{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T19:41:00Z","timestamp":1683056460675},"reference-count":15,"publisher":"SLACK, Inc.","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:p>\n            The goal of this study was to determine whether injury, level of surgeon training, and patient factors are associated with increased use of fluoroscopy during open reduction and internal fixation of ankle fractures. These relationships are not well defined. The study was a retrospective chart review of patients treated at an academic institution with primary open reduction and internal fixation of an ankle. Patient demographics, including sex, age, and body mass index, were collected, as was surgeon year of training (residency and fellowship). Image acquisition data included total number of images, total imaging time, and cumulative dose. Ankle fractures were classified according to the Weber and Lauge-Hansen classifications and the number of fixation points. Bivariate analysis and multiple regression models were used to predict increasing fluoroscopic image acquisition. Alpha was set at 0.05. Of 158 patients identified, 58 were excluded. After bivariate analysis, fracture complexity and year of training showed a significant correlation with increasing image acquisition. After multiple regression analysis, fracture complexity and year of training remained clinically significant and were independent predictors of increased image acquisition. Increasing fracture complexity resulted in 20 additional images, 16 additional seconds, and an increase in radiation of 0.7 mGy. Increasing year of training resulted in an additional 6 images and an increase of 0.35 mGy in cumulative dose. The findings suggest that protocols to educate trainee surgeons in minimizing the use of fluoroscopy would be beneficial at all levels of training and should target multiple fracture patterns. [\n            <jats:italic>Orthopedics.<\/jats:italic>\n            2015; 38(10):e864\u2013e868.]\n          <\/jats:p>","DOI":"10.3928\/01477447-20151002-51","type":"journal-article","created":{"date-parts":[[2015,11,3]],"date-time":"2015-11-03T15:52:37Z","timestamp":1446565957000},"source":"Crossref","is-referenced-by-count":1,"title":["Variability in Fluoroscopic Image Acquisition During Operative Fixation of Ankle Fractures"],"prefix":"10.3928","volume":"38","author":[{"given":"Dorothy Y.","family":"Harris","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald W.","family":"Lindsey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"issue":"3","key":"e_1_3_1_2_2","first-page":"112","article-title":"Beware: orthopedic surgery is hazardous to our health","volume":"41","author":"McCann PD","year":"2012","unstructured":"McCann PD. Beware: orthopedic surgery is hazardous to our health. Am J Orthop (Belle Mead NJ). 2012; 41 (3):112.","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200501000-00009"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.D.02162"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002470050728"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002470050729"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199708000-00002"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2012.02.006"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181d98f06"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5413.43398"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20130821-19"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31824589d5"},{"key":"e_1_3_1_13_2","volume-title":"Die Verletzungen des Oberen Sprunggelenkes","author":"Weber BG","year":"1972","unstructured":"Weber BG. Die Verletzungen des Oberen Sprunggelenkes. 2nd ed. Bern, Switzerland: Verlag Hans Huber; 1972.","edition":"2"},{"issue":"3","key":"e_1_3_1_14_2","first-page":"456","article-title":"Fractures of the ankle: III. Genetic roentgenologic diagnosis of fractures of the ankle","volume":"71","author":"Lauge-Hansen N","year":"1954","unstructured":"Lauge-Hansen N. Fractures of the ankle: III. Genetic roentgenologic diagnosis of fractures of the ankle. Am J Roentgenol Radium Ther Nucl Med. 1954; 71 (3):456\u2013471.","journal-title":"Am J Roentgenol Radium Ther Nucl Med"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200309000-00007"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200105000-00005"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/01477447-20151002-51","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T19:18:38Z","timestamp":1683055118000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20151002-51"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10]]},"references-count":15,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.3928\/01477447-20151002-51"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20151002-51","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10]]}}}