The patient is positioned supine on a radiolucent table with a sandbag under the ipsilateral buttock and with the knee slightly flexed.
In isolated fractures of the lateral malleolus the patient may be placed in a lateral position in order to facilitate approach and reduction.
Abduct and externally rotate the hip joint. Flex the knee 90° and rest the foot on the anterior aspect of the contralateral knee.
The patient is positioned prone on a radiolucent table. This gives good access to allow fixation of the Volkmann fragment and fibular fracture through a posterolateral approach.