Executive Editor: Peter Trafton

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

Distal tibia

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Supine position for MIPO

Supine position for MIPO

Position the patient supine on a radiolucent operating table extension and bring the foot to the end of the table. Padding under the leg elevates it for lateral fluoroscopy, and can assist reduction.

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

A bump (a single rolled blanket) beneath the ipsilateral hip helps avoid 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.

v1.0 2008-12-03