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)
Application of a ring fixator requires circumferential access to the leg.
Supine position with knee flexed
For intramedullary nailing of distal tibia fractures.
Supine position for MIPO
Position the patient supine on a radiolucent operating table extension and bring the foot to the end of the table.
Supine position, figure-of-four
This position provides access to the posterio-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.
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.
Lateral positioning may be used when the fracture pattern is predominantly posterolateral.