A Cross-Sectional Survey Evaluating the Knowledge of Orthopaedic Surgeons in Intraoperative Radiation Safety...

Background Intraoperative radiation has provided significant benefits to orthopaedic surgery, improving the accuracy of procedures and patient outcomes. However, the potential risks of ionising radiation cannot be overlooked. Guidelines and regulations such as Ionising Radiation (Medical Exposure) Regulations 2017 (IRMER), the As Low As Reasonably Achievable (ALARA), and the Radiation in Orthopaedics (RIO) study have established frameworks for minimising exposure while maximising the clinical effectiveness of intraoperative imaging. Ongoing training, technological advancements, and adherence to safety protocols are essential to ensure that the benefits of intraoperative radiation are achieved without compromising patient and clinician health and safety. Methods A 12-item questionnaire was prepared and initially piloted before being distributed to orthopaedic surgeons working within one trust. The survey assessed surgeon knowledge of existing radiation safety training, including trust policies and effects of radiation exposure, and perceptions on developing a training programme targeting intraoperative radiation safety. Results A total of 85 responses were collected, with a response rate of 65.9%, from an eligible sample of 129 orthopaedic surgeons. Of the participants, 44 (51.8%), 27 (31.8%), 10 (11.8%), and 4 (4.7%) were orthopaedic registrars, consultants, core trainees, and associate specialist doctors, respectively. Furthermore, 39 (45.9%) out of 85 surveyed stated they had received formal training in the use of fluoroscopy. Only 45 (52.9%) out of 85 surgeons were aware of radiation safety training in the trust. However, 75 (88.2%) out of 85 surgeons stated Yesto being worried about the effects of radiation on their health, and 83 out of 85 (97.6%) doctors surveyed responded Yes to supporting mandatory training in safe use of radiation in the operating room. Conclusion Despite existing guidance and health concerns regarding radiation exposure, orthopaedic surgeons in this study had gaps in such knowledge, potentially compromising health and safety precautions. A training package may improve knowledge of radiation safety for surgeons and operating room personnel.