The Effect of C-Arm Mobility and Field of Vision on Radiation Exposure in the Treatment of Proximal Femoral Fractures: A Randomized Clinical Trial

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...

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Bibliographic Details
Published in:BioMed research international 2018-01, Vol.2018 (2018), p.1-6
Main Authors: Şahin, Ercan, Kocaoğlu, Hakan, Başarır, Kerem, Kalem, Mahmut, Kınık, Hakan
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Bone Nails
Bone surgery
Clinical trials
Cortex
Electrical equipment and supplies industry
Female
Femoral Fractures - diagnostic imaging
Femoral Fractures - surgery
Femur
Fixation
Fluoroscopy
Fluoroscopy - instrumentation
Fracture Fixation, Intramedullary
Fractures
Hip Fractures - diagnostic imaging
Hip Fractures - surgery
Humans
Internal fixation in fractures
Male
Maneuverability
Middle Aged
Nailing
Operative Time
Orthopedics
Patients
Physical properties
Placement
Prospective Studies
Quadrants
Radiation
Radiation Dosage
Radiation effects
Radiation Exposure - analysis
Reduction
Surgeons
Trauma
Visual fields
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Description
Summary: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
ISSN:2314-6133
2314-6141
DOI:10.1155/2018/6768272