Evidence map›Paper›PMID 42295368›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2026

Clinical impact of early postoperative routine radiology in isolated pelvic injuries: a retrospective study.

Eftychios Bolierakis, Paraskevas Ioannou, Sebastian L Schubert, Rald V M Groven, Felix M Bläsius, Maike Bode, Hatem Alabdulrahman, Frank Hildebrand, Till Berk

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Eftychios BolierakisDepartment of Orthopedics, Trauma, and Reconstructive Surgery, University Hospital RWTH Aachen, Pauwelsstrasse 30, 52074, Aachen, Germany. ebolierakis@ukaachen.de.ORCID http://orcid.org/0009-0005-9542-8900
Paraskevas IoannouDepartment of Orthopedics, Trauma, and Reconstructive Surgery, University Hospital RWTH Aachen, Pauwelsstrasse 30, 52074, Aachen, Germany.
Sebastian L SchubertDepartment of Orthopedics, Trauma, and Reconstructive Surgery, University Hospital RWTH Aachen, Pauwelsstrasse 30, 52074, Aachen, Germany.
Rald V M GrovenDepartment of Orthopedics, Trauma, and Reconstructive Surgery, University Hospital RWTH Aachen, Pauwelsstrasse 30, 52074, Aachen, Germany.
Felix M BläsiusDepartment of Orthopedics, Trauma, and Reconstructive Surgery, University Hospital RWTH Aachen, Pauwelsstrasse 30, 52074, Aachen, Germany.
Maike BodeDepartment of Diagnostic and Interventional Radiology, University Hospital RWTH Aachen, Pauwelsstrasse 30, 52074, Aachen, Germany.
Hatem AlabdulrahmanDepartment of Orthopedics, Trauma, and Reconstructive Surgery, University Hospital RWTH Aachen, Pauwelsstrasse 30, 52074, Aachen, Germany.
Frank HildebrandDepartment of Orthopedics, Trauma, and Reconstructive Surgery, University Hospital RWTH Aachen, Pauwelsstrasse 30, 52074, Aachen, Germany.
Till BerkDepartment of Orthopedics, Trauma, and Reconstructive Surgery, University Hospital RWTH Aachen, Pauwelsstrasse 30, 52074, Aachen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe clinical value of routine immediate postoperative conventional radiography following surgical fixation of pelvic fractures remains debated. This study assessed the impact of early postoperative X-rays on management decisions and revision surgery in patients with isolated pelvic ring or acetabular fractures.

methodsWe conducted a retrospective cohort study at a Level 1 trauma center, including adults undergoing surgical treatment for isolated pelvic ring or acetabular fractures between 2020 and 2023. All patients received high-quality intraoperative fluoroscopy and postoperative conventional radiographs. The primary outcome was any change in standard postoperative care based on radiographic findings. The secondary outcome was revision surgery prompted by conventional postoperative imaging.

resultsA total of 216 patients were included (median age 63 years), with 156 pelvic ring injuries and 60 acetabular fractures. Postoperative radiographs were obtained at a median of 3 days post-surgery. Changes in postoperative care based on radiographs occurred in 2 patients (3.3%) within the acetabular fracture group. Revision surgery triggered by conventional imaging was required in 1 patient (0.6%) among pelvic ring injuries. In all cases, additional CT imaging preceded definitive management changes.

conclusionRoutine immediate postoperative conventional radiography after surgical treatment of isolated pelvic fractures has minimal clinical impact. These findings support a shift toward selective, indication-based postoperative imaging, including targeted imaging in cases of poor intraoperative bone quality, anticipated noncompliance with protective mobilization protocols, particularly among geriatric patients, for whom the long-term consequences of radiation exposure may be of secondary importance, or limited intraoperative image quality.

Indexed as

AcetabulumFractures, BonePelvic BonesPostoperative CareRadiographyAdultAgedAged, 80 and overFemaleFluoroscopyHumansMaleMiddle AgedReoperationRetrospective StudiesTomography, X-Ray ComputedPelvic fracturesPostoperative imagingRevision surgeryRoutine radiographySurgical fixationTreatment modification

Identifiers

PMID42295368
PMCPMC13269513

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