Background: Cancer prevalence of orthopaedic surgeons is elevated and chronic exposure to occupational ionizing radiation is seen as one reason. Hypothesis: Use of a new dosimeter enabling radiation dose monitoring in real-time may reduce radiation exposure of orthopaedic surgeons. Materials and methods: Over a period of four months, the surgeon and the C-arm operator were equipped with a novel dosimeter called DoseAware (R) (DA) while using the C-arm fluoroscope intraoperatively. Data of 68 patients DA were retrospectively compared using matched-pair analysis with 68 controls without DA. Both groups were assessed regarding fluoroscopic time (FT) and radiation dose (RD). Seven types of operative procedures were performed: internal fixation of subcapital humerus fractures, midshaft clavicular fractures, distal radius fractures, pertrochanteric femoral fractures, ankle fractures, traumatic vertebral fractures and osteoporotic vertebral fractures. Results: Concerning the FT, use of DoseAware (R) led to a significant reduction for all evaluated operation types except for internal fixation of distal radius fractures (P=0.0511). Regarding the RD, use of DoseAware (R) led to a significant reduction for all evaluated operation types except trochanteric femoral fractures with a PFNA (R) (P= 0.0841). Conclusion: DoseAware (R) allowing real-time radiation dose monitoring reduces radiation exposure of the orthopaedic surgeon and instantly demonstrates the effects of dose-reduction techniques. Level of evidence: Level III retrospective case control study. (C) 2014 Elsevier Masson SAS. All rights reserved.
机构:
Sungkyunkwan Univ, Samsung Changwon Hosp, Dept Radiat Oncol, Sch Med, Chang Won 51353, South KoreaSungkyunkwan Univ, Samsung Changwon Hosp, Dept Radiat Oncol, Sch Med, Chang Won 51353, South Korea
Park, Jeehoon
Park, Byungdo
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Sungkyunkwan Univ, Samsung Changwon Hosp, Dept Radiat Oncol, Sch Med, Chang Won 51353, South KoreaSungkyunkwan Univ, Samsung Changwon Hosp, Dept Radiat Oncol, Sch Med, Chang Won 51353, South Korea
Park, Byungdo
Kim, Yonghoon
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Korea Marine Environm Management Corp, Marine Radioact Monitoring Grp, Pusan 48931, South KoreaSungkyunkwan Univ, Samsung Changwon Hosp, Dept Radiat Oncol, Sch Med, Chang Won 51353, South Korea
Kim, Yonghoon
Park, Beomjun
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Korea Univ, Interdisciplinary Program Precis Publ Hlth, Seoul 02841, South Korea
Konkuk Univ, Dept Chem, Seoul 05029, South KoreaSungkyunkwan Univ, Samsung Changwon Hosp, Dept Radiat Oncol, Sch Med, Chang Won 51353, South Korea
Park, Beomjun
Park, So Hyun
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Jeju Natl Univ Hosp, Dept Radiat Oncol, Jeju 63241, South KoreaSungkyunkwan Univ, Samsung Changwon Hosp, Dept Radiat Oncol, Sch Med, Chang Won 51353, South Korea
机构:
Multimedia Univ, Fac Engn, Fibre Opt Res Ctr, Jalan Multimedia, Cyberjaya 63100, MalaysiaMultimedia Univ, Fac Engn, Fibre Opt Res Ctr, Jalan Multimedia, Cyberjaya 63100, Malaysia
Basaif, A.
Tarif, Zubair H.
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Multimedia Univ, Fac Engn, Fibre Opt Res Ctr, Jalan Multimedia, Cyberjaya 63100, Malaysia
Lumisysns Technol Sdn Bhd, Cyberjaya 63100, Selangor, MalaysiaMultimedia Univ, Fac Engn, Fibre Opt Res Ctr, Jalan Multimedia, Cyberjaya 63100, Malaysia
Tarif, Zubair H.
Abdul-Rashid, H. A.
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Multimedia Univ, Fac Engn, Fibre Opt Res Ctr, Jalan Multimedia, Cyberjaya 63100, MalaysiaMultimedia Univ, Fac Engn, Fibre Opt Res Ctr, Jalan Multimedia, Cyberjaya 63100, Malaysia
Abdul-Rashid, H. A.
Hashim, Siti Aiasah
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Agensi Nuklear Malaysia, Alurtron Electron Beam Irradiat Ctr, Kajang 43000, Selangor, MalaysiaMultimedia Univ, Fac Engn, Fibre Opt Res Ctr, Jalan Multimedia, Cyberjaya 63100, Malaysia
Hashim, Siti Aiasah
Bradley, D. A.
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Sunway Univ, Sch Engn & Technol, Ctr Appl Phys & Radiat Technol, Pj 46150, Malaysia
Univ Surrey, Dept Phys, Guildford GU2 7XH, Surrey, EnglandMultimedia Univ, Fac Engn, Fibre Opt Res Ctr, Jalan Multimedia, Cyberjaya 63100, Malaysia
机构:Perelman School of Medicine at the University of Pennsylvania,Division of Cardiology, Department of Pediatrics, The Children’s Hospital of Philadelphia
Akash R. Patel
Jamie Ganley
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机构:Perelman School of Medicine at the University of Pennsylvania,Division of Cardiology, Department of Pediatrics, The Children’s Hospital of Philadelphia
Jamie Ganley
Xiaowei Zhu
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机构:Perelman School of Medicine at the University of Pennsylvania,Division of Cardiology, Department of Pediatrics, The Children’s Hospital of Philadelphia
Xiaowei Zhu
Jonathan J. Rome
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机构:Perelman School of Medicine at the University of Pennsylvania,Division of Cardiology, Department of Pediatrics, The Children’s Hospital of Philadelphia
Jonathan J. Rome
Maully Shah
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机构:Perelman School of Medicine at the University of Pennsylvania,Division of Cardiology, Department of Pediatrics, The Children’s Hospital of Philadelphia
Maully Shah
Andrew C. Glatz
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机构:Perelman School of Medicine at the University of Pennsylvania,Division of Cardiology, Department of Pediatrics, The Children’s Hospital of Philadelphia
机构:
Chinese Acad Sci, Xinjiang Tech Inst Phys & Chem, Urumqi 830011, Peoples R China
Chinese Acad Sci, Grad Univ, Beijing 100049, Peoples R ChinaChinese Acad Sci, Xinjiang Tech Inst Phys & Chem, Urumqi 830011, Peoples R China
Liu Yan-Ping
Chen Zhao-Yang
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Chinese Acad Sci, Xinjiang Tech Inst Phys & Chem, Urumqi 830011, Peoples R China
Chinese Acad Sci, Grad Univ, Beijing 100049, Peoples R ChinaChinese Acad Sci, Xinjiang Tech Inst Phys & Chem, Urumqi 830011, Peoples R China
Chen Zhao-Yang
Ba Wei-Zhen
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Chinese Acad Sci, Xinjiang Tech Inst Phys & Chem, Urumqi 830011, Peoples R ChinaChinese Acad Sci, Xinjiang Tech Inst Phys & Chem, Urumqi 830011, Peoples R China
Ba Wei-Zhen
Fan Yan-Wei
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Chinese Acad Sci, Xinjiang Tech Inst Phys & Chem, Urumqi 830011, Peoples R ChinaChinese Acad Sci, Xinjiang Tech Inst Phys & Chem, Urumqi 830011, Peoples R China
Fan Yan-Wei
Du Yan-Zhao
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Chinese Acad Sci, Xinjiang Tech Inst Phys & Chem, Urumqi 830011, Peoples R China
Chinese Acad Sci, Grad Univ, Beijing 100049, Peoples R ChinaChinese Acad Sci, Xinjiang Tech Inst Phys & Chem, Urumqi 830011, Peoples R China
Du Yan-Zhao
Pan Shi-Lie
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Chinese Acad Sci, Xinjiang Tech Inst Phys & Chem, Urumqi 830011, Peoples R ChinaChinese Acad Sci, Xinjiang Tech Inst Phys & Chem, Urumqi 830011, Peoples R China
Pan Shi-Lie
Guo Qi
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Chinese Acad Sci, Xinjiang Tech Inst Phys & Chem, Urumqi 830011, Peoples R ChinaChinese Acad Sci, Xinjiang Tech Inst Phys & Chem, Urumqi 830011, Peoples R China