Procedural outcomes of double vs. single fluoroscopy for fixing intertrochanteric femur fractures

Kara, Adnan; Çelik, Haluk; Şeker, Ali; Uzun, Metin; Sönmez, Mehmet Mesut; Erdil, Mehmet

doi:10.1007/s00402-016-2473-1

Cited by 7 publications

(6 citation statements)

References 21 publications

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“…To acquire images in a different plane, changing the place of the fluoroscopy device takes a certain time and extra exposures during the procedure [ 2 , 10 ]. Even there are two distinct papers in the literature that argue the use of two C-arms simultaneously to face these problems [ 10 , 30 ]. In the current study, the significant difference between the groups in respect of the operating times is thought to be due to the difference in the C-arm maneuver capability.…”

Section: Discussionmentioning

confidence: 99%

The Effect of C-Arm Mobility and Field of Vision on Radiation Exposure in the Treatment of Proximal Femoral Fractures: A Randomized Clinical Trial

Kalem

Başarır

Kocaoğlu

et al. 2018

BioMed Research International

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Objectives To examine the effect of fluoroscopy devices with different sizes of image intensifier and C-arm maneuverability on operating time, fluoroscopy time, radiation dose and reduction, and fixation quality at intertrochanteric femoral fractures. Design Single-center, randomized, prospective study. Setting Academic Level I trauma hospital. Patients and Intervention 34 patients treated with cephalomedullary nailing for a stable, intertrochanteric proximal femur fracture (OTA A1). Main Outcome Measurement The total working time of the fluoroscopy device, the dose-area product (DAP), operating time, reduction quality (cortical continuity, symmetrical collodiaphyseal angle, and shortness), and fixation quality (Bosworth quadrants, the tip-apex distance, TAD). Results There were no cases of poor reduction; also the placement of the blade was optimal for 14 patients and suboptimal in 3 patients in each group. Superior-posterior placement of the blade or TAD > 25 mm was not seen in any patient. Total operating time was significantly shorter when using device A compared to the use of device B (20.1 ± 3.4 mins versus 25.3 ± 5.4 mins, p < 0.001). Total radiation time was significantly shorter with device A compared to the use of device B (58.1 ± 19.4 secs versus 98.9 ± 55.4 secs, p = 0.008). The measured radiation dose was lower with the use of device A compared to device B (3.5 ± 1.2 Gy·cm2 versus 7.3 ± 4.5 Gy·cm2, p = 0.002). Conclusion Physical properties of fluoroscopy devices used during the fixation of intertrochanteric fractures could yield significant differences in operating times and the radiation dose while having comparable clinical results.

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Section: Discussionmentioning

confidence: 99%

The Effect of C-Arm Mobility and Field of Vision on Radiation Exposure in the Treatment of Proximal Femoral Fractures: A Randomized Clinical Trial

Kalem

Başarır

Kocaoğlu

et al. 2018

BioMed Research International

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“…Collo-diaphyseal angle values of all the patients in both groups were recorded based on their postoperative control radiographies. Mean follow-up duration was 11.8 (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) months. The study group included 25 male and 11 female patients.…”

Section: Introductionmentioning

confidence: 99%

An Effective Technique in Treatment of Femoral Neck Fractures - Ostheosynthesis under Double Fluoroscopic Guidance

Gülenç¹,

Günaydın²,

Çamur³

et al. 2019

Acta Chir. orthop. Traum. Cech.

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Besides, this situation may depend also on experience level of the radiology technician. As a consequence, operation room staff and patients may be exposed to high level of ionizing radiation during surgery. In this study, we have aimed to evaluate the effect of use of the double-fluoroscopy on the level of radiology emission and duration of surgery in the patients who underwent osteosynthesis by cannulated screw fixation for femoral neck fracture. Our hypothesis to conduct this study is that use of double fluoroscopy reduces both duration of surgery and level of the exposure to ionizing radiation. MATERIAL AND METHODSOur retrospective study included 35 patients who were performed osteosynthesis by cannulated screw fixation for femoral neck fracture between

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“…In the surgical treatment of IFFs, the appropriate reduction must be achieved before starting nailing. 14 In some cases, although all means of reduction are being used, such as increased traction and the addition of rotational maneuvers, a sufficient reduction cannot be achieved. We used the "hook-assisted method" in these cases to provide an acceptable reduction.…”

Section: Discussionmentioning

confidence: 99%

Hook Assisted Reduction in Cephalomedullary Nailing Without Traction Table

Tekin,

Gunaydin,

Karıksız

2024

Acta ortop. bras.

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Introduction: Proximal femoral nailing for intertrochanteric femur fracture is sometimes a challenging procedure without a traction table, especially if complicated fracture pattern. We aimed to overcome this difficulty with the hook. Materials and Methods: A retrospective study of 60 patients. 28 of the patients reduction was necessitated with a hook (group 1). The other patients did not need to use this technique (group 2, n=32). The collo-diaphyseal angle, lag screw placement, and tip-apex distance were measured using radiographs. Results: There were statistically significant differences between the two groups regarding the Garden Alignment Index, postoperative collo-diaphyseal angle measurements, and tip-apex distance. The Garden Alignment Index was found as 163.92 degrees (dg.) In the frontal plane in group 1, and 154.78 dg in group 2, respectively. In group 1, the tip-apex distance was 16.05 cm, whereas it was 25.32 cm in group 2. The collo-diaphyseal angle was 133.1º in group 1, and 128.65º in group 2. Conclusions: The hook-assisted reduction is beneficial when operating without a traction table; however, it can also be a part of the surgeons’ equipment even when operating on a traction table. When difficulties in obtaining an ideal anatomical reduction in displaced intertrochanteric femoral fractures, we suggest using the hook-assisted reduction technique. Level of Evidence III; Case-control Study.

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Procedural outcomes of double vs. single fluoroscopy for fixing intertrochanteric femur fractures

Abstract: The double fluoroscopy technique can significantly reduce surgical and radiation exposure times during surgery.

Cited by 7 publications

References 21 publications

The Effect of C-Arm Mobility and Field of Vision on Radiation Exposure in the Treatment of Proximal Femoral Fractures: A Randomized Clinical Trial

The Effect of C-Arm Mobility and Field of Vision on Radiation Exposure in the Treatment of Proximal Femoral Fractures: A Randomized Clinical Trial

An Effective Technique in Treatment of Femoral Neck Fractures - Ostheosynthesis under Double Fluoroscopic Guidance

Hook Assisted Reduction in Cephalomedullary Nailing Without Traction Table

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