Journal of pediatric orthopedics
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Comparative Study
Radiation exposure during skeletal traction treatment of pediatric femoral fractures.
Radiation-exposure data during femoral fracture management has not been previously reported. We report a retrospective analysis of radiation exposure in 45 patients aged 5-12 years (average, 8.3) with isolated femoral shaft fractures treated by 90/90 degrees femoral skeletal traction. ⋯ Total average radiation dose before casting was 0.699 rads and was independent of age and gender. In addition to potential complications of tractions and increased hospital stay with attendant fiscal and psychosocial burdens, radiation exposure with this type of management, in this series, was significant.
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Review Case Reports
Intraoperative sonography-guided removal of radiolucent foreign bodies.
This article reports our use of intraoperative sonography to guide in real time, the removal of radiolucent foreign bodies from five patients. Two of these patients had undergone previous unsuccessful attempts at surgical removal in the operating room. The technique is cost effective, readily available, and can be very helpful in locating difficult-to-find radiolucent foreign bodies at the time of surgery.