Executive Editor: Chris Colton, Rick Buckley

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

Femur shaft

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Bilateral traction
Supine positioning with abducted contralateral leg enlarge

Supine position with bilateral traction (scissors position)

The patient is positioned supine with both legs in traction on a traction table. The contralateral leg is elevated 30-40° to allow for positioning of the C-arm between the legs for an axial view of the hip.

In this position a straight lateral view for proximal or distal locking is impossible; only oblique views can be obtained.

The ipsilateral arm should not be positioned on an arm board or abducted, since it would interfere with nail insertion. An adducted (pictured) or elevated position is favored.

In case of nailing, adduction of the operated limb facilitates entry point localization.

C-arm positioning enlarge

C-arm positioning

In obese or short patients, the legs might have to be spread to allow for C-arm positioning.

v2.0 2018-07-05