2014
DOI: 10.1016/j.rboe.2014.04.008
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Abstract: Objectivethe aim of this study was to assess the degree of exposure of the orthopedic surgical team to fluoroscopic ionizing radiation.Methodsthe ionizing radiation to which the orthopedic surgical team (R1, R2 and R3) was exposed was assayed using thermoluminescent dosimeters that were distributed in target anatomical regions (regions with and without protection using a lead apron). This was done during 45 hip osteosynthesis procedures to treat transtrochanteric fractures that were classified as 31-A2.1 (AO).… Show more

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Cited by 4 publications
(3 citation statements)
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“…There was a modest trend for more experience to correlate with fewer fluoroscopic images taken during the wire navigation phase of the surgery, consistent with prior work that showed an increase in surgical experience results in a decrease of radiation exposure (Giordano et al, 2011; Bar-On et al, 2010; Blattert et al, 2004;Palácio et al, 2014). The lack of statistical significance in our findings could be due to the high variability in the number of images used by the junior level residents (PGY 2 and 3); the number ranged from 19 to 79.…”
Section: Discussionsupporting
confidence: 83%
“…There was a modest trend for more experience to correlate with fewer fluoroscopic images taken during the wire navigation phase of the surgery, consistent with prior work that showed an increase in surgical experience results in a decrease of radiation exposure (Giordano et al, 2011; Bar-On et al, 2010; Blattert et al, 2004;Palácio et al, 2014). The lack of statistical significance in our findings could be due to the high variability in the number of images used by the junior level residents (PGY 2 and 3); the number ranged from 19 to 79.…”
Section: Discussionsupporting
confidence: 83%
“…Studies have shown that exposure to junior surgeons or trainees exceeds that of the senior surgeons 11 , 12 . Lead aprons and dosimeters are important for protection and ensuring that exposure to vital organs remains below the annual limits 13 . However, it is challenging to obtain precise measurements of radiation exposure even when wearing proper protective equipment 11 .…”
Section: Discussionmentioning
confidence: 99%
“…24 Multiple studies have also shown that an increase in surgical experience results in a decrease of radiation exposure. 21,[25][26][27] Another measure of surgical performance that considers how meticulous and efficient the surgeon is at exposing the patient to the least possible insult or injury is the number of holes created in the bone cortex. When a wire does not have an appropriate trajectory, it must be removed then reinserted, which increases surgical time and radiation exposure.…”
Section: Introductionmentioning
confidence: 99%