Evidence map›Paper›PMID 26249110›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016

Orthopaedic surgeons' use and knowledge of ionizing radiation during surgical treatment for femoroacetabular impingement.

Adriana J Saroki, Coen Wijdicks, Marc J Philippon, Asheesh Bedi

Abstract read
PubMed Publisher
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Radiation exposure in fluoroscopy-guided anterior total hip arthroplasty: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022
    Pooled it
  3. The impact of different bone cement distribution patterns on cement leakage in percutaneous curved vertebroplasty versus bilateral percutaneous vertebroplasty.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
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  12. Assessment of Health Professionals' Attitudes on Radiation Protection Measures.International journal of environmental research and public health · 2021
    Article
  13. Is It Safe to Use a Lead Screen During Hip Arthroscopy?Arthroscopy, sports medicine, and rehabilitation · 2021
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  14. Article
  15. Review
  16. Article
  17. Intraoperative Radiation Exposure During Hip Arthroscopy.Orthopaedic journal of sports medicine · 2017
    Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Adriana J SarokiDepartment of Orthopaedic Surgery, University of Michigan, MedSport, 24 Frank Lloyd Wright Dr., Lobby A, Ann Arbor, MI, 48106, USA.
Coen WijdicksSteadman Philippon Research Institute, Vail, CO, USA.
Marc J PhilipponSteadman Philippon Research Institute, Vail, CO, USA.
Asheesh BediDepartment of Orthopaedic Surgery, University of Michigan, MedSport, 24 Frank Lloyd Wright Dr., Lobby A, Ann Arbor, MI, 48106, USA. abedi@med.umich.edu.
Steadman Philippon Research Institute · USUniversity of Michigan–Ann Arbor · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo better understand how radiograph imaging is currently used throughout perioperative care for femoroacetabular impingement (FAI) and to define surgeon knowledge and perspective on radiation safety when treating FAI.

methodsAn online questionnaire was designed to be completed by hip arthroscopists on the imaging modalities and projections they use during evaluation and treatment of FAI and the associated radiation exposures and safety. A sample of practicing attending orthopaedic surgeons was surveyed via an anonymous survey link emailed to corresponding authors on publications related to FAI. The anonymous survey link was also provided to orthopaedic surgeons at the 2014 Vail Hip Symposium.

resultsNinety-one surgeons completed the survey. Of these participants, 72 surgeons (79.1 %) indicated they use pre-operative radiographs and intra-operative spot fluoroscopic images during FAI treatment. Thirty-three surgeons (36.3 %) use pre-operative computed tomography (CT). Twenty-three surgeons (25.3 %) use real-time moving fluoroscopy. A majority of surgeons incorrectly answered multiple-choice questions about which C-arm positions and settings result in the lowest doses of radiation to the surgeon or patient. Eighty-three surgeons (91.2 %) indicated they believe most orthopaedic surgeons need to be more informed about radiation safety.

conclusionsThis study gives a quantitative representation of the imaging modalities and projections utilized during perioperative treatment for FAI. This study also identified a lack of knowledge of radiation safety among orthopaedic surgeons treating patients with FAI and demonstrates the need for greater education. LEVEL OF EVIDENCE: IV.

Indexed as

Clinical CompetenceOrthopedic SurgeonsPractice Patterns, Physicians'ArthroscopyFemoracetabular ImpingementFluoroscopyHumansIntraoperative CarePostoperative CarePreoperative CareRadiation, IonizingRadiographySurgeonsSurveys and QuestionnairesTomography, X-Ray ComputedFemoroacetabular impingementFluoroscopyHip arthroscopyHip X-ray imagingImage intensifierRadiation exposureRadiation use

Identifiers

PMID26249110
OpenAlexW1090166651

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.