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Evaluation of the new C‐arm guiding system ClearGuide® in an orthopaedic and trauma operating theatre
Author(s) -
Müller Marcus Christian,
Frege Sophie,
Strauss Andreas Christian,
Gathen Martin,
Windemuth Michael,
Striepens Eva Nadine
Publication year - 2017
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1820
Subject(s) - intramedullary rod , medicine , fixation (population genetics) , radiation exposure , surgery , orthopedic surgery , tibia , reduction (mathematics) , femur , fracture reduction , femoral shaft , nuclear medicine , internal fixation , population , geometry , environmental health , mathematics
Background The objective was to evaluate whether the new intraoperative C‐arm guiding system ClearGuide® (CG) reduces radiation exposure of the staff in an Orthopaedic and Trauma operation theatre. Methods Data of 95 patients CG was used were retrospectively compared using matched‐pair analysis with controls without CG. Radiation dose (RD), fluoroscopic time (FT) and operation time (OT) were analysed in ten types of operative procedures. Results Use of CG led to a significant reduction ( p ≤ 0.05) of the RD in intramedullary nailing and plate fixation of femoral shaft fractures as well as plating of tibia shaft fractures. Concerning FT, use of CG led to a significant reduction ( p ≤ 0.05) while performing kyphoplasties and plate fixation of femoral shaft fractures. Regarding OT, no statistical significance was observed. Conclusions CG as a simple, reproducible and intuitive communication tool for C‐arm guidance reduces intraoperative staff radiation exposure especially while fixation of long bone fractures and in spine surgery.