Radiation exposure during in-situ pinning of slipped capital femoral epiphysis hips: Does the patient positioning matter?

Journal of Pediatric Orthopaedics Part B

Volumn 19, Issue 4, 2010, Pages 333-336

  Mohammed, Riazuddin ^a   Johnson, Karl ^b   Bache, Ed ^a  

^a UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST   (United Kingdom)

^b BIRMINGHAM CHILDREN S HOSPITAL NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

In situ pinning; Medical radiation exposure; Operating table; Slipped capital femoral epiphysis

Indexed keywords

ADOLESCENT; ARTICLE; BONE SCREW; CHILD; CONTROLLED STUDY; FEMALE; HIP FRACTURE; HUMAN; INTRAMEDULLARY NAILING; MAJOR CLINICAL STUDY; MALE; OPERATION DURATION; PATIENT POSITIONING; PRIORITY JOURNAL; RADIATION DOSE; RADIATION EXPOSURE; SCHOOL CHILD; SCREENING; SLIPPED CAPITAL FEMORAL EPIPHYSIS; TRACTION THERAPY; DEVICES; EPIPHYSES, SLIPPED; FEMUR HEAD; HIP DISLOCATION; INTERVENTIONAL RADIOLOGY; OPERATING ROOM; ORTHOPEDIC SURGERY; PROCEDURES; RADIOGRAPHY; RETROSPECTIVE STUDY; SURGICAL EQUIPMENT; TIME;

ADOLESCENT; CHILD; EPIPHYSES, SLIPPED; FEMALE; FEMUR HEAD; HIP DISLOCATION; HUMANS; MALE; OPERATING ROOMS; ORTHOPEDIC PROCEDURES; PATIENT POSITIONING; RADIATION DOSAGE; RADIOGRAPHY, INTERVENTIONAL; RETROSPECTIVE STUDIES; SURGICAL EQUIPMENT; TIME FACTORS;

EID: 77953577267     PISSN: 1060152X     EISSN: 14735865     Source Type: Journal    
DOI: 10.1097/BPB.0b013e32833918e7     Document Type: Article

References (17)

1. National Radiation Protection Board. Effects of age at exposure and on radiation detriment on occupational, public and medical exposure. Documents of the NRPB 1993; 4:71-73.
2. Aronson DD, Carlson WE. Slipped capital femoral epiphysis. A prospective study of fixation with a single screw. J Bone Joint Surg Am 1992; 74:810-819.
3. Loder RT, Richards BS, Shapiro PS, Reznick LR, Aronson DD. Acute slipped capital femoral epiphysis: the importance of physeal stability. J Bone Joint Surg Am 1993; 75:1134-1140.
4. Morrissy RT. Slipped capital femoral epiphysis technique of percutaneous in situ fixation. J Pediatr Orthop 1990; 10:347-350.
5. Lee FY, Chapman CB. In situ pinning of hip for stable slipped capital femoral epiphysis on a radiolucent operating table. J Pediatr Orthop 2003; 23:27-29.
6. Blasier RD, Ramsey JR, White RR. Comparison of radiolucent and fracture tables in the treatment of slipped capital femoral epiphysis. J Pediatr Orthop 2004; 24:642-644.
7. Carney BT, Talwalkar V, Grothaus M, Levine J. Comparison of fracture versus radiolucent table in the treatment of slipped capital femoral epiphysis. Iowa Orthop J 2006; 26:33-36.
8. McParland BJ. A study of patient radiation doses in interventional radiological procedures. Br J Radiol 1998; 71:175-185.
9. Recommendations of the International Commission on Radiological Protection, Publication 60. Pergammon, Oxford. Ann ICRP 1990; 21:1-3.
10. Chapple CL, Faulkner K, Lee REJ, Hunter EW. Radiation doses to paediatric patients undergoing less common radiological procedures involving fluoroscopy. Br J Radiol 1993; 66:823-827.
11. Doll R. Epidemiological evidence of effects of small doses of ionizing radiation with a note on the causation of clusters of childhood leukaemia. Radiat Protect 1993; 13:233-241.
12. Vano E, Gonzalez L, Ten JI, Fernandez JM, Guibelalde E, Macaya C. Skin dose and dose-area product values for interventional cardiology procedures. Br J Radiol 2001; 74:48-55. (Pubitemid 32162022)
13. Hiorns MP, Saini A, Marsden PJ. A review of current local dose-area product levels for paediatric fluoroscopy in a tertiary referral centre compared with national standards. Why are they so different? Br J Radiol 2006; 79:326-330.
14. Malek S, Davies E, Malek IA, Rawal A, Singh A, Harvey RA. Trauma surgery and risk of radiation injury to patients. Eur J Orthop Surg Traumatol 2007; 17:23-28.
15. Theocharopoulos N, Perisinakis K, Damilakis J, Papadokostakis G, Hadjipavlou A, Gourtsoyiannis N. Occupational exposure from common fluoroscopic projections used in orthopaedic surgery. J Bone Joint Surg Am 2003; 85A:1698-1703.
16. Westberry DE, Davids JR, Cross A, Tanner SL, Blackhurst DW. Simultaneous biplanar fluoroscopy for the surgical treatment of slipped capital femoral epiphysis. J Pediatr Orthop 2008; 28:43-48.
17. Killian JT, Conklin MJ, Kramer T, White S. Improved percutaneous slipped capital femoral epiphysis treatment: continuous biplanar fluoroscopy and proper guide wire selection. J South Orthop Assoc 1999; 8:155-162.