Details

Autor(en) / Beteiligte

• Peters, Michiel, MSc
• Feczko, Peter, MD
• Tsang, Karel, MSc
• van Rietbergen, Bert, PhD
• Arts, Chris, PhD
• Emans, Pieter, MD, PhD

Titel

Noise exposure in TKA surgery; Oscillating Tip Saw systems vs. Oscillating Blade Saw systems

Ist Teil von

• The Journal of arthroplasty, 2016-12, Vol.31 (12), p.2773-2777

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2016

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract Background Historically it has been suggested that noise induced hearing loss (NIHL) affects approximately 50% of the orthopaedic surgery personnel. This noise may be partially caused by the use of powered saw systems that are used to make the bone cuts. The first goal was to quantify and compare the noise emission of these different saw systems during TKA surgery. A second goal was to estimate the occupational NIHL risk for the orthopaedic surgery personnel in TKA surgery by quantifying the total daily noise emission spectrum during TKA surgery and to compare this to the Dutch Occupational Health Organization guidelines. Methods A conventional Sagittal oscillating blade system with a full oscillating blade and two newer oscillating tip saw systems (handpiece and blade) were compared. Noise level measurements during TKA surgery were performed during cutting and hammering, additionally surgery noise profiles were made. Results The noise level was significantly lower for the oscillating tip saw systems compared to the conventional saw system, but all were in a range that can cause NIHL. The conventional system hand piece produced a considerable higher noise level compared to oscillating tip handpiece. Conclusion Noise induced hearing loss is an underestimated problem in the orthopaedic surgery. Solutions for decreasing the risk of hearing loss should be considered. The use of oscillating tip saw systems have a reduced noise emission in comparison with the conventional saw system. The use of these newer systems might be a first step in decreasing hearing loss among the orthopaedic surgery personnel.