Is It Safe to Use a Lead Screen During Hip Arthroscopy?

Alexander Rahill, Leah Biffin, Camdon Fary, Alasdair G Sutherland, Phong Tran

Open access · goldAbstract read

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Article in Arthroscopy, sports medicine, and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact, top 98% 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

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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

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0 citing papers in PubMed, 0 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Alexander RahillDepartment of Orthopaedic Surgery, Western Health, Melbourne, Victoria, Australia.

Leah BiffinMedical Imaging Department, Western Health, Melbourne, Victoria, Australia.

Camdon FaryDepartment of Orthopaedic Surgery, Western Health, Melbourne, Victoria, Australia.

Alasdair G SutherlandDepartment of Orthopaedics, Southwest Healthcare, Warrnambool, Victoria, Australia.

Phong TranDepartment of Orthopaedic Surgery, Western Health, Melbourne, Victoria, Australia.

Western Health · AUDeakin University · AUThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the radiation attenuation of lead screens in comparison to lead gowns in a simulated hip arthroscopy setting.

methodsIn this quantitative laboratory study, a phantom pelvis was used to simulate the scatter produced by patients during hip arthroscopy. Radiation measurements were taken using a handheld radiation detector positioned perpendicular to the phantom pelvis at 1.5 m and 2 m. Measurements were taken without shielding as a control, behind a lead gown (0.4-mm lead equivalent), and behind a lead screen (0.5-mm lead equivalent).

resultsWith the detector at 1.5 m perpendicular to the hip, equivalent radiation was attenuated by the lead screen (94%) and the lead gown (94%). With the detector at 2 m perpendicular to the hip, the lead screen at 1.7 m attenuated 95% of radiation.

conclusionsIn hip arthroscopy, using lead screens is a safe and more comfortable alternative to wearing lead gowns. The lead screen should be at least 1.2 m from the radiation source, with the surgeon standing closely behind the screen, fully covered. CLINICAL RELEVANCE: Lead screens can be safely used in hip arthroscopy.

Identifiers

PMID34027439

DOI10.1016/j.asmr.2020.09.022

PMCPMC8129058

OpenAlexW3126614793

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LicenceCC BY-NC-ND

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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.