Xiaodong Li1,2, Fei Yang1,2, Jian Tang1,2, Xiaoqing Wang1,2* and Jingjing Dai1*
1Department of Orthopedics, Shanghai Ninth People’s Hospital, Medical School, Shanghai Jiaotong University, China
2Department of Orthopedic Surgery, Shanghai Key Laboratory of Orthopedic Implants, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine, China
Background: Intraoperative C-arm fluoroscopy is commonly performed during traumatic orthopedic surgeries. The C-arm sterile drape is often used in cases of contamination of the operative field following postoperative infection. The aim of the present study was to investigate operation field contamination during traumatic orthopedic surgeries and evaluate the factors, especially intraoperative fluoroscopy, which affects operation field contamination. Methods: Sterile 5% sheep blood Columbia agar plates were used to simulate the operation field. The C-arm was moved over the operation field in different grade clean operating rooms, simulating intraoperative fluoroscopy. The agar plates were then incubated and assessed for bacterial colony growth. Results: Our results showed significant differences between the 3rd grade clean operating room and the 2nd or 1st grade clean operating rooms in the risk of operation field contamination. Nevertheless, there were no significant differences in the operation field contamination between the C-arm drape group and the control group. Conclusion: We conclude that C-arm equipment can be used without the drape during orthopedic surgeries to avoid contact with the operation field.
Li X, Yang F, Tang J, Wang X, Dai J. Operation Field Contamination during Intraoperative Fluoroscopy. Clin Surg. 2022; 7: 3428..