Musculoskeletal pain and surgical ergonomics among orthopedic residents in Saudi Arabia: a cross-sectional study


Abstract

Background and aim: Ergonomics mitigate the risk of musculoskeletal pain (MSP) and injuries incurred by surgeons in the workplace. We determined the knowledge, attitude, and practice of surgical ergonomics and the prevalence of MSP among orthopedic residents in Saudi Arabia.

Methods: This was a cross-sectional study using a modified validated tool to assess the knowledge, attitude, and practices as well as determine the prevalence and degree of MSP among orthopedic residents. We performed tests of associations between knowledge, attitude, and practice of surgical ergonomics with demographic and clinical characteristics, as well as its impact on the prevalence of MSP.

Results: Of 158 orthopedic residents, 77.8% were male, with most in PGY-1 and PGY-2. Significant MSP was reported by 75.9%, mainly in the lower back, feet, and neck. Trauma surgery caused the most discomfort (69%). MSP affected fellowship choices, mobility, and frustration tolerance. Changing position during surgery was the most common intervention. Good ergonomics knowledge (84.2%) and attitude (89.2%) were linked to a 32–34% lower MSP risk.

Conclusion: Significant MSP is common among orthopedic residents. Incorporating surgical ergonomics into training can improve awareness, reduce MSP, and enhance residents’ health, performance, and patient care.

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