Orthopaedic Surgeons Are Operating in Radiation — And Most Aren’t Protected
Based on findings from a 2025 orthopaedic radiation safety study.
Fluoroscopy Is Used in Most Cases
- 72% of procedures require fluoroscopy
- 10–50 images per case
- 3–4 cases per week
87.9% of clinicians don’t know the radiation dose from standard imaging. This is constant exposure — not occasional.
Protection Is Incomplete
| Protection Type | Usage |
|---|---|
| Lead apron | 72% always use |
| Thyroid shield | 55% always use |
| Lead glasses | 76% never use |
| Lead gloves | 88% never use |
| Dosimeter | 93% never use |
The highest-risk areas — eyes, hands, brain — are the least protected. Over half report they don’t use certain protection simply because it isn’t available.
What Surgeons Are Actually Doing
This Adds Up Over a Career
- Increased cancer risk
- Cataracts from repeated exposure
- Cumulative radiation dose over time
Even low-dose exposure compounds.
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“With traditional thyroid shields, you either wear them loose and they don’t work — or tighten them to the point they’re uncomfortable.
Add proper head and eye protection, and you’ve dramatically reduced exposure. I wear this on every case now.”
Source: Umanes MM, Clayton EO, Iglesias B, et al. “Protecting the Orthopaedic Surgeon: An Institutional Review of Radiation Safety Practices, Knowledge, and Risks.” JBJS Open Access. 2025.
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