Occupational radiation exposure to UK orthopaedic surgeons: a dose monitoring exercise

Limited data exists on radiation exposure to trauma and orthopaedic (T&O) surgeons using modern imaging equipment and personal protective equipment (PPE) in theatre. This study investigated radiation doses to the chest and axilla during routine orthopaedic trauma practice by issuing 189 T&O surgeons with two thermoluminescent dosemeters each (worn on chest and axilla) for a continuous 3-month period. Surgeons also completed a survey on demographics, radiation safety training, PPE type and availability to assess links with radiation doses. No surgeon received a total dose resulting in them exceeding the 20 mSv/year dose limit set by the UK Health and Safety Executive's Ionizing Radiation Regulations 2017. Radiation exposure was not significantly linked to demographics or training. 58.8% of surgeons had not received formal radiation safety training within the past 3 years, and 90% were not routinely dose monitored. National guidance on radiation safety training and behaviours would reduce variability and ensure workplace safety.