A Retrospective Study Comparing Patient Radiation Exposure and Overall Operative Time In The United Kingdom's First Experience of CT Navigated Pelvic and Acetabular Trauma Surgery

Description

In this presentation, Jordan Bethel, a core trainee in the East of England, discusses his research on patient radiation exposure and operative times in cone beam CT (CBCT) navigated pelvic and acetabular fractures. The study, performed while he was a research fellow at King's College, investigates the advantages of CBCT over traditional 2D fluoroscopy methods involving C-arm imaging, which are associated with increased radiation exposure for surgical teams and longer operative durations. Jordan outlines the process of using intraoperative CT navigation, highlighting its capability to provide real-time 3D imaging during surgeries, which may lead to improved screw accuracy and reduced need for revision surgeries.



Despite the longer operative time observed for navigated patients, the study concludes that the potential benefits of navigation, such as immediate confirmation of metalwork placement and reduced radiation exposure for staff, could enhance surgical outcomes. The presentation includes insights on the technical procedures involved in CBCT navigation and emphasizes the importance of training in overcoming the steep learning curve associated with this technique. Overall, the findings suggest a promising future for navigated procedures in orthopedic surgeries, though limitations concerning patient sample size and operative complexities are acknowledged.

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