Authors of section


Richard Buckley, Andrew Sands


Martin Hessmann, Sean Nork, Christoph Sommer, Bruce Twaddle

Executive Editors

Joseph Schatzker, Peter Trafton, Michael Baumgaertner

Open all credits

Supine position (fracture table)

Supine position on a fracture table is used for application of a ring fixator when circumferential access to the leg is required. 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.

The use of a tourniquet should be considered if articular surface ORIF will be an initial stage. The leg is prepped from mid-thigh to toes.

full ring external fixation ilizarov