Can radiation exposure be reduced in thetreatment of femur fractures with the Intrameduller nail?

Abstract

Aim: In this study, our aim is to compare surgery time and radiation exposure for patients of treated with two different intramedullar nail distal locking systems; free-hand technique and electromagnetic navigation system.Method: We evaluated 40 patients' femur fractures. we treated with Intramedullar Nail due to femur fractures between the dates of February 2012 and February 2013 were operated on by two different distal locking techniques; Distal Electromagnetic guided technique(DML+) and Free-hand Technique(DML-). Radiation exposure was measured by radiationmeter (NAB223) obtained from Civil Defense Directorate. Results: In group DML(-) 20 femur fractures were evaluated. Mean flouroscopy time was 33,7± 12,6, operation time 68.5±7.1 minutes and whole radiation exposure was 461,7±172,7. In group DML(-) 20 femur fractures were evaluated. Mean flouroscopy time was 29±17,6,operation time 66.25±10.1 minutes and whole radiation exposure was 397,3±241,1.Concllusion: In this study we compared distal locking time, radiation exposure and fluoroscopy shoot by using two different distal locking techniques in long bone fractures and found no significant differences in both of techniques (p>0.05).

Keywords

• femur fractures
• distal locking
• intramedullary nailing
• radiation
• femur kırığı
• intramedüller çivileme
• distal kilitleme
• radyasyon