The horse is placed in dorsal recumbency with the leg extended.
The horse is placed in lateral recumbency with the affected limb positioned uppermost.
Surgery in the standing horse
When the foal is placed under anesthesia in lateral recumbency the spike is placed uppermost. This is because the periosteal attachments on the metaphyseal side tend to be more intact and gravity will help close the fracture.
Preparation for ALD treatment
The animal is anesthetized and positioned in lateral recumbency on the surgery table with the surgical site up (in a varus deformity the affected limb is up, in a valgus deformity it is down).
Preparation for osteotomies
The patient is positioned in lateral recumbency. Placement of the limb up or down is determined by the configuration of the osteotomy needed. This is determined from the preoperative planning.
Preparation for arthrodesis
The horse is placed in lateral recumbency with the effected limb up.