6
Operative Technique
Step 1 - Patient Positioning
Correct positioning of the patient
on the fracture table is essential for
avoiding problems and complications
during surgery (Fig. 1).
Place the patient in supine position
on the fracture table.
Healthy side:
Position the leg on the
healthy side with the hip in flexion
and slight abduction so that the C-arm
can be adjusted intra-operatively for
both the anterior/posterior and the
lateral/medial views. This is necessary to
obtain a true lateral view of the femoral
neck and head (Fig. 2). The purpose of
this view is to avoid the penetration of
the end of the pin through the surface
of the femoral head.
Furthermore, again for avoiding pin
penetration, the surface of the femoral
head must be seen continuously when
moving the C–arm from the horizontal
position to the vertical position.
Slipped side:
Position the hip in full
extension with neutral position
between abduction and adduction.
Fig. 1 – Position Patient; C-Arm in A/P View
Fig. 2 – Position Patient; C-Arm in L/M View
