Hamid Muhammad A, Younis Zubair, Raza Ariz, Tauseef Ali, Khan Mohd Amir Hasan, Mir Shahid, Abdulsattar Saif, Rashid Nadia
Trauma and Orthopaedics, East and North Hertfordshire Teaching NHS Trust, Stevenage, GBR.
Orthopaedics, The Royal Wolverhampton NHS Trust, Wolverhampton, GBR.
Cureus. 2025 Aug 24;17(8):e90911. doi: 10.7759/cureus.90911. eCollection 2025 Aug.
Surgeons and operating room staff are frequently exposed to ionizing radiation, particularly during fluoroscopy-guided procedures in trauma and spine surgery. Despite established safety protocols, significant gaps remain in awareness, training, and adherence to best practices. While personal protective equipment such as lead aprons, thyroid shields, and lead glasses is effective, their inconsistent use leaves healthcare workers vulnerable. Recent studies raise particular concern over elevated cancer risks, including breast cancer among female orthopedic surgeons. Technological improvements and procedural modifications, such as pulsed fluoroscopy and optimized C-arm positioning, reduce exposure considerably but require wider adoption. Greater emphasis on education, adherence to regulations, and gender-specific research is essential to enhance radiation safety and protect the orthopedic workforce. This narrative review focuses on the risks associated with ionizing radiation use in orthopedic surgery, factors influencing exposure, as well as techniques and protective equipment that can be utilized to lower the risk.
外科医生和手术室工作人员经常暴露于电离辐射中，尤其是在创伤和脊柱手术的荧光透视引导操作过程中。尽管有既定的安全协议，但在意识、培训和遵循最佳实践方面仍存在重大差距。虽然铅围裙、甲状腺防护装置和铅眼镜等个人防护设备很有效，但使用不一致使医护人员易受伤害。最近的研究特别关注癌症风险升高，包括女性骨科外科医生患乳腺癌的风险。技术改进和程序调整，如脉冲荧光透视和优化C形臂定位，可大幅减少辐射暴露，但需要更广泛地采用。更加重视教育、遵守法规以及针对性别的研究对于提高辐射安全性和保护骨科医护人员至关重要。本叙述性综述重点关注骨科手术中使用电离辐射相关的风险、影响辐射暴露的因素，以及可用于降低风险的技术和防护设备。
