nach oben

European Journal of Orthopaedic Surgery & Traumatology

Erschienen in:

23.05.2018 | General Review • GENERAL ORTHOPAEDICS - RADIOLOGY

C-arm fluoroscopy in orthopaedic surgical practice

verfasst von: Ishaq Ojodu, Ayodele Ogunsemoyin, Sascha Hopp, Tim Pohlemann, Oluwole Ige, Oluwaseun Akinola

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 8/2018

Einloggen, um Zugang zu erhalten

Abstract

The use of C-arm fluoroscopy in intraoperative orthopaedic procedures has become an important tool in modern orthopaedic surgical practice. It enhances the technical proficiency of the surgeon in addition to reducing the morbidity and length of hospital stay of the patient. Despite the documented benefits of this device, there has been a growing concern about the increased radiation exposure to the surgical team. We therefore present the review of the literature on the usefulness of C-arm fluoroscopy, pitfalls in application of the machine as well as the harmful radiation effects and precautionary measures that need to be observed when using the C-arm fluoroscopy in orthopaedic surgical procedures.

Singer G (2005) Occupational radiation exposure to the surgeon. J Am Acad Orthop Surg 13:69–76CrossRef

Tremains M, Geogiadis G, Dennis M (2001) Radiation exposure with use of the inverted c-arm technique in upper extremity surgery. J Bone Joint Surg 83-A(5):674–678CrossRef

Sanders R, Koval K, DiPasquale T, Schmelling G, Stenzler S, Ross E (1993) Exposure of the orthopaedic surgeon to radiation. J Bone Joint Surg 75-A(3):326–330CrossRef

Riley S (1989) Radiation exposure from fluoroscopy during orthopaedic surgical procedures. Clin Orthop Rel Res 248:257–260

Giordano BD, Ryder S, Baumhauer JE et al (2007) Exposure to direct and scatter radiation with u se of mini-c-arm fluoroscopy. J Bone Joint Surg Am 89:948–952CrossRef

Kobayashi M, Watanabe Y, Matsushita T (2010) Early full range of shoulder and elbow motion is possible after minimally invasive plate osteosynthesis for humeral shaft fractures. J Orthop Trauma 24:212–216CrossRef

Salerni A (2004) Minimally invasive removal or revision of lumbar spinal fixation. Spine J 4:701–705CrossRef

Lee SY, Min E, Bae J, Chung C, Lee KM, Kwon S-S, Park M, Lee K (2013) Types and arrangement of thyroid shields to reduce exposure of surgeons to ionizing radiation during intraoperative use of c-arm fluoroscopy. Spine 38(24):2108–2112CrossRef

Giordano B, Baumhauer J, Morgan T, Rechtine G (2009) Patient and surgeon radiation exposure: comparison of standard and mini-c-arm fluoroscopy. J Bone Joint Surg Am 91:297–304CrossRef

10.

Lee K, Lee KM, Park MS et al (2012) Measurements of surgeons’ exposure to ionizing radiation dose during intraoperative use of c-arm fluoroscopy. Spine 37:1240–1244CrossRef

11.

Park MS, Lee KM, Lee B et al (2012) Comparison of operator radiation exposure between c-arm and o-arm fluoroscopy for orthopaedic surgery. Radiat Prot Dosim 148:431–438CrossRef

12.

Tsalafoutas IA, Tsapaki V, Kaliakmanis A et al (2008) Estimation of radiation doses to patients and surgeons from various fluoroscopically guided orthopaedic surgeries. Radiat Prot Dosim 128:112–119CrossRef

13.

Giachino AA, Cheng M (1980) Irradiation of the surgeon during pinning of femoral shaft fractures. J Bone Joint Br 62-B(2):227–229CrossRef

14.

Singer G (2005) Radiation exposure to the hands from mini C-arm fluoroscopy. J Hand Surg (Am) 30:795–797CrossRef

15.

Rehani M, Ciraj-Bjelac E, Vano D, Miller S, Walsh B, Giordano J (2010) Radiological protection in fluoroscopically guided procedures performed outside the imaging department. ICRP Publication 117. Ann ICRP 40(6):1–102CrossRef

16.

Badman BL, Rill L, Butkovich B, Arreola M, Griend RA (2005) Radiation exposure with use of the mini-c-arm for routine orthopaedic imaging procedures. J Bone Joint Surg Am 87:13–17CrossRef

17.

Sinha S, Evans SJ, Arundell MK, Burke FD (2004) Radiation protection issues with the use of mini c-arm image intensifiers in surgery of the upper limb, optimization of practice and the impact of new regulations. J Bone Joint Surg Br 86:333–336CrossRef

18.

Shoaib A, Rethnam U, Bansal R, DeA Makwana N (2008) A comparison of radiation exposure with the conventional versus mini c-arm in orthopaedic extremity surgery. Foot Ankle Int 29:58–61CrossRef

19.

Hanel DP, Robson DB (1987) The image intensifier as an operating table. J Hand Surg (Am) 12:322–323CrossRef

20.

Mathews MG (2000) The image intensifier as an operating table: a dangerous practice (letter). J Bone Joint Surg Br 82:774CrossRef

21.

Sharpe IT, Van Staden G (2000) The image intensifier as an operating table: a dangerous practice 82:774–775

22.

Royal Devon and Exeter Healthcare NHS Trust (1995) Local rules for use of ionizing radiation Appendix 3: special local rules for mobile and portable X-ray units. Royal Devon and Exeter Hospital (Wonford), Exeter

23.

Brown MR, Greenberg LH (1981) Fluoroscopic measurement in Saskatchewan. J Can Assoc Radiol 32:118PubMed

24.

McKee J (2015) Measuring radiation exposure from fluoroscopy. AAOS Now 9(3):10–11

25.

Alonso JA, Shaw DL, Maxwell A, McGill GP, Hart GC (2001) Scattered radiation during fixation of hip fractures, Is distance alone enough protection? J Bone Joint Surg Br 83(6):815–818CrossRef

26.

Mehlman CT, DiPasquale TG (1997) Radiation exposure to the orthopaedic surgical team during fluoroscopy. J Orthop Trauma 11:392–398CrossRef

27.

Kim KP, Miller DL, Balter S, Kleineman RA, Linet MS, Kwon D, Simon SL (2008) Occupational radiation doses to operators performing cardiac catheterization procedures. Health Phys 94:211–227CrossRef

28.

Miller DL, Vano E, Bartal B et al (2010) Occupational radiation protection in international radiology: a joint guideline of the Cardiovascular and International Radiology Society of Europe and the Society of International Radiology. J Vasc Interv Radiol 21:607–615CrossRef

29.

Miller DL, Balter S, Cole PE et al (2003) Radiation doses in interventional radiology procedures: the RAD-IR study part 11: skin dose. J Vasc Interv Radiol 14:977–990CrossRef

30.

Neofotiston V, Vano E, Padovani R et al (2003) Preliminary reference levels in interventional cardiology. European Radiol 13:2259–2263CrossRef

31.

Pantos I, Patatonkas G, Katritsis DG, Efstathopoulos E (2009) Patient radiation doses in interventional cardiology procedures. Curr Cardiol Rev 5:1–11CrossRef

32.

Yanch JC, Behrman RH, Hnedricks MJ et al (2009) Increased radiation dose to overweight and obese patients from radiolographic examinations. Radiology 252:128–139CrossRef

33.

Kim KP, Miller DL (2009) Minimizing radiation exposure to physicians performing fluoroscopically guided cardiac catheterization procedures: a review. Radiat Protect Dosim 133:227–233CrossRef

34.

Oddy MJ, Aldam CH (2006) Ionising radiation exposure to orthopaedic trainees: the effect of sub-specialty training. Ann R Coll Surg Engl 88:297–301CrossRef

35.

Smith GL, Wakeman R, Briggs TW (1996) Radiation exposure of orthopaedic trainees: quantifying the risk. J R Coll Surg Edinb 41:132–134PubMed

36.

Vano E, Gonzalez L, Guibelalde E, Fernandez JM, Ten JL (1998) Radiation exposure to medical staff in interventional and cardiac radiology. Br J Radiol 71:954–960CrossRef

37.

Arnstein PM, Richards AM, Putney R (1994) The risk from radiation exposure during operative X-ray screening in hand surgery. J Hand Surg (Br) 19:393–396CrossRef

38.

Levin PE, Schoen RW, Browner BD (1987) Radiation exposure to the surgeon during closed interlocking intramedullary nailing. J Bone Joint Surg Am 69:761–766CrossRef

39.

ICRP (2001) Avoidance of radiation injuries from medical interventional procedures ICRP Publications 85. Ann ICRP 30(2):7–67

40.

Ciraj-Bjelac O, Rehani MM, Sim KH et al (2010) Risk for radiation induced cataract for staff in interventional cardiology: is there reason for concern? Catheter Cardiovasc Interv 76:826–834CrossRef

41.

Finkelstein MM (1998) Is brain cancer an occupational disease of cardiologists? Can J Cardiol 14:1385–1388PubMed

42.

Balter S (1999) An overview of radiation safety regulatory recommendations and requirements. Catheter Cardiovasc Interv 47:469–474CrossRef

43.

Mahajan A, Samuel S, Saran A, Mahajan MK, Mam MK (2015) Occupational radiation exposure from c-arm fluoroscopy during common orthopaedic surgical procedures and its prevention. J Clin Diagn Res 9(3):1–4

44.

Murphy PH, Wu Y, Glaze SA (1993) Attenuation properties of lead composite aprons. Radiology 186:269–272CrossRef

45.

Niklason LT, Marx MV, Chan HP (1994) The estimation of occupational effective dose in diagnostic radiology with two dosimeters. Health Phys 67:611–615CrossRef

46.

Jain JK, Sen RK, Bansal SC, Nagi ON (2001) Image intensifier and the orthopaedic surgeon. Indian J Orthop 35(2):13–19

47.

Siebert JA (2004) Vertebroplasty and kyphoplasty: do fluoroscopy operators know about dose and should they want to know? Radiology 232:633–634CrossRef

Titel: C-arm fluoroscopy in orthopaedic surgical practice
verfasst von: Ishaq Ojodu
Ayodele Ogunsemoyin
Sascha Hopp
Tim Pohlemann
Oluwole Ige
Oluwaseun Akinola
Publikationsdatum: 23.05.2018
Verlag: Springer Paris
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 8/2018
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-018-2234-7

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

23.04.2024 | Leitsymptom Rückenschmerzen | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

C-arm fluoroscopy in orthopaedic surgical practice

Abstract

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 8/2018

Complication rates by surgeon type after open treatment of distal radius fractures

Posterior dislocation following revision total knee replacement arthroplasty: a case report and literature analysis

MR arthrography is slightly more accurate than conventional MRI in detecting TFCC lesions of the wrist

Restoration of proximal periprosthetic bone loss by denosumab in cementless total hip arthroplasty

The minimally invasive flexor carpi radialis approach: a new perspective for distal radius fractures

Conservative treatment of distal fractures after the age of 65: a review of literature

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Update Orthopädie und Unfallchirurgie