Document Detail

Radiation risk from fluoroscopically-assisted anterior cruciate ligament reconstruction.
MedLine Citation:
PMID:  20501019     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Precise tunnel positioning is crucial for success in anterior cruciate ligament (ACL) reconstruction. The use of intra-operative fluoroscopy has been shown to improve the accuracy of tunnel placement. Although radiation exposure is a concern, we lack information on the radiation risk to patients undergoing fluoroscopically-assisted ACL reconstruction with a standard C-arm. The aim of our study was to determine the mean radiation doses received by our patients.
PATIENTS AND METHODS: Radiation doses were recorded for 18 months between 1 April 2007 and 30 September 2008 for 58 consecutive patients undergoing ACL reconstruction assisted by intra-operative fluoroscopy. Dose area product (DAP) values were used to calculate the entrance skin dose (ESD), an indicator of potential skin damage and the effective dose (ED), an indicator of long-term cancer risk, for each patient.
RESULTS: The median age of 58 patients included in data analysis was 28 years (range, 14-52 years), of whom 44 were male (76%). The mean ESD during intra-operative fluoroscopy was 0.0015 +/- 0.0029 Gy. The mean ED was 0.001 +/- 0.002 mSv. No results exceeded the threshold of 2 Gy for skin damage, and the life-time risk of developing new cancer due to intra-operative fluoroscopy is less than 0.0001%.
CONCLUSIONS: Radiation doses administered during fluoroscopically-assisted ACL reconstruction were safe and do not represent a contra-indication to the procedure.
J P Chitnavis; A Karthikesalingam; A Karthikesaligam; A Macdonald; C Brown
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  92     ISSN:  1478-7083     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-26     Completed Date:  2010-06-16     Revised Date:  2011-08-01    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  England    
Other Details:
Languages:  eng     Pagination:  330-4     Citation Subset:  IM    
Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge, UK.
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MeSH Terms
Anterior Cruciate Ligament / injuries*,  radiography,  surgery*
Fluoroscopy / adverse effects*,  methods
Intraoperative Care / adverse effects,  methods
Middle Aged
Radiation Dosage
Radiation Injuries / etiology*
Radiography, Interventional / adverse effects,  methods
Retrospective Studies
Skin / radiation effects
Young Adult
Erratum In:
Ann R Coll Surg Engl. 2010 Jul;92(5):410
Note: Karthikesaligam, A [corrected to Karthikesalingam, A]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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