The primary determinants of radiation use during fixation of proximal femur fractures

Michael D. Baratz*, Yue Yung Hu, David Zurakowski, Paul Appleton, Edward K. Rodriguez

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Objectives: To establish the primary determinants of operative radiation use during fixation of proximal femur fractures. Design: Retrospective cohort study. Setting: Level I trauma centre. Cohort: 205 patients treated surgically for subtrochanteric and intertrochanteric femoral fractures. Main outcome measures: Fluoroscopy time, dose-area-product (DAP). Results: Longer fluoroscopy time was correlated with higher body mass index (p = 0.04), subtrochanteric fracture (p < 0.001), attending surgeon (p = 0.001), and implant type (p < 0.001). Increased DAP was associated with higher body mass index (p < 0.001), subtrochanteric fracture (p = 0.002), attending surgeon (p = 0.003), lateral body position (p < 0.001), and implant type (p = 0.05). Conclusion: The strongest determinants of radiation use during surgical fixation of intertrochanteric and subtrochanteric femur fractures were location of fracture, patient body position, patient body mass index, and the use of cephalomedullary devices. Surgeon style, presumably as it relates to teaching efforts, seems to strongly influence radiation use.

Original languageEnglish (US)
Pages (from-to)1614-1619
Number of pages6
JournalInjury
Volume45
Issue number10
DOIs
StatePublished - Jan 1 2014

ASJC Scopus subject areas

  • Emergency Medicine
  • Orthopedics and Sports Medicine

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