This position allows free access to both the lateral and the medial sides by hip rotation and fluoroscopic imaging in both planes.
Supine position (fracture table)
Supine position on a fracture table is used for application of a ring fixator when circumferential access to the leg is required.
Supine position with knee flexed
This patient position is used for intramedullary nailing of distal tibia fractures.
Supine position for MIO
The patient is positioned supine on a radiolucent operating table extension and the foot is brought to the end of the table.
Supine position, figure-of-four
This position provides access to the posterior medial tibia. It may be used for a portion of an operation, the rest of which is done with the hip and knee extended into the standard supine position.
Lateral positioning may be used when the fracture pattern is predominantly posterolateral.
The patient is positioned prone on a radiolucent table with the knee flexed to 20°, padding under the thigh, and the ankle placed over a small bump.