Peter V Giannoudis, Hans Christoph Pape, Michael Schütz
Chris Colton, Rick Buckley
This position is useful for antegrade nailing or retrograde nailing as the ability to obtain AP and latera X-rays is exceptional.
Careful pre-cleaning of the soft tissues should be performed especially if gross contamination occurs.
This procedure is performed with the patient under general or regional anesthesia.
If a spinal anesthetic is used, the surgeon and anesthetist need to be confident that the procedure will not last more than 1.5 hours.
Long-lasting postoperative complete pain blocks for the injured leg should be avoided as this could hide symptoms of a subsequent compartment syndrome.