The Effect of C-Arm Mobility and Field of Vision on Radiation Exposure in the Treatment of Proximal Femoral Fractures: A Randomized Clinical Trial
| dc.contributor.author | Kalem, Mahmut | |
| dc.contributor.department | Tıp Fakültesi | tr_TR |
| dc.date.accessioned | 2021-01-05T07:36:52Z | |
| dc.date.available | 2021-01-05T07:36:52Z | |
| dc.date.issued | 2018 | |
| dc.description.abstract | Objectives: To examine the effect of fluoroscopy devices with different sizes of image intensifier and C-arm maneuverability on operating time, fluoroscopy time, radiation dose and reduction, and fixation quality at intertrochanteric femoral fractures. Design: Single-center, randomized, prospective study. Setting: Academic Level I trauma hospital. Patients and intervention: 34 patients treated with cephalomedullary nailing for a stable, intertrochanteric proximal femur fracture (OTA A1). Main outcome measurement: The total working time of the fluoroscopy device, the dose-area product (DAP), operating time, reduction quality (cortical continuity, symmetrical collodiaphyseal angle, and shortness), and fixation quality (Bosworth quadrants, the tip-apex distance, TAD). Results: There were no cases of poor reduction; also the placement of the blade was optimal for 14 patients and suboptimal in 3 patients in each group. Superior-posterior placement of the blade or TAD > 25 mm was not seen in any patient. Total operating time was significantly shorter when using device A compared to the use of device B (20.1 ± 3.4 mins versus 25.3 ± 5.4 mins, p < 0.001). Total radiation time was significantly shorter with device A compared to the use of device B (58.1 ± 19.4 secs versus 98.9 ± 55.4 secs, p = 0.008). The measured radiation dose was lower with the use of device A compared to device B (3.5 ± 1.2 Gy·cm2 versus 7.3 ± 4.5 Gy·cm2, p = 0.002). Conclusion: Physical properties of fluoroscopy devices used during the fixation of intertrochanteric fractures could yield significant differences in operating times and the radiation dose while having comparable clinical results. | tr_TR |
| dc.identifier.endpage | 6 | tr_TR |
| dc.identifier.startpage | 1 | tr_TR |
| dc.identifier.uri | https://doi.org/10.1155/2018/6768272 | tr_TR |
| dc.identifier.uri | http://hdl.handle.net/20.500.12575/72634 | |
| dc.language.iso | en | tr_TR |
| dc.relation.isversionof | 10.1155/2018/6768272 | tr_TR |
| dc.relation.journal | Biomed Res Int . | tr_TR |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | tr_TR |
| dc.subject | C-Arm Mobility | tr_TR |
| dc.title | The Effect of C-Arm Mobility and Field of Vision on Radiation Exposure in the Treatment of Proximal Femoral Fractures: A Randomized Clinical Trial | tr_TR |
| dc.type | Article | tr_TR |