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Ann R Coll Surg Engl. 2015 March; 97(2): 160.
Published online 2015 March. doi:  10.1308/rcsann.2015.97.2.160
PMCID: PMC4473400

A Simple Technique to Reduce Surgeon Radiation Exposure during the use of the Mini C-arm Fluoroscope

None of the authors have any commercial interest in the product described in this technical note.

Background

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.

Technique

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).

Figure 1
Demonstrating the position of the Suture Strips® on the finger in full extension (left) and flexion (right)

Discussion

This simple technique minimises surgeon exposure to radiation when using a mini C-arm fluoroscope.

References

1. Giordano BD, Ryder S, Baumhauer JF, DiGiovanni BF. Exposure to direct and scatter radiation with use of mini-c-arm fluoroscopy. J Bone Joint Surg Am 2007; 89: 948–952. [PubMed]
2. Giordano BD, Baumhauer JF, Morgan TL, Rechtine GR. Patient and surgeon radiation exposure: comparison of standard and mini-c-arm flouroscopy. J Bone Joint Surg Am 2009; 91: 297–304. [PubMed]

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England