Executive Editor: Chris Colton, Rick Buckley

Authors: Peter V Giannoudis, Hans Christoph Pape, Michael Sch├╝tz

Femur shaft - Simple, transverse, proximal 1/3 fractures - ORIF - Compression plating (DCS)

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Supine with manual traction

This positioning is recommended for bilateral fractures because it can allow for the reduction and fixation of both fractures without requiring re-draping. However, the axial view may be difficult to obtain because elevation of the contralateral leg is required.


Supine knee flexed 30°

This position is useful for antegrade nailing or retrograde nailing as the ability to obtain AP and lateral X-rays is exceptional.


Scissor position

Scissoring makes length, alignment and rotational confirmation easy. Raising the injured leg facilitates reduction of any flexed proximal fragment (iliopsoas muscle).


v2.0 2018-07-05