General: Proteger las manos y los ojos del traumatólogo, incluso corazón y cerebro

Radiation safety in orthopedic operating theaters: What is the current situation?
Radioprotección en quirófanos de traumatología: ¿en qué situación estamos?
M. Torres-Torres, J. Mingo-Robinet, M. Moreno Barrero, J.Á. Rivas Laso, I. Burón Álvarez, M. González Salvador
Rev Esp Cir Ortop Traumatol 2014;58(5):309-313

Abstract

Objective
To analyze the exposure of two Orthopedic Surgeons to ionizing radiations in their daily work, and to review the main national and international recommendations on this subject.

Material and methods
A retrospective study was conducted on the surgical treatments that use fluoroscopy performed by two orthopedic surgeons during a one year period. An evaluation was made of the radiation received, based on measurements of the processes published in the bibliography section. A literature review of international recommendations and regulations is also presented.

Results
The radiation received by the two orthopedic surgeons during one year did not exceed the limits of present-day legislation or the new European and international recommendations. The exposure was asymmetrical, with the hands being the most radiated part. The new recommendations reduce the permitted level of radiation on eyes.

Discussion
The evaluation of the radiation received demonstrates the need for radiation protection, paying particular attention to the hands and eyes. Good knowledge of operating a fluoroscope and radiation safety measures are also essential.

Nivel de evidencia IV