Evidence map›Paper›PMID 36416077›Full record

ArticleBone & joint open2022

Whole-body radiation exposure in Trauma and Orthopaedic surgery.

Robert J Hurley, Fergus J McCabe, Luke Turley, Danielle Maguire, Julie Lucey, Conor J Hurson

Open access · goldAbstract read
In one paragraph

Article in Bone & joint open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Navigation and intraoperative imaging in pelvic and acetabular trauma.OTA international : the open access journal of orthopaedic trauma · 2025
    Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. [Detection of ionizing radiation in operating room and hospital areas].Revista medica del Instituto Mexicano del Seguro Social · 2024
    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

6 authors at 1 institution in 1 country.

Robert J HurleyDepartment of Trauma & Orthopaedics, St. Vincent's University Hospital, Dublin, Ireland.ORCID 0000-0003-4649-2250
Fergus J McCabeDepartment of Trauma & Orthopaedics, St. Vincent's University Hospital, Dublin, Ireland.ORCID 0000-0002-1084-7438
Luke TurleyDepartment of Trauma & Orthopaedics, St. Vincent's University Hospital, Dublin, Ireland.ORCID 0000-0002-6396-3520
Danielle MaguireMedical Physics and Clinical Engineering, St. Vincent's University Hospital, Dublin, Ireland.
Julie LuceyMedical Physics and Clinical Engineering, St. Vincent's University Hospital, Dublin, Ireland.
Conor J HursonDepartment of Trauma & Orthopaedics, St. Vincent's University Hospital, Dublin, Ireland.ORCID 0000-0003-1066-5260
St. Vincent's University Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe use of fluoroscopy in orthopaedic surgery creates risk of radiation exposure to surgeons. Appropriate personal protective equipment (PPE) can help mitigate this. The primary aim of this study was to assess if current radiation protection in orthopaedic trauma is safe. The secondary aims were to describe normative data of radiation exposure during common orthopaedic procedures, evaluate ways to improve any deficits in protection, and validate the use of electronic personal dosimeters (EPDs) in assessing radiation dose in orthopaedic surgery.

methodsRadiation exposure to surgeons during common orthopaedic trauma operations was prospectively assessed using EPDs and thermoluminescent dosimeters (TLDs). Normative data for each operation type were calculated and compared to recommended guidelines.

resultsCurrent PPE appears to mitigate more than 90% of ionizing radiation in orthopaedic fluoroscopic procedures. There is a higher exposure to the inner thigh during seated procedures. EPDs provided results for individual procedures.

conclusionPPE currently used by surgeons in orthopaedic trauma theatre adequately reduces radiation exposure to below recommended levels. Normative data per trauma case show specific anatomical areas of higher exposure, which may benefit from enhanced radiation protection. EPDs can be used to assess real-time radiation exposure in orthopaedic surgery. There may be a role in future medical wearables for orthopaedic surgeons.Cite this article:

Indexed as

dosimetersfluoroscopic imagingFluoroscopyHipImage intensifierionizing radiationkneesorthopaedic proceduresorthopaedic surgeonsorthopaedic traumapersonal protective equipment (PPE)RadiationSafetythighsTrauma

Identifiers

PMID36416077
PMCPMC9709492
OpenAlexW4309731111

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.