Quantification of radiation exposure in the operating theatre during management of common fractures of the upper extremity in children
| Autor: | Julian F. Maempel, A W Murray, O D Stone |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Operating Rooms medicine.medical_treatment Elbow Wrist 030218 nuclear medicine & medical imaging 03 medical and health sciences Fractures Bone 0302 clinical medicine Forearm Fracture Fixation Fracture fixation Elbow Joint medicine Internal fixation Humans Child Fixation (histology) 030222 orthopedics Arm Injuries business.industry Forearm Injuries General Medicine Radiation Exposure Wrist Injuries Surgery Radiography medicine.anatomical_structure Cross-Sectional Studies Dose area product Upper limb Manipulation Orthopedic Female business Elbow Injuries Paediatric Surgery |
| Zdroj: | Annals of the Royal College of Surgeons of England. 98(7) |
| ISSN: | 1478-7083 |
| Popis: | Introduction Surgical procedures to manage trauma to the wrist, forearm and elbow in children are very common. Image intensifiers are used routinely, yet studies/guidelines that quantify expected radiation exposure in such procedures are lacking. Methods Information on demographics, injury type, surgeon grade and dose area product (DAP) of radiation exposure per procedure was collected prospectively for 248 patients undergoing manipulation/fixation of injuries to the elbow, forearm or wrist at a paediatric hospital over 1 year. Results DAP exposure (in cGycm2) differed significantly across different procedures (p2) was associated with higher exposure than grade-2 fixation (1.95cGycm2) (p=0.048). Fractures of the wrist or forearm necessitating metalwork fixation resulted in higher exposure than those requiring manipulation only (both pConclusions The spectrum of radiation exposures for common procedures utilised in the management of paediatric upper limb trauma were quantified. These findings will be useful to surgeons auditing their practice and quantifying radiation-associated risks to patients. Our data may serve as a basis for implementing protocols designed to improve patient safety. |
| Databáze: | OpenAIRE |
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