Adnan Kara1, Haluk Celik2, Ali Seker3,4, Metin Uzun5, Mehmet Mesut Sonmez6, Mehmet Erdil1. 1. Department of Orthopaedics and Traumatology, Istanbul Medipol University, Istanbul, Turkey. 2. Zonguldak Ataturk State Hospital, Orthopaedics and Traumatology, Zonguldak, Turkey. 3. Department of Orthopaedics and Traumatology, Istanbul Medipol University, Istanbul, Turkey. aliseker@doctor.com. 4. Medipol Mega Hastane, TEM Avrupa Otoyolu Göztepe Cikisi No:1 Bagcilar, Istanbul, Turkey. aliseker@doctor.com. 5. Maslak Acibadem Hospital, Istanbul, Turkey. 6. Sisli Etfal Training and Research Hospital Orthopaedics and Traumatology Clinic, Istanbul, Turkey.
Abstract
OBJECTIVE: This study compares reducing radiation and operation time between single and double C-arm fluoroscopy in the treatment of intertrochanteric femur fractures with intramedullary nails. PATIENTS AND METHODS: Forty four patients participated in the study. Patients were divided into two groups as single (23 patients) and double fluoroscope (21 patients). The time of preparation, the duration of the surgery, the total amount of blood loss, and the total duration of radiation exposure were compared, retrospectively. The collo-diaphyseal angle was compared with that of the contralateral hip on postoperative radiographs. Furthermore, the tip-apex distance and the position of the screws in the femoral head were recorded. RESULTS: The mean preparation periods, collo-diaphyseal angles and blood loss did not differ between groups. In the double-fluoroscopy group, the duration of surgery was 15.9 min shorter (p < 0.001), and the radiation time was 25.7 s shorter (p < 0.001). CONCLUSION: The double fluoroscopy technique can significantly reduce surgical and radiation exposure times during surgery.
OBJECTIVE: This study compares reducing radiation and operation time between single and double C-arm fluoroscopy in the treatment of intertrochanteric femur fractures with intramedullary nails. PATIENTS AND METHODS: Forty four patients participated in the study. Patients were divided into two groups as single (23 patients) and double fluoroscope (21 patients). The time of preparation, the duration of the surgery, the total amount of blood loss, and the total duration of radiation exposure were compared, retrospectively. The collo-diaphyseal angle was compared with that of the contralateral hip on postoperative radiographs. Furthermore, the tip-apex distance and the position of the screws in the femoral head were recorded. RESULTS: The mean preparation periods, collo-diaphyseal angles and blood loss did not differ between groups. In the double-fluoroscopy group, the duration of surgery was 15.9 min shorter (p < 0.001), and the radiation time was 25.7 s shorter (p < 0.001). CONCLUSION: The double fluoroscopy technique can significantly reduce surgical and radiation exposure times during surgery.
Entities:
Keywords:
Double fluoroscopy; Intertrochanteric femur fracture; Intramedullary nail