Patient Radiation Exposure During Fluoro-Assisted Direct Anterior Approach Total Hip Arthroplasty

The Journal of Arthroplasty
Brian M CurtinWilliam A Jiranek

Abstract

This study sought to quantify the total patient radiation exposure during fluoro-assisted direct anterior approach (DAA) total hip arthroplasty (THA). We hypothesized that the patient radiation exposure would fall within acceptable published limits for a 1-time patient exposure. After institutional review board approval, we performed a retrospective chart review of consecutive unilateral primary DAA THAs at 2 institutions (N = 157) between 2012 and 2014 by a single fellowship-trained arthroplasty surgeon assisted by residents and fellows. Incomplete dose reporting information was the sole exclusion criterion. Patient electronic medical records were queried regarding exposure time (seconds), radiation emittance (mGy), and peak kilovoltage (kVp). Descriptive statistics were calculated. Pearson correlation coefficients were used to determine the correlation between variables. Mean radiation dose for patient exposure measured 2.97 ± 1.63 mGy (range: 0.29-9.83). Positive but weak linear relationship with radiation dose and body mass index (BMI; r = 0.34; P < .0002). Average exposure time per procedure was 23.74 s (range: 11.3-61.7). Average kVp per procedure was 75.38 (range: 65-86). Average BMI was 28.32 (range: 16.6-39.8). There w...Continue Reading

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Sep 6, 2005·Occupational Medicine·Giuseppe MastrangeloBruno Saia
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Citations

Feb 7, 2018·The Journal of Bone and Joint Surgery. American Volume·Brad L PenenbergWilliam W Brien
Sep 21, 2018·The Journal of Bone and Joint Surgery. American Volume·Mengnai Li, Andrew H Glassman
Dec 6, 2017·The Journal of Bone and Joint Surgery. American Volume·David Clinton McNabbRaymond H Kim
Mar 16, 2021·Journal of Clinical Orthopaedics and Trauma·Spencer SummersMichaela Maria Schneiderbauer
Jun 22, 2021·Expert Review of Medical Devices·Thibault DhalluinLeslie Grammatico-Guillon
Jun 24, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Nayeem BakshQais Naziri

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