Time of Fluoroscopy Use in Orthopedic Trauma Cases
Citations Over Time
Abstract
The purpose of this study was to identify the orthopedic trauma cases requiring the most fluoroscopic time. We retrospectively reviewed three hundred and fifty-six consecutive orthopedic trauma patients who presented to a level one trauma center. Time of fluoroscopy, case type, and surgeon were recorded for each surgical case. The four case types requiring the most fluoroscopic time were: intramedullary nailing of the femur (mean=2.23 minutes); intramedullary nailing of the tibia (mean=1.53 minutes); plating of the calcaneus (mean=1.5 minutes); and sacroiliac screw placement (mean=1.67 minutes). There was no significant difference between surgeons. Intramedullary nailing, calcaneal plating, and sacroiliac screw placement are the orthopedic trauma cases that require the most fluoroscopic time. These procedures may be targeted when attempting to decrease radiation exposure to patients and operating room staff.
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