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dc.contributor.authorKalem, Mahmut
dc.date.accessioned2021-01-05T07:36:52Z
dc.date.available2021-01-05T07:36:52Z
dc.date.issued2018
dc.identifier.urihttps://doi.org/10.1155/2018/6768272tr_TR
dc.identifier.urihttp://hdl.handle.net/20.500.12575/72634
dc.description.abstractObjectives: 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.language.isoentr_TR
dc.relation.isversionof10.1155/2018/6768272tr_TR
dc.subjectC-Arm Mobilitytr_TR
dc.titleThe Effect of C-Arm Mobility and Field of Vision on Radiation Exposure in the Treatment of Proximal Femoral Fractures: A Randomized Clinical Trialtr_TR
dc.typeArticletr_TR
dc.relation.journalBiomed Res Int .tr_TR
dc.contributor.departmentTıp Fakültesitr_TR
dc.identifier.startpage1tr_TR
dc.identifier.endpage6tr_TR
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıtr_TR


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