Authors of section

Author

Mary Sarah Bergh

Executive Editor

Amy Kapatkin

General Editor

Noel Moens

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Dorsal recumbency position

1. Dorsal recumbency position

The patient is placed in dorsal recumbency on the surgery table with the pelvic limb abducted and the femur perpendicular to the spine (frog-leg position).

transcondylar lag screw and neutralization plate

2. Preparation for surgery of the injured limb

Preparation of the limb is done outside of the surgical suite. The entire limb is clipped circumferentially starting from the vertebral column to just distal to the hock. The clipped hair is vacuumed.

The distal part of the limb is isolated with a non-sterile wrap in a way that allows the limb to be hung during the sterile scrub and draping.

A general scrub is done before bringing the patient into the operating room.

dorsal recumbency position

In the operating room, the limb is put into a hanging limb position. The limb is prepared for aseptic surgery by performing the final sterile surgical scrub.

Non sterile wrap

3. Draping

Corner drapes are placed around the surgical site and secured with towel clamps. An assistant releases the distal limb from the hung position, while the surgeon sterility grabs and covers the distal limb with a sterile waterproof drape. A sterile additional wrap can be added or a sterile bootie can be placed. An extremity or laparotomy drape covering the entire surgery table is recommended on top of the corner drapes.

Sterile wrap