Journal of orthopaedic trauma
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Comparative Study
Ionizing Radiation Doses Detected at the Eye Level of the Primary Surgeon During Orthopaedic Procedures.
To evaluate the ionizing radiation dose received by the eyes of orthopaedic surgeons during various orthopaedic procedures. Secondary objective was to compare the ionizing radiation dose received between differing experience level. ⋯ The risk of harmful levels of radiation exposure at eye level to orthopaedic surgeons is low. This risk is greatest during insertion of femoral intramedullary nails and pelvic fixation, and it is recommended that in these situations, surgeons take all reasonable precautions to minimize radiation dose. The orthopaedic trainees in this study were not subjected to higher doses of radiation than their consultant trainers. On the basis of these results, most of the orthopaedic surgeons remain well below the yearly radiation dose of 20 mSv as recommended by the International Commission on Radiological Protection.
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Concern about radiation exposure during surgery has focused on surgeon exposure. However, the patient receives exposure that is more direct and, in surgery about the pelvis and hip, internal pelvic nonskeletal organs often cannot be shielded without obscuring the region of surgical interest. The purpose of this study was to prospectively evaluate patients' radiation exposure during fracture surgery of the acetabulum, pelvic ring, and femur to calculate future cancer incidence (CI). ⋯ Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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Randomized Controlled Trial Multicenter Study Comparative Study
Early Weightbearing and Range of Motion Versus Non-Weightbearing and Immobilization After Open Reduction and Internal Fixation of Unstable Ankle Fractures: A Randomized Controlled Trial.
The aim of this study was to compare early weightbearing and range of motion (ROM) to nonweightbearing and immobilization in a cast after surgical fixation of unstable ankle fractures. ⋯ Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
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Randomized Controlled Trial Multicenter Study Comparative Study
Can Tibial Shaft Fractures Bear Weight After Intramedullary Nailing? A Randomized Controlled Trial.
To examine the potential benefits and risks associated with weight-bearing after intramedullary (IM) nailing of unstable tibial shaft fractures. ⋯ Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
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To evaluate long-term clinical and radiographic outcomes after surgical fixation of unstable ankle fractures. ⋯ Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.