Executive Editor: Peter Trafton

Authors: Theerachai Apivatthakakul, Surapong Anuraklekha, George Babikian, Fabio Castelli, Antonio Pace, Vajara Phiphobmongkol, Raymond White, Kodi Kojima, Matthew Camuso

Tibial shaft

back to skeleton


Prone position
Prone position enlarge

Patient positioning

The patient is positioned prone on a radiolucent table or a standard table with a radiolucent extension. Chest rolls are placed underneath the thorax to allow for optimal ventilation. All of the bony prominences are padded to prevent pressure sores.
The face is protected with a cushion to avoid pressure on the eyes.
The injured leg is elevated with a bump to facilitate lateral imaging with the C-arm.

If desired, apply a tourniquet around the upper thigh.
Prepare the entire leg circumferentially, from toes to upper thigh. Drape so it is completely mobile.

Note: Patients with unstable spine fractures, or chest injuries, etc., have increased risks associated with prone positioning. Consider carefully whether these risks are worth taking.

Prone position with C-arm enlarge

C-arm placement

The C-arm should be placed on the opposite side from the surgeon. It should be able to pass freely under the table for a lateral view of the affected leg.

v2.0 2012-05-13