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Orthopaedic surgeons’ use and knowledge of ionizing radiation during surgical treatment for femoroacetabular impingement

  • Hip
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy

Abstract

Purpose

To better understand how radiograph imaging is currently used throughout perioperative care for femoroacetabular impingement (FAI) and to define surgeon knowledge and perspective on radiation safety when treating FAI.

Methods

An online questionnaire was designed to be completed by hip arthroscopists on the imaging modalities and projections they use during evaluation and treatment of FAI and the associated radiation exposures and safety. A sample of practicing attending orthopaedic surgeons was surveyed via an anonymous survey link emailed to corresponding authors on publications related to FAI. The anonymous survey link was also provided to orthopaedic surgeons at the 2014 Vail Hip Symposium.

Results

Ninety-one surgeons completed the survey. Of these participants, 72 surgeons (79.1 %) indicated they use pre-operative radiographs and intra-operative spot fluoroscopic images during FAI treatment. Thirty-three surgeons (36.3 %) use pre-operative computed tomography (CT). Twenty-three surgeons (25.3 %) use real-time moving fluoroscopy. A majority of surgeons incorrectly answered multiple-choice questions about which C-arm positions and settings result in the lowest doses of radiation to the surgeon or patient. Eighty-three surgeons (91.2 %) indicated they believe most orthopaedic surgeons need to be more informed about radiation safety.

Conclusions

This study gives a quantitative representation of the imaging modalities and projections utilized during perioperative treatment for FAI. This study also identified a lack of knowledge of radiation safety among orthopaedic surgeons treating patients with FAI and demonstrates the need for greater education.

Level of evidence

IV.

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Acknowledgments

We acknowledge Dr. Mitch Goodsitt and Dr. Emmanuel Christodoulou from the University of Michigan Department of Medical Physics for their help with analysing radiation dosages and their advice on developing survey questions. We acknowledge Dr. Jason Duvall for his guidance and support throughout the development of this research. We also acknowledge University of Michigan library informationist Mark MacEachern for his help with developing a systematic way to search for corresponding authors’ email addresses through the PubMed MEDLINE database and for help with searching the Internet and library databases for radiation safety guidelines. We acknowledge the University of Michigan Center for Statistical Consultation and Research for their contribution of statistical expertise on the analysis of this study, and Dr. Christine Modey of the University of Michigan Sweetland Center for Writing for her advice on writing and structure.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Michigan, MedSport, 24 Frank Lloyd Wright Dr., Lobby A, Ann Arbor, MI, 48106, USA

    Adriana J. Saroki & Asheesh Bedi

  2. Steadman Philippon Research Institute, Vail, CO, USA

    Adriana J. Saroki, Coen Wijdicks & Marc J. Philippon

Authors
  1. Adriana J. Saroki
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  2. Coen Wijdicks
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  3. Marc J. Philippon
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  4. Asheesh Bedi
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Corresponding author

Correspondence to Asheesh Bedi.

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Institutional review board approval

University of Michigan, Approval Number: HUM00085595.

Appendix: Questionnaire (columns 1 and 2) with correct answers (if applicable)

Appendix: Questionnaire (columns 1 and 2) with correct answers (if applicable)

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Saroki, A.J., Wijdicks, C., Philippon, M.J. et al. Orthopaedic surgeons’ use and knowledge of ionizing radiation during surgical treatment for femoroacetabular impingement. Knee Surg Sports Traumatol Arthrosc 24, 3962–3970 (2016). https://doi.org/10.1007/s00167-015-3734-1

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  • DOI: https://doi.org/10.1007/s00167-015-3734-1

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