- Supine position (fracture table)
Supine position on fracture table
Application of a ring fixator requires circumferential access to the leg. Additionally, the fracture should be aligned.
Open reduction and fixation of the tibial articular surface and / or fibula may be done as a first stage. This is often easier with the leg free on the table surface, using a distractor or external fixator if desired. Thereafter, leg suspension, as illustrated with the fracture table, eases application of the ring fixator.
Instead of a fracture table, the leg may be supported with a proprietary mobile reduction frame, or one improvised from modular external fixator components.
Consider use of a tourniquet if articular surface ORIF will be an initial stage. Prep the leg from mid-thigh to toes.