• Adnan Kara, Haluk Celik, Ali Seker, Metin Uzun, Mehmet Mesut Sonmez, and Mehmet Erdil.
• Department of Orthopaedics and Traumatology, Istanbul Medipol University, Istanbul, Turkey.
• Arch Orthop Trauma Surg. 2016 Jul 1; 136 (7): 929-34.

ObjectiveThis study compares reducing radiation and operation time between single and double C-arm fluoroscopy in the treatment of intertrochanteric femur fractures with intramedullary nails.Patients And MethodsForty 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.ResultsThe 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).ConclusionThe double fluoroscopy technique can significantly reduce surgical and radiation exposure times during surgery.

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