Orthopedic surgeons and radiation exposure: a survey analysis about Myths and facts

Introduction: Orthopedic surgery has a particularly hazardous work environment in which surgeons are at increased risk for exposure to infections, radiations, smoke, chemicals, excessive noise, musculoskeletal injuries, as well as emotional and psychological disturbances. Here we are only going to focus on the exposure to radiation while operating and what precautions to be taken. The purpose of this study is to evaluate the knowledge levels of orthopedic surgeons about exposure dose and possible risks of fluoroscopy. Materials and Methods: A questionnaire form with a total of 10 questions was taken to orthopedic surgeons working in GMC Jammu. The participants were requested to answer the given questions. The questionnaire evaluated participant’s knowledge about the exposure dose and possible risks of fluoroscopy and the preventive measures they take. Effects on patients were not assessed in this study. Results: A lead apron was the most commonly used protection from the harmful effects of radiation (100%) but without thyroid gland shield and glasses. Fluoroscopy shots were performed with the help of operating room personnel (86%). No Surgeon used any personal radiation monitoring device. Almost every surgeon was found to be anxious that as an orthopedic surgeon we receive very high doses of radiations and about the possible deleterious side effects. Conclusion: According to the survey results, the need for fluoroscopy was very high in orthopedic surgery but it doesn’t exceed all other interventionalists. However, orthopedic surgeons have inadequate knowledge about the exposure dose and possible level of risks of fluoroscopy. Therefore, we believe that training on this topic should be provided to all orthopedic surgeons. Myths related to radiation exposure in orthopedics surgery must be addressed.