Archives of Orthopaedic and Trauma Surgery

, Volume 133, Issue 7, pp 941–946 | Cite as

Influence of fracture type and surgeon experience on the emission of radiation in distal radius fractures

  • Michael KrausEmail author
  • Götz Röderer
  • Melanie Max
  • Gert Krischak
  • Florian Gebhard
  • Christoph Riepl
Trauma Surgery



Ionising radiation is a potential risk for potentially exposed personnel. Only a few studies have examined the factors contributing to the emission of radiation in orthopaedic trauma procedures. We hypothesize that the experience of the surgeon and the fracture type influence the emission of radiation intraoperatively.


In a retrospective analysis, we examined 100 consecutive distal radius fractures receiving a volar plate osteosynthesis. The following parameters were documented: demographic data, plate system, fracture type, duration of the surgical procedure and duration of the emission of radiation, the experience level of the surgeon and the first assisting surgeon.


Of all included patients (74 female), 48 had a type A, 7 a type B and 45 a type C fracture. The duration of radiation was longer for type C fractures [1.04 min (min)] in comparison to type A fractures (0.88 min) (P = 0.8152). In the type C subgroup, the highest amount of radiation was required for type C3 fractures (1.6 min), which was significantly more in comparison to type A (P = 0.0460) and type C1 fractures (P = 0.0089). The intraoperative emission of radiation (P = 0.00141) and the procedure time (P = 0.0006) depended on the experience of the surgical team.


The emission of radiation during this procedure depends on the fracture type and the experience of the surgical team. Operating theatre personnel should be aware of the higher emission rates during the treatment of type C fractures and in teaching hospitals with inexperienced team members.


Distal radius fracture Intraoperative emission of radiation Fluoroscopy Occupational radiation hazard Ionising radiation C-arm 



No author of this article, their immediate family, and any research foundation with which they are affiliated did receive any financial payment or other benefit from any commercial entity related to the subject of this article.

Conflict of interest



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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Michael Kraus
    • 1
    Email author
  • Götz Röderer
    • 2
  • Melanie Max
    • 2
  • Gert Krischak
    • 1
  • Florian Gebhard
    • 2
  • Christoph Riepl
    • 2
  1. 1.Institute of Research in Rehabilitation MedicineUlm UniversityBad BuchauGermany
  2. 2.Department for Orthopedic Trauma, Hand and Reconstructive SurgeryUniversity Hospital of UlmUlmGermany

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