Prospective analysis of intraoperative radiation dose in foot and ankle surgery using mini-C-arm fluoroscopy. Continuous series of 1064 procedures

Clément Guyonnet (1) , Aurélien Mulliez (2) , Michel-Henri Fessy (3) , Jean-Luc Besse (3)

1 Service de Chirurgie Orthopédique et Traumatologique, Hospices Civils de Lyon, Centre Hospitalier Lyon-Sud
2 DRCI - Direction de la Recherche Clinique et de l’Innovation [CHU Clermont-Ferrand]
3 LBMC UMR T9406 - Laboratoire de Biomécanique et Mécanique des Chocs

INTRODUCTION: Foot and ankle surgeons make daily use of mini-C-arm fluoroscopes. The present study aimed to quantify associated radiation doses. HYPOTHESIS: X-ray exposure for foot and ankle surgeons using a mini-C-arm fluoroscope is below the nuclear safety authority authorized doses of 20 mSv/year for the whole body and crystalline lens, 150 mSv/year for the thyroid and 500 mSv/year for the skin and limbs. MATERIAL AND METHODS: A single-center, single-surgeon prospective series was treated between February 2014 and December 2017. Doses emitted by the mini-C-arm (15cm field) were recorded during 1,064 operations. Doses received by the surgeon were recorded by 3 passive dosimeters (thorax, eyes and hands) and 1 active dosimeter. The significance threshold was set at p

Mots clés: FLUOROSCOPY; HUMANS; MINI-C-ARM FLUOROSCOPE; OCCUPATIONAL EXPOSURE; RADIATION; RADIATION DOSAGE

Mots clés: CHEVILLE; PIED; MAIN

Domaines: Médecine humaine et pathologie

Clément Guyonnet, Aurélien Mulliez, Michel-Henri Fessy, Jean-Luc Besse. Prospective analysis of intraoperative radiation dose in foot and ankle surgery using mini-C-arm fluoroscopy. Continuous series of 1064 procedures. Orthopaedics & Traumatology: Surgery & Research, 2021, 107 (6), pp 718-723. ⟨10.1016/j.otsr.2021.102994⟩. ⟨hal-03563048⟩