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