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Area of Science:

  • Orthopaedic Surgery
  • Radiology
  • Occupational Health

Background:

  • Hip arthroscopy for chondrolabral pathology and FAI has seen a significant increase.
  • Surgeon radiation exposure in hip arthroscopy is not well-documented.
  • Understanding radiation doses is crucial for the safety of hip arthroscopists.

Purpose of the Study:

  • To quantify the average annual radiation exposure for hip arthroscopists.
  • To determine the mean radiation dose per hip arthroscopy case.
  • To assess exposure levels against established safety limits.

Main Methods:

  • Prospective review of 210 consecutive hip arthroscopies by a single surgeon.
  • Radiation dosimeters measured deep dose-equivalent (DDE), lens dose-equivalent (LDE), and shallow dose-equivalent (SDE).
  • Data compared with International Commission on Radiological Protection (ICRP) recommendations.

Main Results:

  • Mean annual exposure: 61.0 mrem DDE, 61.0 mrem LDE, 58.7 mrem SDE.
  • Mean exposure per case: 0.871 mrem DDE, 0.871 mrem LDE, 0.838 mrem SDE.
  • All measured doses were significantly below ICRP annual limits.

Conclusions:

  • Radiation exposure for experienced hip arthroscopists using fluoroscopy is well within ICRP limits.
  • This data provides valuable safety information given the rising frequency of hip arthroscopies.
  • Cumulative and procedure-specific radiation data is important for orthopaedic safety.