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Abstract
Background: The safe amount of radiation permissible during the fixation of
neck or femur fractures has long been studied. Factors including surgeons’
experience have been highlighted. We aimed in this study to compare different
factors for quality and safety improvement. Methods: It was a retrospective
study, including all patients who had undergone a standard DHS fixation
between January 2018 to June 2019 for the inter-trochanteric neck of femur
fractures. Two groups were stratified; (Group A) had the procedure performed
by a specialist non-consultant surgeon (NCG) and (Group B) by an
established consultant (CG). The Dose Area Product (DAP) and the duration
of radiation exposure were recorded. Results: Over a period of 18 months, 91
cases were included with a mean age of 82 years old. The mean weight was 62
kg. 42 patients had complex fractures, and 49 patients had simple fractures.
12% of patients were ASA II, 70% of cases were ASA III and 18% of the patients
were ASA IV. The mean DAP for group A was 345.131 CGYCM2 (SD 273.65) and for group B 234.63 CGYCM2 (SD 165.30). The time of exposure
was 8.6 sec and 13.16 sec in groups B and A respectively. Conclusion: The
data collected from this study were comparable to others. The amount of radiation
exposure was of difference related to the decision-making intra-
operatively. Other factors were not statistically significant.
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Date
2023-03
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Article
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Open Journal of Orthopedics, 2023, 13,