Ionising radiation during internal fixation of extracapsular neck of femur fractures
Ionising radiation during internal fixation of extracapsular neck of femur fractures
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DOI：
10.1016/s0020-1383(98)00090-4
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发表时间：
1998-07-01
影响因子：
2.5
通讯作者：
Shaw, DL
中科院分区：
文献类型：
--
作者：
Giannoudis, PV;McGuigan, J;Shaw, DL
本研究分析了外科医生和放射技师的经验水平与股骨近端骨折囊外固定期间放射剂量之间的关系。在63宗动髋螺钉手术中，10宗由高级住院主任、10宗由顾问及43宗由注册主任完成，而所有个案均涉及基础放射技师。骨折分为两段式、三段式和四段式。与两部分骨折相比，四部分骨折需要更高水平的辐射剂量和筛查时间。所有两部分骨折均由具有相似经验的放射技师进行筛查；然而，不同级别外科医生的放射剂量和筛查时间不同。当SHO是外科医生的儿子时，记录的辐射剂量和筛查时间最高，当登记员是外科医生时，记录的辐射剂量和筛查时间最低。根据放射技师的经验对登记员进行的两部分和三部分骨折进行细分。在这两种情况下，发现在手术室接受的辐射剂量和放射技师的经验年数之间存在统计学上的显著差异（第394页）
This study analyses the relationship between the level of experience of both surgeon and radiographer and the radiation dose administered iii theatre, during fixation of extracapsular proximal femoral fractures. From the 63 dynamic hip screw procedures performed, 10 were done by Senior House Officers (SHOs), 10 by Consultants and 43 by Registrars, whereas Basic Radiographers were involved in all cases. Fractures were classified as two part, three part ol four part.A four part fracture required higher levels of radiation dose and screening time as compared with a two part fracture. All two part fractures were screened by radiographers of similar experience; however, the radiation dose and screening time were different amongst different levels of surgeon. The highest radiation dose and screening times were recorded when an SHO sons the operating surgeon and the lowest when a registrar was the surgeon.The two part and three part fractures performed by registrars were subdivided according to the experience of the radiographer. In both cases a statistically significant difference was found between the dose of radiation administered in theatre and the years of experience of the radiographers (p