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Typical air kerma area product values for trauma orthopaedic surgical procedures


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Figure 1

Distribution of kerma area product (KAP) data (minimum, first quartile, median, third quartile, and maximum) for 40 dynamic hip screw fixations (DHS), 23 proximal femoral nail insertions (PFN), 20 proximal humeral nail insertions (PHN), 77 partial hip endoprosthesis implantations utilizing flat panel detector (FPD) (22) and image intensifier (II) (55) for fluoroscopically guidance and 39 percutaneous posterior spine fixations (PPS) utilizing FPD (21) and II (18) for fluoroscopically guidance.
Distribution of kerma area product (KAP) data (minimum, first quartile, median, third quartile, and maximum) for 40 dynamic hip screw fixations (DHS), 23 proximal femoral nail insertions (PFN), 20 proximal humeral nail insertions (PHN), 77 partial hip endoprosthesis implantations utilizing flat panel detector (FPD) (22) and image intensifier (II) (55) for fluoroscopically guidance and 39 percutaneous posterior spine fixations (PPS) utilizing FPD (21) and II (18) for fluoroscopically guidance.

Statistical data of patient body weight, KAP and fluoroscopy screening time for 40 DHS fixations, 23 PFN insertions, 20 PHN insertions, 77 PEP implantations utilizing FPD (22) and II (55) for fluoroscopically guidance and 39 PPS fixations utilizing FPD (21) and II (18) for fluoroscopically guidance

MinQ1MedianAverage ± SDQ3Max
DYNAMIC HIP SCREW FIXATIONS (DHS)
BW [kg]607072 ± 990
KAP(FPD)[Gycm2]0.130.290.520.71 ± 0.561.072.37
FT [s]174346 ± 2096
PROXIMAL FEMORAL NAIL INSERTIONS (PFN)
BW [kg]607073 ± 990
KAP(FPD)[Gycm2]0.130.340.530.60 ± 0.340.741.37
FT [s]264548 ± 1896
PROXIMAL HUMERAL NAIL INSERTIONS (PHN)
BW [kg]608078 ± 890
KAP(II) [Gycm2]0.110.160.260.28 ± 0.140.410.53
FT [s]1955.566.7 ± 37.9175
PARTIAL HIP ENDOPROSTHESIS IMPLANTATIONS (PEP)
BW(FPD) [kg]6077.576 ± 790
BW(II) [kg]608078 ± 790
KAP(FPD)[Gycm2]0.030.040.080.12 ± 0.090.170.33
KAP(II)[Gycm2]0.040.130.210.24 ± 0.140.310.60
FT(FPD) [s]1.03.04.0 ± 3.619.0
FT(II) [s]1.05.06.9 ± 4.421.0
PERCUTANEOUS POSTERIOR SPINE FIXATIONS (PPS)
BW(FPD) [kg]607575 ± 690
BW(II) [kg]607576 ± 1090
KAP(FPD)[Gycm2]0.520.911.261.44 ± 0.741.633.21
KAP(II) [Gycm2]1.532.803.984.12 ± 1.695.536.65
FT(FPD) [s]287180 ± 40182
FT(II) [s]42110115 ± 54215

Comparison of percutaneous posterior spine fixations (PPS) exposure parameters using flat panel detectors (FPD) and image intensifier (II) technology for fluoroscopy guidance

PERCUTANEOUS POSTERIOR SPINE FIXATIONSMedian KAP (Gycm2)Average KAP (Gycm2)Median FT (s)Average FT (s)BW (kg)
Our study - FPD1.261.44718075
Our study - II3.984.1211011578
Roux et al., (2011)8/10.35/158/

Comparison of proximal femoral nail insertions (PFN) median and average kerma area product (KAP) values and average fluoroscopic screening time (FT) with literature

PROXIMAL FEMORAL NAIL INSERTIONS (PFN)Median KAP (Gycm2)Average KAP (Gycm2)Average FT (s)BW (kg)
Our study0.530.604873
Roux et al. (2011)8/0.7932/
Pillai and Jain (2004)90.69/34/
Salvia et al. (2011)10//60/

Comparison of diagnostic reference levels (DRL) with literature - dynamic hip screw fixations (DHS)

DYNAMIC HIP SCREW FIXATIONS (DHS)Median KAP (Gycm2)Average KAP (Gycm2)Median FT (s)Average FT (s)BW (kg)
Our study0.520.714345.673
Hardman et al., (2015)6 1. hospital/0.6546.170
Hardman et al., (2015)6 2. hospital/1.0155.370
Hardman et al., (2015)6 3. hospital/3.9492.470
Hardman et al., (2015)6 4. hospital/1.2461.570
Hardman et al., (2015)6 – all/1.5760.470
Rashid et al., (2017)70.6736

Comparison of proximal humeral nail insertions (PHN) average fluoroscopic screening time (FT) with literature

PROXIMAL HUMERAL NAIL INSERTIONSMedian KAP (Gycm2)Average KAP (Gycm2)Average FT (s)BW (kg)
Our study0.260.286775
Salvia et al., (2011)10//42/

Comparison of partial hip endoprosthesis implantations (PEP) exposure parameters using flat panel detectors (FPD) and image intensifier technology for fluoroscopy guidance

PARTIAL HIP ENDOPROSTHESIS IMPLANTATIONSMedian KAP (Gycm2)Average KAP (Gycm2)Median FT (s)Average FT (s)BW (kg)
Our research – FPD0.080.123.04.075.7
Our research - II0.210.245.06.977.7
eISSN:
1581-3207
Język:
Angielski
Częstotliwość wydawania:
4 razy w roku
Dziedziny czasopisma:
Medicine, Clinical Medicine, Internal Medicine, Haematology, Oncology, Radiology