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Chapter 7: Orthopaedic Surgical Assisting

Introduction to Orthopaedic Surgical Assisting

Orthopaedic surgery involves specialized procedures that address musculoskeletal injuries,
deformities, and degenerative conditions. The orthopaedic technologist plays a critical role in
supporting the surgical team, ensuring proper sterile technique, managing instruments, and
assisting in patient care before, during, and after surgery. A thorough understanding of aseptic
technique, surgical protocols, and instrument handling is essential for ensuring optimal patient
outcomes and reducing the risk of complications.

This chapter explores the essential functions of the orthopaedic technologist in surgery, including
preparation, intraoperative assistance, and postoperative patient care. It also provides detailed
guidance on maintaining a sterile environment, handling orthopaedic surgical instruments, and
understanding the most common orthopaedic procedures. Mastery of these concepts ensures
efficiency in the operating room (OR) and enhances surgical team coordination.

Role of the Orthopaedic Technologist in Surgery

Orthopaedic technologists are vital members of the surgical team, assisting in all phases of
surgery to ensure efficiency, patient safety, and optimal outcomes. Their responsibilities extend
from preoperative preparation to intraoperative assistance and postoperative support. Mastery of
these roles ensures seamless surgical workflow, prevents complications, and enhances overall
patient care.

Orthopaedic technologists play a vital role in preoperative, intraoperative, and postoperative
phases of orthopaedic surgery. Their responsibilities ensure that procedures are conducted
smoothly and efficiently while maintaining patient safety.

1. Preoperative Responsibilities

Before surgery, orthopaedic technologists play a key role in ensuring that both the patient and the
operating room are prepared for a successful procedure.

a. Patient Preparation

• Verify patient identity, confirm the correct surgical procedure, and mark the surgical site per
hospital protocol.
• Assist in positioning the patient, ensuring proper alignment and support using positioning aids
(e.g., traction devices, foam pads, limb holders) to reduce pressure points and enhance surgical
access.
• Apply any required traction devices to maintain bone alignment before the procedure.
• Monitor patient comfort and address any preoperative concerns or anxiety.