The influence of health literacy on involvement in decision-making in orthopedic surgery has not been analyzed and could inform processes to engage patients. The goal of this study was to determine the relationship between health literacy and the patient's preferred involvement in decision-making. We conducted a cross-sectional observational study of patients presenting to a multispecialty orthopedic clinic. Patients completed the Literacy in Musculoskeletal Problems (LiMP) survey to evaluate their health literacy and the Control Preferences Scale (CPS) survey to evaluate their preferred level of involvement in decision-making. Statistical analysis was performed with Pearson's correlation and multivariable logistic regression. Thirty-seven percent of patients had limited health literacy (LiMP score <6). Forty-eight percent of patients preferred to share decision-making with their physician equally (CPS score=3), whereas 38% preferred to have a more active role in decision-making (CPS score≤2). There was no statistically significant correlation between health literacy and patient preference for involvement in decision-making (r=0.130; P=.150). Among patients with orthopedic conditions, there is no significant relationship between health literacy and preferred involvement in decision-making. Results from studies in other specialties that suggest that limited health literacy is associated with a preference for less involvement in decision-making are not generalizable to orthopedic surgery. Efforts to engage patients to be informed and participatory in decision-making through the use of decision aids and preference elicitation tools should be directed toward variation in preference for involvement in decision-making, but not toward patient health literacy. [Orthopedics. 202x;xx(x):xx–xx.]

健康素养对参与骨科手术决策的影响尚未得到分析，并且可以告知患者参与的过程。本研究的目的是确定健康素养与患者偏好参与决策之间的关系。我们对就诊于多专科骨科诊所的患者进行了一项横断面观察研究。患者完成了肌肉骨骼问题素养 (LiMP) 调查以评估他们的健康素养，并完成了控制偏好量表 (CPS) 调查以评估他们参与决策的首选水平。采用 Pearson 相关性和多变量逻辑回归进行统计分析。37% 的患者健康素养有限（LiMP 评分 <6）。48% 的患者更愿意与他们的医生平等分享决策（CPS 评分=3），而 38% 的患者更愿意在决策中发挥更积极的作用（CPS 评分≤2）。健康素养与患者参与决策的偏好之间没有统计学上的显着相关性。r =0.130；P =.150)。在患有骨科疾病的患者中，健康素养与首选参与决策之间没有显着关系。其他专业的研究结果表明，有限的健康素养与较少参与决策的偏好相关，但不能推广到骨科手术。通过使用决策辅助工具和偏好获取工具让患者了解并参与决策的努力应该针对参与决策的偏好变化，而不是针对患者的健康素养。[骨科。202x;xx(x):xx–xx.]