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None of the authors have any commercial interest in the product described in this technical note.
The mini C-arm fluoroscope can provide intraoperative contemporaneous single and continuous screening radiographic images, and has become an important resource for hand surgery. There have been limited studies investigating the amount of radiation to which the surgical team is exposed when using the mini C-arm fluoroscope.1,2 For this reason, the lead author has developed a technique allowing mobilisation of the insensate patient hand when screening the stability of a fracture.
Three ½ inch × 4 inch Suture Strip® wound closure strips (Derma Sciences, Maidenhead, UK) are attached to the fractured finger: two in a longitudinal fashion to the distal phalanx and one circumferentially at the level of the distal interphalangeal joint. The surgeon can hold or place a clip on to the end of the Suture Strips®. A second clip, forceps or marker is placed into the palm at the level of the metacarpal phalangeal joint, allowing for mobilisation of the finger without exposure of the surgeon to the radiation field (Fig 1).
This simple technique minimises surgeon exposure to radiation when using a mini C-arm fluoroscope.