Site-Specific Radiation Exposure during Intramedullary Nails: A Comparison between the Free-Hand Technique and the #Electromagnetic Assisted Technique by Hiroki Kobayashi in BJSTR

Abstract

Background: We compared the operative time, #fluoroscopy time and site-specific #radiation exposure during #intramedullarynailing for long bone fractures between classical free-hand (FH) technique and electromagnetic (EM) assisted technique.

Methods: Eleven patients with femoral or #tibialfractures subjected to intramedullary nailing were studied. The intramedullary nails were performed using FH technique or EM assisted technique with the SURESHOT™ Distal Targeting System. Ten dosimeters were attached on the patient’s and surgeon’s body to measure the site-specific radiation exposure. The variables, including radiation exposure (patient’s eyes, patient’s genitals, fracture site, surgeon’s eyes, surgeon’s genitals, surgeon’s hands), #surgicaltime and fluoroscopy time required for #fixation of the distal locking screw, were statistically compared between group FH and group EM using two-tailed Student’s t-tests.

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Site-Specific Radiation Exposure during Intramedullary Nails: A Comparison between the Free-Hand Technique and the #Electromagnetic Assisted Technique by Hiroki Kobayashi in BJSTR