Problems About the Use of C-Arm Fluoroscopy in Proximal Femoral Nailing Surgery

Aim:It was aimed to determine the amount of wasted time and radiation exposure in intertrochanteric femur fracture surgeries for the use of C-arm fluoroscopy device during surgery.Methods:Records of 62 patients sustaining femur intertrochanteric fracture who were treated with closed reduction and in...

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Main Authors: Osman Nuri Özyalvaç, Sadettin Çiftçi, Atakan Telatar, Barış Özkul, Ali Güleç, Mustafa Aşansu, Evren Akpınar
Format: Article
Language:English
Published: Galenos Yayinevi 2018-09-01
Series:Haseki Tıp Bülteni
Subjects:
Online Access: http://www.hasekidergisi.com/archives/archive-detail/article-preview/problems-about-the-use-of-c-arm-fluoroscopy-in-pro/19656
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author Osman Nuri Özyalvaç
Sadettin Çiftçi
Atakan Telatar
Barış Özkul
Ali Güleç
Mustafa Aşansu
Evren Akpınar
author_facet Osman Nuri Özyalvaç
Sadettin Çiftçi
Atakan Telatar
Barış Özkul
Ali Güleç
Mustafa Aşansu
Evren Akpınar
author_sort Osman Nuri Özyalvaç
collection DOAJ
description Aim:It was aimed to determine the amount of wasted time and radiation exposure in intertrochanteric femur fracture surgeries for the use of C-arm fluoroscopy device during surgery.Methods:Records of 62 patients sustaining femur intertrochanteric fracture who were treated with closed reduction and internal femoral fixation were evaluated. Total operative time, time wasted for the use of C-arm fluoroscopy device use, number of shots done, surgeon’s seniority, number of shots performed until the desired image was obtained, number of guide wire applications made before implant placement and total amount of fluoroscopy images were recorded by the assistant healthcare personnel.Results:It was found that 53% of the operative time was wasted for the use of the C-arm fluoroscopy device, the average number of fluoroscopy scans to obtain true anteroposterior and lateral images of a specific level was 10, and the guide wire could be placed in the desired position after– an average of 3.7 attempts.Conclusion:We believe that C-arm fluoroscopy devices should be used by trained technical personnel, a common language of terms should be established between the surgeon and the X-ray technician and more practical imaging units should be improved in order to shorten the duration of surgery and to avoid unnecessary radiation exposure.
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spelling doaj.art-54da14f2d506427e95b98cd4900dc82d2023-02-15T16:17:54ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882018-09-0156320921210.4274/haseki.394213049054Problems About the Use of C-Arm Fluoroscopy in Proximal Femoral Nailing SurgeryOsman Nuri Özyalvaç0Sadettin Çiftçi1Atakan Telatar2Barış Özkul3Ali Güleç4Mustafa Aşansu5Evren Akpınar6 İstanbul Metin Sabancı Baltalimanı Kemik Hastalıkları Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye Selçuk Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Konya, Türkiye İstanbul Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye İstanbul Metin Sabancı Baltalimanı Kemik Hastalıkları Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye Selçuk Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Konya, Türkiye İstanbul Metin Sabancı Baltalimanı Kemik Hastalıkları Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye İstanbul Metin Sabancı Baltalimanı Kemik Hastalıkları Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye Aim:It was aimed to determine the amount of wasted time and radiation exposure in intertrochanteric femur fracture surgeries for the use of C-arm fluoroscopy device during surgery.Methods:Records of 62 patients sustaining femur intertrochanteric fracture who were treated with closed reduction and internal femoral fixation were evaluated. Total operative time, time wasted for the use of C-arm fluoroscopy device use, number of shots done, surgeon’s seniority, number of shots performed until the desired image was obtained, number of guide wire applications made before implant placement and total amount of fluoroscopy images were recorded by the assistant healthcare personnel.Results:It was found that 53% of the operative time was wasted for the use of the C-arm fluoroscopy device, the average number of fluoroscopy scans to obtain true anteroposterior and lateral images of a specific level was 10, and the guide wire could be placed in the desired position after– an average of 3.7 attempts.Conclusion:We believe that C-arm fluoroscopy devices should be used by trained technical personnel, a common language of terms should be established between the surgeon and the X-ray technician and more practical imaging units should be improved in order to shorten the duration of surgery and to avoid unnecessary radiation exposure. http://www.hasekidergisi.com/archives/archive-detail/article-preview/problems-about-the-use-of-c-arm-fluoroscopy-in-pro/19656 Hip fracturetraction tableC arm fluoroscopy
spellingShingle Osman Nuri Özyalvaç
Sadettin Çiftçi
Atakan Telatar
Barış Özkul
Ali Güleç
Mustafa Aşansu
Evren Akpınar
Problems About the Use of C-Arm Fluoroscopy in Proximal Femoral Nailing Surgery
Haseki Tıp Bülteni
Hip fracture
traction table
C arm fluoroscopy
title Problems About the Use of C-Arm Fluoroscopy in Proximal Femoral Nailing Surgery
title_full Problems About the Use of C-Arm Fluoroscopy in Proximal Femoral Nailing Surgery
title_fullStr Problems About the Use of C-Arm Fluoroscopy in Proximal Femoral Nailing Surgery
title_full_unstemmed Problems About the Use of C-Arm Fluoroscopy in Proximal Femoral Nailing Surgery
title_short Problems About the Use of C-Arm Fluoroscopy in Proximal Femoral Nailing Surgery
title_sort problems about the use of c arm fluoroscopy in proximal femoral nailing surgery
topic Hip fracture
traction table
C arm fluoroscopy
url http://www.hasekidergisi.com/archives/archive-detail/article-preview/problems-about-the-use-of-c-arm-fluoroscopy-in-pro/19656
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AT atakantelatar problemsabouttheuseofcarmfluoroscopyinproximalfemoralnailingsurgery
AT barısozkul problemsabouttheuseofcarmfluoroscopyinproximalfemoralnailingsurgery
AT aligulec problemsabouttheuseofcarmfluoroscopyinproximalfemoralnailingsurgery
AT mustafaasansu problemsabouttheuseofcarmfluoroscopyinproximalfemoralnailingsurgery
AT evrenakpınar problemsabouttheuseofcarmfluoroscopyinproximalfemoralnailingsurgery