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scattered or absorbed in the patient. Following this, the amount of scattered radiation is up to two times higher on the side of the source, so, whenever possible, the detector should be positioned above the table in anteroposterior (AP) views and the
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supine position inclined 30° towards the midline, away from the affected side, and the technique we described is designed for this position. Once the patient is in this position, the C-arm must be placed 30° to the contralateral side to see the frontal
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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) Patient in supine position, under fluoroscopic control and left buttock stab incision, surgeon tries to identify correct position of guide wire for sacral body 1 screw insertion; (C) Lateral fluoroscopic image demonstrating upper end of the first sacral
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Surgical Department, Hand Surgery Unit EOC, Locarno’s Regional Hospital, Locarno, Switzerland
Locarno Hand Center, Locarno, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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the absence of complications, hardware removal is sometimes performed as a routine practice or at the patient’s request, thus necessitating a secondary surgery ( 8 , 9 , 10 ). The aim of this systematic review was to evaluate the incidence of
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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selected and positioned onto the re-positioned bone fragments, and the ideal orientation and length of screws can be determined. To reproduce the virtual surgical plan in the operating room, patient-specific guides and, if necessary, patient
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. Nonetheless, if there is a suspicion that the pelvis has an unstable fracture (either anteroposterior or vertical injury mechanism), the binder should be released just during the time of CT scan performance, once the patient is positioned to start the test. It
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surface is essential for allowing early motion, adequate bone healing and avoiding future cartilage degeneration. 5 In young patients, open reduction and internal fixation with plate fixation of both columns is the gold standard. Since the
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hemipelvis; these are then attached to the table. This can be applied with the patient in the supine or prone position. 25 Once the deformity is reduced, osteosynthesis of the posterior ring is performed, combining two different systems according to the
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be avoided as they can cause problems (left). On the right, a correctly placed external fixator (EF) of the pelvis. The clamps should be at least 2 cm from the patient’s abdominal wall in both the lying and sitting positions because of the
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Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE
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fragmentation. 2 – 5 Intra-operative guidelines Patient positioning and approach Patient positioning is standard as for primary arthroplasty or revision, according to the surgeon’s preference. An electric knee support might be of value as it is
