Can radiation exposure be reduced in thetreatment of femur fractures with the Intrameduller nail?

Yıl 2017, Cilt: 1 Sayı: 1, 20 - 23, 23.04.2017

Mehmet Nuri Konya Ömer Ali Kaya

https://doi.org/10.30565/medalanya.278034

Cited By: 3

Öz

Aim: In this study, our
aim is to compare surgery time and radiation exposure for  patients of treated with two different
intramedullar nail distal locking systems; free-hand technique and
electromagnetic navigation system.

Method:
We evaluated 40 patients' femur fractures.  we treated with Intramedullar Nail due to
femur fractures between the dates of February 2012 and February 2013 were
operated on by two different distal locking techniques; Distal Electromagnetic
guided technique(DML+) and Free-hand Technique(DML-). Radiation exposure was measured
by radiationmeter (NAB223) obtained from Civil Defense Directorate.

 

Results:
In group
DML(-) 20 femur fractures were evaluated. Mean flouroscopy time was 33,7± 12,6,
operation time 68.5±7.1 minutes and whole radiation exposure was 461,7±172,7.
In group DML(-) 20 femur fractures were evaluated. Mean flouroscopy time was
29±17,6,operation time 66.25±10.1 minutes and whole radiation exposure was
397,3±241,1.

Concllusion:
In
this study we compared distal locking time, radiation exposure and fluoroscopy
shoot by using two different distal locking techniques in long bone fractures
and found no significant  differences in
both of techniques (p>0.05).

Anahtar Kelimeler

femur fractures, distal locking, intramedullary nailing, radiation

Femur kırıklarının intrameduller çivi ile tedavisinde radyasyon maruziyeti azaltılabilir mi?

Öz

Amaç: Bu  çalışmada, serbest el tekniği ve
elektromanyetik navigasyon sistemi ile distal kilitleme yapılan intramedüller
çivi ameliyatı yapılan olguları, cerrahi süresi ve radyasyon maruziyeti
açısından karşılaştırmayı amaçladık.

 

Yöntem:  Şubat 2012-Şubat 2013 arasında femur kırığı
olan  40 hasta değerlendirildi. Distal
manyetik kilitlemeli İntramedüller Çivileme (DMK+) ve  distal serbest el kilitli intramedüller
çivileme (DMK-) tekniği ile operasyon yapıldı. Distal kilitleme sırasında
kullanılan floroskopi süresi, radyasyon maruziyeti ve cerrahi süresi
karşılaştırıldı. Alınan radyasyon dozu; TC sivil savunma müdürlüğünden temin
edilen NAB 223 marka radyasyon ölçer ile ölçüldü.

 

Bulgular: DMK (-) grubunda 20
femur kırığı mevcuttu.  Distal kilitleme
sırasında ortalama skopi süresi33,7± 12,6 idi, ameliyat süresi 68.50±7.1dk idi.
Radyasyon dozu femur kırığı için 461,7±172,7 idi.  DMK (+) grubunda 20 hastada femur kırığı
mevcuttu. Distal kilitleme sırasında ortalama skopi süresi  29±17,6 idi, 
ameliyat süresi 66.25±10.1 dk. İdi. Radyasyon dozu ise 397,3±241,1 idi.

 

Sonuç: Uzun kemik
kırıklarına uygulanan İntramedüller Çivileme tekniklerini karşılaştırdığımız bu
çalışmada distal manyetik kilitlemeli İntramedüller civilerin alınan skopi
sayısı, ameliyat süresi ve kanama miktarını kilitsiz intramedüller çivilere
göre anlamlı şekilde azaltmadığı gözlenmiştir (p>0.05).

 

Anahtar Kelimeler

Femur kırığı, intramedüller çivileme, distal kilitleme, radyasyon

Kaynakça

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