title: Procedural outcomes of double vs. single fluoroscopy for fixing intertrochanteric femur fractures.
abstract: OBJECTIVE
  This study compares reducing radiation and operation time between single and double C-arm fluoroscopy in the treatment of intertrochanteric femur fractures with intramedullary nails.
  
  
  METHODS
  Forty four patients participated in the study. Patients were divided into two groups as single (23 patients) and double fluoroscope (21 patients). The time of preparation, the duration of the surgery, the total amount of blood loss, and the total duration of radiation exposure were compared, retrospectively. The collo-diaphyseal angle was compared with that of the contralateral hip on postoperative radiographs. Furthermore, the tip-apex distance and the position of the screws in the femoral head were recorded.
  
  
  RESULTS
  The mean preparation periods, collo-diaphyseal angles and blood loss did not differ between groups. In the double-fluoroscopy group, the duration of surgery was 15.9 min shorter (p < 0.001), and the radiation time was 25.7 s shorter (p < 0.001).
  
  
  CONCLUSIONS
  The double fluoroscopy technique can significantly reduce surgical and radiation exposure times during surgery.
authors.affiliation: Department of Orthopaedics and Traumatology, Istanbul Medipol University, Istanbul, Turkey.
authors.forename: Adnan
authors.initials: A
authors.lastname: Kara
authors.affiliation: Zonguldak Ataturk State Hospital, Orthopaedics and Traumatology, Zonguldak, Turkey.
authors.forename: Haluk
authors.initials: H
authors.lastname: Celik
authors.affiliation: Department of Orthopaedics and Traumatology, Istanbul Medipol University, Istanbul, Turkey. aliseker@doctor.com.|Medipol Mega Hastane, TEM Avrupa Otoyolu Göztepe Cikisi No:1 Bagcilar, Istanbul, Turkey. aliseker@doctor.com.
authors.forename: Ali
authors.initials: A
authors.lastname: Seker
authors.affiliation: Maslak Acibadem Hospital, Istanbul, Turkey.
authors.forename: Metin
authors.initials: M
authors.lastname: Uzun
authors.affiliation: Sisli Etfal Training and Research Hospital Orthopaedics and Traumatology Clinic, Istanbul, Turkey.
authors.forename: Mehmet Mesut
authors.initials: MM
authors.lastname: Sonmez
authors.affiliation: Department of Orthopaedics and Traumatology, Istanbul Medipol University, Istanbul, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Erdil
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D005260:Female; D005269:Femur / Q000601:surgery; D005471:Fluoroscopy / Q000379:methods*; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects / Q000379:methods*; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D061646:Operative Time; D011184:Postoperative Period; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Double fluoroscopy; Intertrochanteric femur fracture; Intramedullary nail