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ASSESSING THE EFFICACY AND IMPACT OF C-ARM FLUOROSCOPY IN LOWER LIMB FRACTURE SURGERY
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Abstract
Objective: To evaluate the effectiveness and impact of C-arm fluoroscopy in fracture surgeries at Thong Nhat Hospital. Subjects and Methods: A retrospective study of 134 patients with lower limb fractures who underwent surgery at Thong Nhat Hospital from January 2023 to January 2024. Results: The study included 134 patients, 73 females and 61 males, with a mean age of 53.8 ± 20.3 years. Mechanisms of injury included 45 traffic accidents, 12 work-related accidents, and 77 domestic accidents. Osteoporosis was observed in 51 patients, accounting for 38.1%. The most common fractures were femoral neck fractures (26.1%) and proximal tibial fractures (26.8%). The most common fracture pattern for proximal tibial fractures was C2, seen in 41.7% of cases. Post-surgery, anatomical recovery was rated good in 54.5% of cases and very good in 32.8%. Fifteen orthopedic surgeons participated in surgeries using fluoroscopy with an average exposure level of ≤ 0.05 mSv. Conclusion: Fluoroscopy in lower limb fracture surgeries ensures exceptional anatomical precision and significantly enhances recovery outcomes. Additionally, the level of radiation exposure to surgeons during orthopedic surgery is within the permissible limits according to the ICRP, which indicates the reliability and safety of Thong Nhat Hospital in performing surgeries with fluoroscopy.
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Keywords
lower limb joint surgery, C-arm fluoroscopy
References
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