Noisy Robots? Comparison of Occupational Noise Levels Between Robotic-Assisted and Conventional Total Knee Arthroplasty

Autor: Laurent Willemot, MD, PhD, Alisdair Gilmour, FRCS, Jonathan Mulford, FRACS, David Penn, FRACS
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Arthroplasty Today, Vol 30, Iss , Pp 101581- (2024)
Druh dokumentu: article
ISSN: 2352-3441
DOI: 10.1016/j.artd.2024.101581
Popis: Background: Noise exposure during surgery is a known occupational hazard, impacting staff hearing and surgical outcomes. Despite guidelines such as the Australian Work Health and Safety Act, noise safety remains largely neglected in orthopaedic surgery. Anecdotally, the introduction of robotic-assisted arthroplasty has contributed to increased noise production. This research article aims to investigate the role of robots in noise levels during arthroplasty. Methods: In this prospective observational study, we collected noise exposure data during total knee arthroplasty with and without robotic assistance. Noise levels were measured using a smartphone placed in the surgeon’s breast pocket. Patient demographics and surgical details were collected for subgroup analysis. Mean (LAeq), time-weighted average, and peak noise levels, as well as dose equivalent were calculated to quantify the exposure. Results: A total of 65 knee arthroplasty sound recordings were included with a mean noise level of 82.0 dB (standard deviation [SD]: 3.9). Robotic-assisted surgeries exhibited significantly higher levels than using the conventional technique: 82.4 (SD: 3.2) vs 78.4 dB (SD: 3.8) (
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