Executive Editor: Peter Trafton, Michael Baumgaertner

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

Distal tibia

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Supine position for MIO

The patient is positioned supine on a radiolucent operating table extension and the foot is brought to the end of the table. It is important to add padding under the leg, to elevate it for lateral fluoroscopy, and to assist reduction.

The leg is prepared circumferentially from the toes to mid-thigh and draped free.

A bump (a single rolled blanket) is placed beneath the ipsilateral hip to reduce the tendency toward external rotation. This position allows free access to both the lateral and the medial sides by hip rotation.

The image intensifier is placed on the opposite side and rotated for AP and lateral views. A tourniquet is not required.

v2.0 2018-11-12