Internal Fixation of Hip Fractures Using Intraoperative Simultaneous 2-Axis View: Technical Tip

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Hip fractures are one of the most frequent operated fractures procedures in orthopedics, with a worldwide annual incidence of approximately 1.7 million. These fractures are associated with substantial morbidity and mortality. As populations’ age and life expectancy increase worldwide, the incidence of these fractures is likely to increase, and is expected to triple in the next 50 years. The use of fluoroscopy and resultant exposure to radiation is an integral part of surgical procedures aiming to reduce and fixate the fractured femur. The risk of contracting cancer is significantly higher for an orthopedic surgeon, as hip surgery is a major slice of the total radiation dose. Optimal positioning and control of the imaging intensifier device may result in significant reduction of radiation dose and time and in substantial shortening of the procedure. We describe a technique using 2 fluoroscopy apparatus simultaneously, placed in a perpendicular manner. This method eliminates the need to alternate a single device between anteroposterior and lateral views during surgery. Our hypothesis is that this technique would substantially shorten procedure time and reduce unnecessary radiation exposure for both the patient and the medical staff. Furthermore, by using this technique, we can eliminate the need for fluoroscopy technician during the surgery, as there is no need to alternate fluoroscopy views.

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