In an era dominated by discussions on climate change and environmental responsibility, the field of orthopaedic surgery finds itself at a crucial crossroads, navigating the delicate balance between delivering excellent patient care and addressing its substantial environmental impact. The recent surge in sustainability movements across various industries has prompted a reevaluation of practices, and the orthopaedic sector is now facing the imperative to contribute to a greener, more eco-conscious healthcare landscape.
Undoubtedly, the primary focus of orthopaedic surgeons must remain on providing top-notch patient care. However, the recognition of the environmental footprint within the healthcare sector, particularly in orthopaedics, calls for a thoughtful integration of sustainability into the field’s practices. The acknowledgment of the sector’s role in contributing to 10% of U.S. annual greenhouse gas emissions underscores the urgency to reconsider resource utilization, waste reduction, and overall environmental impact.
The symbiotic relationship between sustainability and cost savings offers a compelling incentive for orthopaedic surgeons to engage with environmental efforts. The “triple bottom line” concept in medicine, connecting patient outcomes, cost, and environmental impact, emphasizes the interconnectedness of these elements. By using fewer resources and generating less waste, surgeons can achieve both cost-effectiveness and a reduced environmental footprint – a goal supported by both medical professionals and administrators alike.
Orthopaedics faces specific challenges in embracing sustainability, including the prevalent culture of disposability in the U.S. The reliance on disposable products in orhopaedic operating rooms has led to increased vulnerability to supply chain disruptions and higher volumes of non-degradable plastics in landfills. Addressing these challenges requires research, such as life cycle assessment studies, to quantify the impact of disposable products comprehensively.
Orthopaedic surgeons, with their autonomy and influential positions, are uniquely positioned to lead the transition to a more sustainable healthcare system. Initiatives such as embracing video and telehealth visits, establishing satellite clinics, and minimizing disposables in the operating room showcase practical ways to reduce the environmental impact while maintaining patient care standards.
Importantly, the emphasis on sustainability in orthopaedic surgery does not imply inefficiency, higher costs, or compromised patient safety. On the contrary, prioritizing sustainable practices proves beneficial for all stakeholders, aligning with the growing recognition from governments and hospital systems to reduce emissions. Orthopaedic surgeons must actively participate in these discussions, contributing to the creation of strategies that simultaneously benefit patients and promote environmental sustainability.
While patient outcomes remain paramount, orthopaedic surgeons must embrace the call for environmental sustainability. By doing so, they can not only minimize their specialty’s environmental impact but also lead the way in creating a greener, more efficient, and cost-effective future in orthopaedic surgery.
