Orthopaedic surgical instruments represent a significant capital investment for hospitals. Proper care extends their lifespan, maintains their performance, and — most critically — ensures patient safety during procedures.
Cleaning protocols
Instruments must be cleaned immediately after use. Bioburden that dries onto surfaces becomes progressively harder to remove and can compromise sterilisation. Pre-cleaning with enzymatic detergents, followed by ultrasonic cleaning for complex instruments such as drill guides and reduction forceps, is current best practice.
Sterilisation standards
Steam sterilisation (autoclaving) remains the gold standard. Parameters must be validated for each instrument type — particularly those with complex geometries. Biological indicators should be used regularly to confirm sterilisation efficacy. Instruments with lumen or channel designs require special attention to ensure adequate steam penetration.
Inspection and tracking
Regular inspection for corrosion, wear, and damage is essential. Instruments with moving parts require lubrication. A systematic tracking system ensures instruments are serviced at appropriate intervals and removed from service when they reach the end of their useful life.
Common issues in Uganda
Many Ugandan hospitals face challenges with hard water affecting autoclave performance, inconsistent electricity supply requiring backup power for sterilisation, and limited access to biological indicators. Addressing these challenges proactively protects both patients and equipment.