Circular frames without x-ray - lessons learned regarding radiation exposure during tibial deformity correction from Low & Middle Income Countries?
Trop Doct
; 52(2): 253-257, 2022 Apr.
Article
en En
| MEDLINE
| ID: mdl-34994249
ABSTRACT
Circular frames are a successful way of treating difficult fractures and non-unions. At our institution (CSC) in Phnom Penh, Cambodia, our method differs from developed healthcare systems in that we do not use x-ray to site the frames. A retrospective cohort study was performed between CSC and a UK LRS unit. Demographics, diagnosis, frame type, pre- and post-op deformity, proximal and distal construct alignment comparative to the tibia, and time to union or failure. 70 patients in total were identified and were randomly selected from a hospital in UK. Demographics & deformity were similar and failed to reach significant difference on testing union rate 70% v. 82%, time to union 9.8 v. 8.5 months, and radiation exposure mean 0 v. 74 cGy/cm2 (range 6.4-326.7). These are startlingly homogenous results considering the differing resources available. We believe that ring fixators are a viable treatment method in austere environments where image intensifiers are unavailable, and demand no unnecessary radiation exposure.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Fracturas de la Tibia
/
Exposición a la Radiación
Tipo de estudio:
Observational_studies
Límite:
Humans
Idioma:
En
Revista:
Trop Doct
Año:
2022
Tipo del documento:
Article
País de afiliación:
Camboya