Radiation Exposure From Fluoroscopy During Orthopedic Surgical Procedures

Riley, Scott

doi:10.1097/00003086-198911000-00041

Cited by 67 publications

(38 citation statements)

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“…6,7 The range of operative procedures requiring image intensifier screening has led to an interest by orthopaedic surgeons in their exposure to ionising radiation. [8][9][10][11] Studies have considered exposure during experimental operation set-ups on phantom patients, 12 during common trauma operations, [13][14][15] for different locations and personnel in the operating theatre, [16][17][18] for different parts of the body, 19 and also investigating methods to reduce exposure. 20,21 There is evidence, however, that actual practice of basic ionising radiation protection varies widely.…”

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confidence: 99%

Ionising Radiation Exposure to Orthopaedic Trainees: The Effect of Sub-Specialty Training

Oddy

Aldam

2006

annals

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INTRODUCTION We monitored image intensifier use by orthopaedic trainees to assess their exposure to ionising radiation and to investigate the influence of sub-specialty training.MATERIALS AND METHODS Five different orthopaedic registrars recorded their monthly image intensifier screening times and exposure doses for all cases (trauma and elective), for a combined total of 12 non-consecutive months. Radiation exposure was monitored using shoulder and waist film badges worn both by surgeons and radiographers screening their cases.RESULTS Registrars in spinal sub-specialties were exposed to significantly higher doses per case and cumulative doses per month than non-spinal trainees (P < 0.05), but significantly lower screening times per case (P < 0.05). There were no significant differences in cumulative screening times per month (P > 0.05). Regression analysis for all surgeons showed a significant relationship between shoulder film badge reading and cumulative dose exposed per month (P < 0.05), but not for cumulative screening time. Shoulder film badge recordings were significantly higher for spinal compared with non-spinal registrars (P < 0.05), although all badges were below the level for radiation reporting. Only one radiographer badge recorded a dose above threshold.CONCLUSIONS Whilst the long-term effects of sub-reporting doses of radiation are not fully understood, we consider that this study demonstrates that trainees should not be complacent in accepting inadequate radiation protection. The higher doses encountered with spinal imaging means that sub-specialty trainees should be alerted to the risk of their increased exposure. The principle of minimising radiation exposure must be maintained by all trainees at all times.

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Ionising Radiation Exposure to Orthopaedic Trainees: The Effect of Sub-Specialty Training

Oddy

Aldam

2006

annals

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“…Die am häufigsten verwendeten "Freihand-Zielhilfen" setzen weiterhin den Einsatz eines Röntgenbild-verstärkers voraus [4,6,12,13,15,25,29,30,32,34,36]. Die damit verbundene Strahlenbelastung von Patient und vor allem Operationspersonal wird gegenwärtig noch uneinheitlich bewertet [1,5,23,24,26,31,33,35,39]. Rein bügelgestützte Zielsysteme sind bei Verwendung geschlitzter Implantate nicht verläßlich wirksam, da es hier z. T. zur erheblichen Torsionsverformungen kommt (biegungsinduzierte Implantattorsion) [16].…”

Section: Diskussionunclassified

Entwicklung und erste klinische Anwendung eines Zielgeräts für die distalen Verriegelungsbohrungen ohne Röntgenbild-verstärker für den unauf-gebohrten Tibianagel (UTN)

Krettek¹,

Könemann²,

Nöschel³

et al. 1996

Der Unfallchirurg

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Techniques for operative treatment of supra- and intercondylar fractures have changed in recent years. Some of these changes have come about in reduction techniques and implant selection. Operative approach concepts, which had remained unchanged for several decades, have been critically evaluated and modified, leading to a minimally invasive osteosynthesis (MIO) with transarticular joint reconstruction, closed plate positioning techniques or retrograde intramedullary nailing. These techniques result in better operative visualization and management of intraarticular comminution, safer fracture healing and better functional outcome. New strategies and techniques for the avoidance of axial malalignment, rotational deformities and leg length discrepancies are described.

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“…In order to generate a group of 3D images, a number of scans need to be taken along the arc of motion of the C-arm. Thus, radiation hazard to the patient and the operating room personnel should be of a major concern [9][10][11][12][13]. However, the information on radiation safety during intra-operative 3D fluoroscopy of the extremity is still limited.…”

Section: Introductionmentioning

confidence: 99%