Majority of trauma & orthopaedic surgeons believe their work puts them at risk of noise-induced hearing loss: Findings from a cross-sectional survey study

Trauma and orthopaedic (T&O) surgery involves the use of instruments that generate loud noises. However, the perceptions of T&O surgeons regarding intraoperative noise are unknown. In the United Kingdom (UK), the 2005 Control of Noise at Work Regulations governs occupational noise exposure. This study aimed to investigate how T&O surgeons perceive and respond to intraoperative noise exposure, including their receipt of noise-related safety training and their awareness of relevant occupational health regulations. A 19-item questionnaire was distributed to T&O surgeons via social-media and email lists between 13th November 2024 and 13th February 2025. The questionnaire captured data on demographics and topic-specific issues. A total of 126 responses were analysed. Most respondents were male (91.27%) with a median age of 45 years (IQR 37-53). Over half (54.76%) believed the procedures they were involved in are likely to cause noise-induced hearing loss. Concern was highest among those performing hip arthroplasty (regression coefficient 20.42, 95%CI 1.99–38.85, p = 0.030). Most participants reported not taking precautions to protect their hearing (89.68%). Only 11% were aware of the 2005 Control at Work Noise Regulations, and 99% did not receive formal training on workplace noise exposure. Despite concern about intraoperative noise exposure, most surgeons lacked awareness of the 2005 Control of Noise at Work Regulations and did not receive formal workplace training nor adopt protective measures. These findings highlight the need for improved support from professional bodies and employers to address these gaps and ensure access to training and equipment to mitigate the harms from intraoperative noise exposure. • 55% of T&O surgeons believe procedures risk noise-induced hearing loss. • 99% of surgeons have never received formal training on workplace noise exposure. • Only 11% are aware of the 2005 Control of Noise at Work Regulations. • Surgeons in hip arthroplasty report the highest levels of concern. • Most surgeons (90%) take no precautions to protect their hearing.