Orthopaedic surgeons’ knowledge and practice of radiation safety when using fluoroscopy during procedures: a narrative review

S. A. Rowantree, C. Currie*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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Objectives: The fluoroscopy environment poses a potential occupational radiation exposure risk to theatre personnel. Risks can be mitigated with effective application of radiation protection knowledge and methods. This review aimed to determine the link between orthopaedic surgeon's knowledge and the use of appropriate safety methods when using fluoroscopy. Key Findings: A keyword search of three databases discovered six articles, totalling 2209 orthopaedic surgeons, who completed surveys to assess knowledge on various aspects of radiation safety and training. Participants had varying levels of experience. Moreover 1981 participants always wore a lead gown (89 %), while only 1052 participants wore thyroid protection (47 %). 449 participants (20 %) received some form of training. Conclusion: Although surveys asked a range of questions it appeared that there was low knowledge of the ALARP principles. Usage of protective equipment is a legal requirement and thus was observed throughout, however, there were a number of incidences of disregarding some protective measures. Although there appeared to be limited knowledge surrounding radiation protection measures and lack of training provided, no clear link was demonstrated between compliance with protective methods and knowledge of the risks. Implications for practice: Formal and continuous training should be provided for the enhancement of knowledge to ensure the safety of all staff and help prevent the long-term effects of ionising radiation when using fluoroscopy.

Original languageEnglish
Pages (from-to)274-281
Number of pages8
Issue number1
Early online date1 Dec 2023
Publication statusPublished - Jan 2024


  • Fluoroscopy
  • Operating theatre
  • Orthopaedic surgeon
  • Radiation protection

ASJC Scopus subject areas

  • Research and Theory
  • Radiological and Ultrasound Technology
  • Health Professions (miscellaneous)
  • Radiology Nuclear Medicine and imaging
  • Assessment and Diagnosis


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