高职业健康危害风险的因素。
这是一项对美国中西部66名在职骨科医生进行的横断面研究。向参与者发送了在线调查问卷，所有回复均匿名收集。该调查由18个多项选择题组成。
接受调查的外科医生中，近82%患有肌肉骨骼过度使用性疾病、肾结石、白内障、不孕症、耳聋或上述多种情况的组合。这些受访者中有53%认为他们的健康状况是由于工作要求或接触所致。接受调查的大多数骨科医生希望在60 - 65岁（31.8%）或66 - 70岁（47%）退休。近88%的受访者认为他们能够在预期退休年龄前满足工作需求。从业21 - 30年的医生过度使用性疾病的患病率最高（100%）。成人重建（AR）外科医生中，过度使用性疾病的手术率有上升趋势。肩袖疾病是影响AR外科医生最常见的MSK疾病。
大多数（>80%）骨科医生患有肌肉骨骼过度使用性疾病、肾结石、白内障、不孕症、耳聋或这些情况的组合。相当一部分（53%）外科医生认为他们的一种或多种健康状况是由于职业接触而产生的。
