%0 Journal Article
%T Radiation Exposure during Dynamic Hip Screw Fixation: A Comparative Study
%A Islam Sarhan
%A Ramy Shehata
%A Neil Ashwood
%J Open Journal of Orthopedics
%P 78-83
%@ 2164-3016
%D 2023
%I Scientific Research Publishing
%R 10.4236/ojo.2023.133009
%X <strong>Background:</strong> The safe amount of radiation permissible during fixation of neck of 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. <strong>Methods:</strong> It was a retrospective study, including all patients who had undergone a standard DHS fixation between January 2018 and June 2019 for 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. <strong>Results:</strong> 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. <strong>Conclusion:</strong> 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.
%K DHS
%K Radiation Exposure
%K Comparative Study
%K Neck of Femur Fracture
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=123773