Portable mini-fluoroscopy improves operative efficiency in hand surgery.
A paired case cohort study was performed using retrospective review of operative times for defined hand surgical procedures in an attempt to quantify efficiency with and without the use of portable fluoroscopy. Patients included in the study underwent 1 of 4 defined surgical procedures controlled to ensure similar operative technique (total wrist fusion, in situ 4-corner fusion, closed reduction/internal fixation using K-wires of phalangeal shaft fractures, and metacarpophalangeal or interphalangeal joint fusions using K-wires). One group used intraoperative standard film radiographs and the other used portable mini-fluoroscopy to examine hardware placement. Both groups were paired by operative procedure to eliminate procedure bias on overall operating time. Analysis demonstrated a 38% reduction in total operative time in the group using portable mini-fluoroscopy compared with standard intraoperative radiographs.
Department of Orthopaedics, Brown University School of Medicine, Rhode Island Hospital, Providence, USA.
J M
JM
Wolf
A P
AP
Weiss
D001174:Arthrodesis; D005383:Finger Injuries / Q000601:surgery; D005384:Finger Joint / Q000601:surgery; D005471:Fluoroscopy; D050723:Fractures, Bone / Q000601:surgery; D006225:Hand / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007432:Intraoperative Period; D012189:Retrospective Studies; D013997:Time Factors; D014955:Wrist Joint / Q000601:surgery