Reduction of Radiation Exposure From C-Arm Fluoroscopy During Orthopaedic Trauma Operations With Introduction of Real-Time Dosimetry

Baumgartner, Rita; Libuit, Kiley; Ren, Dennis; Bakr, Omar; Singh, Nathan; Kandemir, Utku; Marmor, Meir; Morshed, Saam

doi:10.1097/bot.0000000000000442

Cited by 33 publications

(23 citation statements)

References 15 publications

(18 reference statements)

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“…Significant radiation dosage is associated with exposure to intraoperative fluoroscopy for the patient and over the course of a career in orthopedic surgery. 36 Even low doses of ionizing radiation are associated with cancer, 50 mSv for acute exposure and 100 mSv for chronic exposure, and exposure should be minimized where possible. 37 The use of short nails offers an avenue for reducing radiation exposure.…”

Section: Discussionmentioning

confidence: 99%

Short Versus Long Cephalomedullary Nails for Pertrochanteric Hip Fracture

Frisch¹,

Nahm²,

Khalil³

et al. 2017

Orthopedics

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This study compared patients who underwent treatment with short or long cephalomedullary nails with integrated cephalocervical screws and linear compression. Patients with AO/OTA 31-A2 or A3 pertrochanteric fractures treated with either short (n=72) or long (n=97) InterTAN (Smith & Nephew, Memphis, Tennessee) cephalomedullary nails were reviewed. Information on perioperative measures (estimated blood loss, surgical time, and fluoroscopy time) and postoperative orthopedic complications (infection, implant failure, screw cutout, and periprosthetic femur fracture) was included. Estimated blood loss (short nail, 161 mL; long nail, 208 mL; P=.002) and surgical time (short nail, 64 minutes; long nail, 83 minutes; P=.001) were lower in the short nail group. There were no differences in fluoroscopy time (short nail, 90 seconds; long nail, 142 seconds; P=.071) or rates of infection (short nail, 1.4%; long nail, 3.1%; P=.637) or overall orthopedic complications (short nail, 11.1%; long nail, 9.3%; P=.798) between the 2 groups. The long nail group had a trend toward more screw cutouts (long nail, 5.2%; short nail, 0.0%; P=.134) but fewer periprosthetic femur fractures (short nail, 8.3%; long nail, 0.0%; P=.013). This study found a similar overall rate of orthopedic complications between short and long nails with integrated cephalocervical screws and linear compression. These results confirm the suspected advantages of short nails, including faster surgery and less blood loss; however, the rate of periprosthetic femur fracture remains high, despite changes to implant design. [Orthopedics. 2017; 40(2):83-88.].

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Section: Discussionmentioning

confidence: 99%

Short Versus Long Cephalomedullary Nails for Pertrochanteric Hip Fracture

Frisch¹,

Nahm²,

Khalil³

et al. 2017

Orthopedics

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“…Muzaffer ve ark. 'nın (11)(12)(13) 2014 yılında yapmış oldukları çalışmada ve literatür incelemesinde minimal invazif uygulanan plaklarda, radyasyon maruziyetinin diğer tespit yöntemlerine göre daha az olduğunu belirtmişlerdir. Çalışmamızda, literatürün aksine grup 1'deki radyasyon maruziyeti Grup 2'deki yapılan hastalara göre daha fazlaydı.…”

Section: Discussionunclassified

“…Grup 1'deki hastaların parsiyel yüklenmeye 6. haftada, tam yüke 10 haftada geçilirken, eksternal fiksatör yapılan grupta parsiyel yüklemeye 3. gün, tam yüklenmeye ağrı şiddetine göre genellikle 10. gün (8)(9)(10)(11)(12)(13)(14) izin verildi. Her iki grupta da ayak bilek ve diz hareketlerine postoperatif üçüncü gün ağrının izin verdiği şekilde başlandı.…”

Section: çAlışmamızunclassified

A comparison of minimally invasive anatomic plate and LRS external fixator in extraarticular distal tibia fractures

Tekin¹,

İmren²,

Çabuk³

et al. 2017

IKSST

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“…To our knowledge, there is currently no such solution available for traditional C‐arms. Additionally, at least in orthopaedic trauma surgery, the minimally invasive approach often leads to an increase in radiation exposure for the patient and the whole team . Much effort and research is on‐going to solve this problem efficiently.…”

Section: Introductionmentioning

confidence: 99%

Camera‐augmented mobile C‐arm (CamC): A feasibility study of augmented reality imaging in the operating room

Heide¹,

Fallavollita

Wang

et al. 2017

Robotics Computer Surgery

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Reduction of Radiation Exposure From C-Arm Fluoroscopy During Orthopaedic Trauma Operations With Introduction of Real-Time Dosimetry

Abstract: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

Cited by 33 publications

References 15 publications

Short Versus Long Cephalomedullary Nails for Pertrochanteric Hip Fracture

Short Versus Long Cephalomedullary Nails for Pertrochanteric Hip Fracture

A comparison of minimally invasive anatomic plate and LRS external fixator in extraarticular distal tibia fractures

Camera‐augmented mobile C‐arm (CamC): A feasibility study of augmented reality imaging in the operating room

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