Radiation safety for anaesthesia providers in the orthopaedic operating room

Rhea, E. B.; Rogers, Tracy; Riehl, John T.

doi:10.1111/anae.13400

Cited by 15 publications

(9 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Even though ultrasonography does not use ionising radiation, it is of limited use in cases of condylar fracture management because the condylar fracture fragments can be displaced in any plane due to the complex 3-dimensional surgical anatomy of the region. [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

Use of Intraoperative C-Arm Fluoroscopy in Open Reduction and Internal Fixation of Mandibular Condyle Fracture - A Case Report

Kumar

Kapoor³

et al. 2022

Annals of Maxillofacial Surgery

View full text Add to dashboard Cite

The Rationale: Condyle fractures are a common type of mandibular fracture that can result in malocclusion. Open reduction and internal fixation (ORIF) in condylar fracture is considered as the most acceptable treatment modality. Patient Concerns: The patient complained of pain and difficulty in the jaw while chewing. Diagnosis: An orthopantomogram and reverse Towne’s view can lead to diagnosis of the condylar fracture. Treatment: Open reduction and internal fixation using intraoperative real-time visualisation of subcondylar fracture reduction utilising the C-arm fluoroscopic approach were used to allow for adequate anatomical repositioning and fast restoration of function to meet the patient’s concerns. Outcomes: We were able to achieve correct reduction of the fracture fragments with restoration of function and occlusion. Take-away Lessons: When this procedure is used to treat condylar fractures, surgeons can get a better view of the fracture segments while eliminating the need for postoperative intermaxillary fixation and also reduces the complications from inappropriate reduction and fixation.

show abstract

Section: Discussionmentioning

confidence: 99%

Use of Intraoperative C-Arm Fluoroscopy in Open Reduction and Internal Fixation of Mandibular Condyle Fracture - A Case Report

Kumar

Kapoor³

et al. 2022

Annals of Maxillofacial Surgery

View full text Add to dashboard Cite

show abstract

“…23 , 47 High-volume surgeons (>189 cases/year) regularly exceed the maximum exposure, thus exposing themselves to potential long-term effects on their overall health. 23 , 47 Given the jurisdictional differences in radiation exposure limitations, which see more stringent limitations internationally versus in the USA, 48 and the recently adopted ALARA (As-Low-As-Reasonably-Achievable) philosophy to establish safe radiological practices, any means by which C-arm fluoroscopy use during THA can be minimized should be pursued.…”

Section: Discussionmentioning

confidence: 99%

A new mini-navigation tool allows accurate component placement during anterior total hip arthroplasty

Parvızı¹,

Benson²,

Muir³

2018

MDER

View full text Add to dashboard Cite

IntroductionComputer-assisted navigation systems have been explored in total hip arthroplasty (THA) to improve component positioning. While these systems traditionally rely on anterior pelvic plane registration, variances in soft tissue thickness overlying anatomical landmarks can lead to registration error, and the supine coronal plane has instead been proposed. The purpose of this study was to evaluate the accuracy of a novel navigation tool, using registration of the anterior pelvic plane or supine coronal plane during simulated anterior THA.MethodsMeasurements regarding the acetabular component position, and changes in leg length and offset were recorded. Benchtop phantoms and target measurement values commonly seen in surgery were used for analysis. Measurements for anteversion and inclination, and changes in leg length and offset were recorded by the navigation tool and compared with the known target value of the simulation. Pearson’s r assessed the relationship between the measurements of the device and the known target values.ResultsThe device accurately measured cup position and leg length measurements to within 1° and 1 mm of the known target values, respectively. Across all simulations, there was a strong, positive relationship between values obtained by the device and the known target values (r=0.99).ConclusionThe preliminary findings of this study suggest that the novel navigation tool tested is a potentially viable tool to improve the accuracy of component placement during THA using the anterior approach.

show abstract

“…89 This is further than typically taught (1.5 m) and therefore is also likely dependent on the x-ray source itself. 90 Stepping back from the patient and moving the hands away from the surgical field have also been shown to decrease radiation exposure to the surgeon. 22,89 As technology advances and the use of robotics, navigation, and augmented reality becomes more common place in spine surgery the radiation exposure to the spine surgeon and patient should be taken into consideration.…”

Section: Radiation Exposurementioning

confidence: 99%

Ergonomics in Spine Surgery

Kolz

Wagner

Vaccaro

et al. 2021

Clinical Spine Surgery: A Spine Publication

View full text Add to dashboard Cite

As physician burnout and wellness become increasingly recognized as vital themes for the medical community to address, the topic of chronic work-related conditions in surgeons must be further evaluated. While improving ergonomics and occupational health have been long emphasized in the executive and business worlds, particularly in relation to company morale and productivity, information within the surgical community remains relatively scarce. Chronic peripheral nerve compression syndromes, hand osteoarthritis, cervicalgia and back pain, as well as other repetitive musculoskeletal ailments affect many spinal surgeons. The use of ergonomic training programs, an operating microscope or exoscope, powered instruments for pedicle screw placement, pneumatic Kerrison punches and ultrasonic osteotomes, as well as utilizing multiple surgeons or microbreaks for larger cases comprise several methods by which spinal surgeons can potentially improve workspace health. As such, it is worthwhile exploring these areas to potentially improve operating room ergonomics and overall surgeon longevity.

show abstract

Radiation safety for anaesthesia providers in the orthopaedic operating room

Cited by 15 publications

References 26 publications

Use of Intraoperative C-Arm Fluoroscopy in Open Reduction and Internal Fixation of Mandibular Condyle Fracture - A Case Report

Use of Intraoperative C-Arm Fluoroscopy in Open Reduction and Internal Fixation of Mandibular Condyle Fracture - A Case Report

A new mini-navigation tool allows accurate component placement during anterior total hip arthroplasty

Ergonomics in Spine Surgery

Contact Info

Product

Resources

About