Executive Editor: Peter Trafton, Michael Baumgaertner

Authors: Martin Hessmann, Sean Nork, Christoph Sommer, Bruce Twaddle

Distal tibia

back to skeleton

Glossary

Supine position
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This position allows free access to both the lateral and the medial sides by hip rotation and fluoroscopic imaging in both planes.

The patient is positioned supine on a radiolucent operating table extension with the foot brought to the end of the table. The injured leg is elevated on folded linen or a molded foam cushion. A bump consisting of a single rolled blanket is placed beneath the ipsilateral hip. This will help avoid the leg’s tendency to externally rotate.

The image intensifier is on the side opposite the injured limb.


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The entire leg is prepped from toes to upper thigh. The possible need for autologous bone graft should be anticipated at this stage. If necessary, a donor site is prepared and draped.

A well-padded tourniquet should be applied to the thigh. Its inflation is determined by surgeon’s preference. Often omitted, it might be very helpful, especially during articular surface reconstruction.

v2.0 2018-11-12