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Fluoroscopic radiation exposure during hip arthroscopy

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Gaymer, Caroline E., Achten, Juul, Auckett, Roger, Cooper, Lisa and Griffin, Damian R. (2013) Fluoroscopic radiation exposure during hip arthroscopy. Arthroscopy : The Journal of Arthroscopic & Related Surgery, Volume 29 (Number 5). pp. 870-873. doi:10.1016/j.arthro.2013.01.024 ISSN 0749-8063.

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Official URL: http://dx.doi.org/10.1016/j.arthro.2013.01.024

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Abstract

Purpose
The purpose of this study was to assess the maximal dose area product (DAP) of radiation received by women during hip arthroscopy; we used computer modeling to determine the theoretical risk to a fetus.

Methods
We studied 116 female patients of childbearing age who underwent hip arthroscopy. We retrospectively collected data from the procedure, hip pathologic process, and dose of irradiation in milligray. We calculated the theoretical dose of radiation to the fetus and the risk of childhood hereditary disease and cancer.

Results
Labral tear (52%) was the most common indication for hip arthroscopy, with labral resection the most common procedure undertaken. The maximal DAP to the patient was 9.52 mGy, and the maximal DAP was estimated to be 2.99 mGy to the fetus. The risk of hereditary disease and childhood cancer for the fetus was calculated to be 1 in 14,000 and 1 in 11,000, respectively.

Conclusions
Fluoroscopy used in hip arthroscopy generates a maximal theoretical dose of 2.99 mGy to the fetus, which places the procedure in the low-risk category.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Arthroscopy : The Journal of Arthroscopic & Related Surgery
Publisher: W.B. Saunders Co.
ISSN: 0749-8063
Official Date: 2013
Dates:
DateEvent
2013Published
Volume: Volume 29
Number: Number 5
Page Range: pp. 870-873
DOI: 10.1016/j.arthro.2013.01.024
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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