Radiation Exposure Among Orthopaedic Trauma Surgeons: Deconstructing Commonly Held Myths and Misperceptions

Raffetto, Michael L.; Blum, Laura; Abbenhaus, Eric; Hautala, Gavin S; Lemieux, Bryan; Pease, Tyler; Wright, Raymond D.; Moghadamian, M D Eric; Aneja, Arun; Blair, James A.; Matuszewski, Paul E.

doi:10.1097/bot.0000000000002340

Cited by 2 publications

(2 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, more comprehensive and long-term data regarding this new technique are required. [38] This innovative method enables efficient identification and locking of distal screw holes, a traditionally challenging aspect of this surgery. This accomplishment was made possible through the innovative use of an IM nail guide and a thin K-wire to locate and widen the reference point in the first cortex.…”

Section: Discussionmentioning

confidence: 99%

Fluoroscopy-free distal screw locking in intramedullary nailing: A retrospective study

Menekse

2023

Medicine

View full text Add to dashboard Cite

Intramedullary nailing is a common orthopedic procedure, but current methods for distal screw locking have several limitations. This study introduces and evaluates a novel technique that aims to overcome these challenges. The findings were statistically significant, with P-values set at .05. Compared to the traditional method, the novel technique demonstrated several advantages. Mean operation times were reduced to 1.2 hours for the new method, in contrast to 1.5 hours for the control group. Hospital stays also favored the new technique, with a mean duration of 2 days, while the control group averaged 3 days. A significant benefit was the marked decrease in radiation exposure, with the new technique eliminating radiation entirely, recording 0.0 mSv compared to the control group’s 2.5 mSv. The procedure’s success, gauged by the accurate positioning of screws, was higher for the new technique at 92% versus the control’s 78%. Furthermore, complication rates were notably lower in the new method, with a 6% incidence compared to 16% in the traditional approach. While the data suggest that the new technique holds promising advantages, such as reduced operation times, decreased radiation exposure, and fewer complications, it is essential to conduct more extensive research for comprehensive validation. Despite the optimistic results, the study acknowledges the need for larger-scale trials to solidify these findings.

show abstract

Section: Discussionmentioning

confidence: 99%

Fluoroscopy-free distal screw locking in intramedullary nailing: A retrospective study

Menekse

2023

Medicine

View full text Add to dashboard Cite

show abstract

“…However, problems can be prevented by shortening the time of surgery with appropriate techniques and methods. A common occupational danger in orthopedic trauma surgery is radiation exposure through intra-operative fluoroscopy (18,19). Fluoroscopy is used particularly intensively to confirm the reduction of the fractures, so the patient and surgical team are exposed to radiation (20).…”

Section: Discussionmentioning

confidence: 99%

Distal Femur Kırıkları için Retrograd Intramedüller Çivileme Sonuçlarının Değerlendirilmesi: 3. Basamak Travma Merkezi Retrospektif Çalışması

Ergün

Bayraktar

Karslıoğlu

et al. 2022

Düzce Tıp Fakültesi Dergisi

View full text Add to dashboard Cite

Aim: Distal femur fractures can be treated with modern anatomic plates and nails. This study aimed to examine the clinical and radiological results of displaced distal femur fractures in adult people who had been treated with a retrograde intramedullary nail (RIN). Material and Methods:The study included all patients who underwent RIN surgery for distal femur fracture between January 2013 and April 2018 in a level 3 trauma center. Patients were divided into two groups based on fracture pattern: open fracture and closed fracture. The preoperative and postoperative clinical, radiological and functional characteristics of patients who had RIN for a distal femur fracture were analyzed. Results: Thirty patients were included in the study. 21 (70%) patients were male. The median age of the patients was 39 (range, 18-58) years. 17 (56.7%) of the affected femur were left-sided. The etiology of the fractures was traffic accident and fall in 19 (63.3%) patients and gunshot injury in 11 (36.7%) patients. Of the patients, 17 (56.7%) were closed fractures and 13 (43.3%) were open fractures. There were no significant differences between two groups related to the surgery time (p=0.086), fluoroscopy time (p=0.805), blood loss (p=0.967), and hospitalization time (p=0.967), clinical pain and function scores (p=0.341, p=0.902), and union time (p=0.385) at the postoperative period. Conclusion: RIN is a minimally invasive method that may prevent excessive blood loss and decrease the duration of surgery time. It is an effective and reliable surgical intervention that should be considered for the treatment of distal femur fractures.

show abstract

Radiation Exposure Among Orthopaedic Trauma Surgeons: Deconstructing Commonly Held Myths and Misperceptions

Abstract: Objectives: To review and evaluate the validity of common perceptions and practices regarding radiation safety in orthopaedic trauma.

Cited by 2 publications

References 19 publications

Fluoroscopy-free distal screw locking in intramedullary nailing: A retrospective study

Fluoroscopy-free distal screw locking in intramedullary nailing: A retrospective study

Distal Femur Kırıkları için Retrograd Intramedüller Çivileme Sonuçlarının Değerlendirilmesi: 3. Basamak Travma Merkezi Retrospektif Çalışması

Contact Info

Product

Resources

About