Authors of section

Authors

Andrew Howard, James Hunter, Theddy Slongo

Executive Editor

Fergal Monsell

General Editor

Chris Colton

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Supine position

1. Positioning of patient

The patient is placed in a supine position.

A radiolucent support is placed under the ipsilateral buttock. A simple prop against the opposite iliac crest may aid stability.

For the anterolateral approach, some extension of the hip may be required.

in situ fixation with k wires or screws

2. Positioning of the image intensifier

The image intensifier is placed on the opposite side of the table.

Lateral views of the proximal femur are obtained by flexing and externally rotating the hip.

removal of osteochondral fragment

3. Draping

The whole leg is prepared and draped with a hip drape to allow free movement of the leg.