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Published on: September 7, 2022
The extended knee hemilithotomy position for gastrocnemius recession
1Trinity Regional Medical Center, Ft. Dodge, IA, USA. daytonP@ihs.org
Summary
This study introduces a novel supine positioning technique for gastrocnemius recession surgery. The method enhances surgical visualization and access without increasing complications or costs.
Area of Science:
- Orthopedic Surgery
- Surgical Positioning Techniques
Background:
- Gastrocnemius recession is a surgical procedure to address certain lower limb conditions.
- Traditional patient positioning can sometimes limit surgical site visualization and access.
Purpose of the Study:
- To present an alternative supine positioning method for gastrocnemius recession.
- To evaluate the benefits of this technique regarding visualization, access, and procedural efficiency.
Main Methods:
- Utilized a candy-cane leg holder to position patients supine in an extended knee hemilithotomy position.
- Applied this technique consistently over a 3-year period for gastrocnemius recession procedures.
Main Results:
- Achieved excellent visualization of the surgical field.
- Provided optimal anesthesiologist access to the patient.
- Eliminated the need for patient repositioning during adjunct procedures.
- Maintained sterility of the operative extremity throughout the surgery.
- Observed no increase in complications or costs compared to standard methods.
Conclusions:
- The described supine positioning method is a safe and effective alternative for gastrocnemius recession.
- This technique offers significant advantages in surgical access, visualization, and workflow efficiency.
- The method is cost-effective and does not increase the risk of complications.
