Radiation exposure from fluoroscopy during fixation of hip fracture and fracture of ankle: Effect of surgical experience.
Radiation exposure from fluoroscopy during fixation of hip fracture and fracture of ankle: Effect of surgical experience.
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DOI：
10.4103/0019-5413.43398
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发表时间：
2008-10
影响因子：
1
通讯作者：
Ravikumar K
中科院分区：
文献类型：
--
作者：
Botchu R;Ravikumar K
多年来，透视技术在骨科的应用有了巨大的增长。对于骨科医生来说，患癌症的风险要高得多。髋关节和脊柱手术占总辐射剂量的99%。对患者和手术医生的辐射量取决于患者的位置和手术期间使用的防护类型。为探讨X线透视下股骨颈骨折(动力髋螺钉)和踝部骨折(Weber B)手术中外科医生辐射暴露的影响，在英国一家地区综合医院进行了一项回顾性研究。髋关节组为未移位的股骨粗隆间骨折患者60例，踝关节组为单纯外踝骨折患者60例。根据手术医生的手术经验，髋关节和踝关节组进一步分为20名患者组成的亚组。所有患者均采用相同的入路和技术在透视辅助下固定骨折。记录并分析各组受照剂量和受照时间。具有3年以下手术经验的外科医生和实习生在透视下固定股骨颈骨折时的辐射剂量和筛选时间显著高于10年以上的外科医生。踝关节Weber B骨折透视下固定时的照射剂量和筛选时间与外科医生的手术经验相对独立。手术经验是影响透视下股骨颈骨折固定的筛选时间和照射剂量的重要因素之一。使用快照脉冲透视和资深外科医生的参与可以显著减少放射剂量和筛查时间。
Over the years, there has been a tremendous increase in the use of fluoroscopy in orthopaedics. The risk of contracting cancer is significantly higher for an orthopedic surgeon. Hip and spine surgeries account for 99% of the total radiation dose. The amount of radiation to patients and operating surgeon depends on the position of the patient and the type of protection used during the surgery. A retrospective study to assess the influence of the radiation exposure of the operating surgeon during fluoroscopically assisted fixation of fractures of neck of femur (dynamic hip screw) and ankle (Weber B) was performed at a district general hospital in the United Kingdom. Sixty patients with undisplaced intertrochanteric fracture were included in the hip group, and 60 patients with isolated fracture of lateral malleolus without communition were included in the ankle group. The hip and ankle groups were further divided into subgroups of 20 patients each depending on the operative experience of the operating surgeon. All patients had fluoroscopically assisted fixation of fracture by the same approach and technique. The radiation dose and screening time of each group were recorded and analyzed. The radiation dose and screening time during fluoroscopically assisted fixation of fracture neck of femur were significantly high with surgeons and trainees with less than 3 years of surgical experience in comparison with surgeons with more than 10 years of experience. The radiation dose and screening time during fluoroscopically assisted fixation of Weber B fracture of ankle were relatively independent of operating surgeon's surgical experience. The experience of operating surgeon is one of the important factors affecting screening time and radiation dose during fluoroscopically assisted fixation of fracture neck of femur. The use of snapshot pulsed fluoroscopy and involvement of senior surgeons could significantly reduce the radiation dose and screening time.
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影响因子：
2.6
作者：
Crawley, MT;Rogers, AT
通讯作者：
Rogers, AT
DOI：
10.1016/s0020-1383(98)00090-4
发表时间：
1998-07-01
影响因子：
2.5
作者：
Giannoudis, PV;McGuigan, J;Shaw, DL
通讯作者：
Shaw, DL
影响因子：
2.3
作者：
Mehlman, CT;DiPasquale, TG
通讯作者：
DiPasquale, TG
影响因子：
5.1
作者：
Mastrangelo, G;Fedeli, U;Saia, B
通讯作者：
Saia, B
DOI：
10.2106/00004623-200309000-00007
发表时间：
2003-09-01
影响因子：
5.3
作者：
Theocharopoulos, N;Perisinakis, K;Gourtsoyiannis, N
通讯作者：
Gourtsoyiannis, N