The Effect of C-Arm Mobility and Field of Vision on Radiation Exposure in the Treatment of Proximal Femoral Fractures: A Randomized Clinical Trial
| Autor: | Hakan Kocaoğlu, Hakan Kinik, Mahmut Kalem, Ercan Şahin, Kerem Basarir |
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| Přispěvatelé: | Zonguldak Bülent Ecevit Üniversitesi |
| Rok vydání: | 2018 |
| Předmět: |
Male
Article Subject medicine.medical_treatment Operative Time lcsh:Medicine Bone Nails Radiation Dosage General Biochemistry Genetics and Molecular Biology law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Operating time Humans Medicine Fluoroscopy Prospective Studies 030212 general & internal medicine Prospective cohort study Reduction (orthopedic surgery) Aged Fixation (histology) Aged 80 and over 030222 orthopedics General Immunology and Microbiology medicine.diagnostic_test Proximal femur Hip Fractures business.industry lcsh:R General Medicine Middle Aged Radiation Exposure Fracture Fixation Intramedullary Radiation exposure Female business Nuclear medicine Femoral Fractures Research Article |
| Zdroj: | BioMed Research International, Vol 2018 (2018) BioMed Research International |
| ISSN: | 2314-6141 2314-6133 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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