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Radiation risk
isn't always visible. ADAPT your OR
isn't always visible. ADAPT your OR
Up to 10% of total cancers may be induced by radiation.1
Orthopaedic surgeons are 5.37x more likely to have cancer compared to other healthcare workers.2
Female orthopaedic surgeons are 2.9x more likely to have breast cancer compared to other healthcare workers.3
Fifty percent of physicians showed detectable posterior lens opacities, cataracts consistent with ionizing radiation.4
The right tools to reduce radiation exposure.
During surgical procedures, radiation technologies can provide many benefits. These include direct images of a patient’s anatomy to confirm diagnoses, the ability to see movement in real time, confirmation of the progression of surgery, and assistance in accurately placing instrumentation and implants. However, the use of radiation has risks that can potentially affect both patients and perioperative team members. Radiation cannot be seen, felt, or smelled. Therefore, understanding the risks inherent in using radiation technologies during a surgical procedure and knowing how to adequately protect patients and health care providers from unintended radiation exposure is critical to safe practice.
8x
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A surgeon standing on the emitter side of the C-arm in the horizontal position during hip fracture surgery sustains fourfold to eightfold more scatter radiation exposure than does a surgeon standing on the intensifier side of a C-arm in the horizontal position during hip fracture surgery.6
2m from direct path
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The NCRP recommends that all operating room staff stand greater than or equal to 2m from the direct path of the x-ray beam, if possible.7
ALARA
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ALARA is the principle of “as low as reasonably achievable” during procedures using fluoroscopic imaging. Three basic protective measures are: minimize time, maximize distance, use shielding.8
ADAPT
for Gamma3
Integrated seamlessly into the surgeon’s workflow, ADAPT for Gamma3 is software based instrumentation designed to assist with implant alignment, lag screw positioning, and distal locking.
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The average number of proximal k-wire drill attempts.9,10
Up to 11% reduction in radiation exposure proximally during implant placement.11,12
Average fluoroscopy time reduction during distal locking.13
Average reduction in the number of X-rays taken during distal locking.13
References:
1. Anand P, Kunnamakara AB, et al. Cancer is a Preventable Disease that Requires Major Lifestyle Changes. Pharmaceutical Research, 2008;25(9):2097-2116
2. Mastrangelo G, Fedeli U, et al. Increased cancer risk among surgeons in an orthopaedic hospital. Occupational Medicine 2005;55:498-500
3. Chou LB, Chandran S, et al. Increased breast cancer prevalence among female orthopedic surgeons J Womens Health, 2012;21:683-689
4. E. Vano E et Al., J Vasc. Interv. Radiol. 2013, Feb; 24 (2):1 97-204. [
5. Fencl, Jennifer L. “Guideline Implementation: Radiation Safety.” AORN Journal, vol. 102, no. 6, 2015, pp. 629–639
6. Hayda, Roman A., et al. “Radiation Exposure and Health Risks for Orthopaedic Surgeons.” Journal of the American Academy of Orthopaedic Surgeons, vol. 26, no. 8, 2018, pp. 268–277.
7. Singer, Gordon. “Occupational Radiation Exposure to the Surgeon.” Journal of the American Academy of Orthopaedic Surgeons, vol. 13, no. 1, 2005, pp. 69–76
8. “Radiation Studies - CDC: ALARA.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 7 Dec. 2015, www.cdc.gov/nceh/radiation/alara.html.
9. Weidert, Simon, et al. “Fluoroscopic Marker-Based Guidance System Improves Lag Screw Placement during Gamma Nailing of Intertrochanteric Fractures.” Journal of Orthopaedic Trauma, 2019
10. Sommer, F., et al,. “Evaluation of a new IGS for the implantation of proximal femoral interlocking nails.” International Journal of Computer Assisted Radiology and Surgery 2016 11:1 SUPPL. 1 (S251) {6}
11. Mitchell Kuhl, DO; Claudia Beimel, MSc (2018): Precise lag screw placement with the use of a novel computer assisted surgery system during cephalomedullary nailing. Content ID: ADA-PO-1, 05-2018
12. Regling, Matthias, et al. “Improved Lag Screw Positioning in the Treatment of Proximal Femur Fractures Using a Novel Computer Assisted Surgery Method: a Cadaveric Study.” BMC Musculoskeletal Disorders, vol. 15, no. 1, 2014
13. Distal locking in femoral IM nailing using ADAPT for Gamma3: a cadaveric study ADA-WP_7, 12-2019
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ADA-AWI-3, 01-2020