ArticleBMJ paediatrics open2025
Analysis of intraoperative radiation exposure in paediatric orthopaedic and trauma patients: a comparative cohort study.
Article in BMJ paediatrics open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Electromagnetic navigation for femoral osteotomy using high-accuracy X-ray-to-CT registration.International journal of computer assisted radiology and surgery · 2026Article
- Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo reliably analyse the intraoperative radiation exposure in paediatric orthopaedic trauma surgery (POTS).
designRetrospective, comparative cohort study.
settingSingle-centre, academic tertiary referral hospital.
participants2271 surgical cases of 1965 paediatric patients (median age 9 years (IQR, 6 to 12), 41% female) who underwent orthopaedic trauma surgery between 2016 and 2021.
main outcome measuresRadiation exposure was measured as dose area product (DAP, cGycm
resultsA total of 195 667 x-rays were included in the analysis comprising 1584 (70%) trauma cases and 687 (30%) elective orthopaedic cases. The median DAP measured 30 cGycm
conclusionThe data suggest that intraoperative radiation imaging during POTS exposes paediatric patients to a substantial amount of radiation in comparison to preoperative x-rays. In detail, analysis revealed higher effective doses for all procedures close to the trunk. Particularly concerning were the outliers reaching exponentially higher values. This study highlights the necessity for additional research on intraoperative radiation doses, emphasising the importance of minimising radiation exposure in this vulnerable patient cohort.
trial registrationCantonal ethics committee of Zurich (BASEC 2022-01486).
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