A novel fluoroscopy positioning for proximal femoral fixation in the lateral decubitus position
Mehmet Ekici1
, Ali Eray Günay1, Murat Kahraman1, Enes Uluyardımcı2, Durmuş Ali Öçgüder2
1Department of Orthopedics and Traumatology, Kayseri City Training and Research Hospital, Kayseri, Turkey
2Department of Orthopedics and Traumatology, Ankara Yıldırım Beyazıt University, Faculty of Medicine, Ankara, Turkey
Keywords: C-arm, proximal femoral nailing, trochanteric fracture.
Abstract
The aim of this technical report is to minimize the difficulties in obtaining the lateral femoral views using fluoroscopy, while fixing the proximal femur in the lateral decubitus position and to present a new scope and patient positioning. The lower leg is slightly flexed from the hip and knee. The detector is prepared with the detector on top, the detector is tilted approximately 40 degrees toward the cranial side so that the fluoroscopy rays are perpendicular to the femoral neck. In this way, superposition of the contralateral limb is prevented, the femoral neck is selected clearly, and the positioning of the screw can be clearly understood. This positioning provides easy to obtain a full side view on conventional mid-supported surgical tables and prevents the superposition of the other extremity. Loss of time can be prevented with this technique.
Citation: Ekici M, Günay AE, Kahraman M, Uluyardımcı E, Öçgüder DA. A novel fluoroscopy positioning for proximal femoral fixation in the lateral decubitus position. Jt Dis Relat Surg Case Rep 2022;1(2):79-81.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.