Radiation exposure is a significant concern in the field of foot and ankle surgery, particularly in procedures that require the use of intraoperative fluoroscopy. This technology, which provides real-time X-ray imaging, is invaluable for guiding surgeons during complex procedures. However, it also exposes both the patient and the surgical team to potentially harmful radiation. Therefore, it is crucial to minimize this exposure as much as possible to ensure the safety of all involved.
One such procedure that often requires the use of intraoperative fluoroscopy is the correction of hindfoot deformities. However, there is a lack of data concerning its use in Charcot reconstruction, a surgical procedure performed to correct deformities in the midfoot caused by Charcot neuroarthropathy. This condition, often associated with diabetes and peripheral neuropathy, can lead to significant deformities and disability if left untreated.
To address this gap in knowledge, a retrospective chart review was conducted on patients who underwent midfoot Charcot reconstruction with the assistance of a large C-arm, a type of fluoroscopy machine, between 2016 and 2022. The aim of this investigation was to describe and compare the levels of radiation exposure across different Charcot pathologies and fixation constructs.
Charcot neuroarthropathy is a complex condition that can lead to a variety of deformities, each requiring a different surgical approach. Therefore, it is reasonable to assume that the level of radiation exposure might vary depending on the specific pathology being treated. Similarly, different fixation constructs – the hardware used to stabilize the foot after surgery – might also influence the amount of radiation exposure. By comparing these factors, the study aims to identify patterns and potential areas for reducing radiation exposure.
The use of a large C-arm for intraoperative fluoroscopy is a common practice in foot and ankle surgery. This device provides high-quality imaging that can help guide the surgeon during the procedure. However, its use also comes with a risk of radiation exposure. Understanding the extent of this exposure during midfoot Charcot reconstruction is crucial for developing strategies to minimize it.
In conclusion, the investigation into radiation exposure during midfoot Charcot reconstruction is a significant step towards improving patient and surgeon safety in foot and ankle surgery. By understanding how different factors influence radiation exposure, it may be possible to develop strategies to minimize this risk. This could involve changes in surgical technique, modifications to the equipment used, or improvements in radiation shielding practices. As with all medical procedures, the goal is to achieve the best possible outcome for the patient while minimizing potential harm. This study represents an important contribution to this ongoing effort.
To read the full journal article, head to https://www.jfas.org/article/S1067-2516(24)00005-X/fulltext?rss=yes