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Radiation exposure from fluoroscopy during orthopedic surgical procedures
1Department of Orthopaedic Surgery, St. Luke's Hospital, Cleveland, Ohio.
Clinical Orthopaedics and Related Research
|November 1, 1989
Summary
Orthopedic surgeons benefit from fluoroscopy, but radiation exposure is a concern. This study found that radiation risks are low with proper use, emphasizing dominant hand protection and machine maintenance for safety.
Area of Science:
- Orthopedic Surgery
- Medical Imaging
- Radiation Safety
Background:
- Fluoroscopy enhances orthopedic surgical proficiency and reduces patient morbidity by shortening operative times and minimizing surgical fields.
- A potential trade-off for fluoroscopy use is increased radiation exposure for surgeons.
Purpose of the Study:
- To quantify radiation dosage received by the primary surgeon and first assistant during fluoroscopy-assisted orthopedic procedures.
- To identify body sites with the highest radiation exposure during these procedures.
Main Methods:
- Monitoring radiation dosage across five body sites for surgeons and assistants during selected fluoroscopic procedures.
- Data collection focused on actual exposure levels during surgical interventions.
Main Results:
- Radiation exposure from fluoroscopy is generally low when used appropriately.
- The surgeon's dominant hand consistently received the highest radiation dose per procedure.
- Regular maintenance and calibration of fluoroscopic equipment are crucial for minimizing exposure.
Conclusions:
- Fluoroscopy can be safely utilized in orthopedic surgery with appropriate precautions.
- Implementing protective measures, particularly for the dominant hand, and ensuring equipment integrity are key to mitigating radiation risks.