ArticleCureus2025
Can a Teaching Programme Help Reduce Radiation Exposure During Extra-Capsular Proximal Femur Fracture Fixation?
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Proximal femur fractures (PFFs) represent a major healthcare burden in the United Kingdom, with approximately 76,000 cases annually. Extra-capsular fractures are commonly treated with Dynamic Hip Screws (DHS), short or long intramedullary nails (IMNs), all of which require intraoperative fluoroscopy. Consequently, orthopaedic surgeons and patients are exposed to ionising radiation and the associated stochastic and deterministic risks. Despite regulations under the Ionising Radiation (Medical Exposure) Regulations 2017 (IR(ME)R), a wide variation in radiation safety knowledge persists, and there are no established benchmarks for acceptable exposure. This audit aims to assess whether a departmental teaching programme could reduce radiation exposure during extra-capsular PFF fixation and to explore differences between consultant and trainee-led cases. Methodology This audit was conducted at Dorset County Hospital, United Kingdom, audit number 6323. Patients with closed extra-capsular PFFs managed using DHS, short or long IMN fixations were included. Radiation exposure, expressed as dose-area product (DAP), was recorded from the Picture Archiving and Communication System (PACS) across two audit cycles: before and after delivery of an educational programme, emphasising radiological stewardship and safety. Statistical analysis was performed using independent t-tests, with significance set at
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