Ionizing Radiation Doses Detected at the Eye Level of the Primary Surgeon During Orthopaedic Procedures

Cheriachan, Deepak M.; Hughes, Andrew; Moulin, William du; Williams, Christopher Kwesi O.; Molnar, Robert

doi:10.1097/bot.0000000000000578

Cited by 20 publications

(14 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Increased operative duration results in increased surgical site infection, as well as more chance in radiation exposure, leading to an increased risk of solid tumors and cataracts. [33][34][35][36] Schilcher et al [37] demonstrated that following AFF, discontinuing BP therapy achieved a 70% per-year reduction in the relative risk of developing contralateral atypical fracture. Dell et al [38] showed the incidence of bilateral AFFs to be 41% in patients who continued BPs for 3 or more years after the index AFF, compared with 19% in patients who discontinued the drug.…”

Section: Discussionmentioning

confidence: 99%

Is Full-Length Intramedullary Nail Necessary for Atypical Subtrochanteric Femoral Fracture Associated with Bisphosphonate?

et al. 2020

View full text Add to dashboard Cite

Background: American Society for Bone and Mineral Research recommend the use of intramedullary reconstruction of full length-nail for atypical subtrochanteric femoral fracture (ASFF). However, there is no study on the incidence of the ipsilateral femoral fracture after index operation of ASFF, and full-length nail has disadvantage as iatrogenic fracture and leg length discrepancy (LLD). The aim of this study was to investigate the incidence of ipsilateral secondary fracture after using partial-length nail, and to compare the outcomes on surgery of ASFF between partial length-nails and full length-nails. Methods: Forty-five consecutive fractures with ASFFs which had undergone intramedullary fixation using cephalomedullary nail between 2011 and 2018 were enrolled. The 45 cases were grouped based on nail length into the partial-length nail group (n =26) and the full-length nail group (n=19). Ipsilateral secondary fracture, time to union, intraoperative iatrogenic fracture, metal failure, LLD, operative duration, and post-operative 24-hr blood loss were investigated. Results: There was no ipsilateral secondary fracture after index operation. There were no statistically significant differences between the partial-length nail and full-length nail groups in the time to union, LLD, and post-operative 24-hr blood loss (P=0.427, 0.478, and 0.228, respectively). Operative duration showed statistically significant difference between 2 groups (P=0.034). Metal failure were occurred in 1 (3%) case of the partial-length nail group and 2 (10%) cases of the full-length nail group. Iatrogenic fractures during nail insertion occurred in 2 (7%) cases of the partial-length-nail group and 3 cases (15%) of the full-length nail group. Conclusions: Although large scale studies are required, our study indicate that full-length nails are not usually required for the treatment of ASFF.

show abstract

Section: Discussionmentioning

confidence: 99%

Is Full-Length Intramedullary Nail Necessary for Atypical Subtrochanteric Femoral Fracture Associated with Bisphosphonate?

et al. 2020

View full text Add to dashboard Cite

show abstract

“…In a small operation field like the wrist or the ankle, in which the C‐arm screen represents the osseous structure in total and the extremities position can be changed much more easily to achieve the antero‐posterior and lateral planes than moving the large C‐arm, CGs advantage is lacking. According to the literature, spine surgery and intramedullary nailing of femoral shaft fractures achieved the highest radiation dose and the longest fluoroscopic time . This is due to the fact that in spine surgery, determination of the correct vertebra and pedicle screw placement require numerous fluoroscopic examinations, especially if performed minimally invasively .…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, personal safety precautions like keeping a distance from the X‐ray tube to reduce scatter irradiation or wearing lead aprons (ideally torso surrounding, thyroid protecting, lead glasses and leaded gloves for operations, the finger tips might be compromised by direct radiation) still should be considered …”

Section: Discussionmentioning

confidence: 99%

Evaluation of the new C‐arm guiding system ClearGuide® in an orthopaedic and trauma operating theatre

Müller

Frege

Strauß

et al. 2017

Robotics Computer Surgery

View full text Add to dashboard Cite

show abstract

“…12 Furthermore, lead screens offer the additional benefit of eye protection, which is particularly important for trainee surgeons who have higher eye exposure to radiation than their mentors. 13,14 Lead screens may help to reduce occupational musculoskeletal strain and fatigue. Musculoskeletal injuries among orthopaedic surgeons and residents have been reported mainly in the neck, shoulders, and lower back, [15][16][17] with up to 44% of orthopaedic surgeons reporting musculoskeletal injuries directly attributable to their work.…”

Section: Clinical Relevancementioning

confidence: 99%

Is It Safe to Use a Lead Screen During Hip Arthroscopy?

Rahill

Biffin

Fary

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

View full text Add to dashboard Cite

Purpose: To assess the radiation attenuation of lead screens in comparison to lead gowns in a simulated hip arthroscopy setting. Methods: In this quantitative laboratory study, a phantom pelvis was used to simulate the scatter produced by patients during hip arthroscopy. Radiation measurements were taken using a handheld radiation detector positioned perpendicular to the phantom pelvis at 1.5 m and 2 m. Measurements were taken without shielding as a control, behind a lead gown (0.4-mm lead equivalent), and behind a lead screen (0.5-mm lead equivalent). Results: With the detector at 1.5 m perpendicular to the hip, equivalent radiation was attenuated by the lead screen (94%) and the lead gown (94%).With the detector at 2 m perpendicular to the hip, the lead screen at 1.7 m attenuated 95% of radiation. Conclusions: In hip arthroscopy, using lead screens is a safe and more comfortable alternative to wearing lead gowns. The lead screen should be at least 1.2 m from the radiation source, with the surgeon standing closely behind the screen, fully covered. Clinical Relevance: Lead screens can be safely used in hip arthroscopy.

show abstract

Ionizing Radiation Doses Detected at the Eye Level of the Primary Surgeon During Orthopaedic Procedures

Cited by 20 publications

References 41 publications

Is Full-Length Intramedullary Nail Necessary for Atypical Subtrochanteric Femoral Fracture Associated with Bisphosphonate?

Is Full-Length Intramedullary Nail Necessary for Atypical Subtrochanteric Femoral Fracture Associated with Bisphosphonate?

Evaluation of the new C‐arm guiding system ClearGuide® in an orthopaedic and trauma operating theatre

Is It Safe to Use a Lead Screen During Hip Arthroscopy?

Contact Info

Product

Resources

About