Patient Positioning for Proximal Femur Fracture Fixation: a Review of Best Practices

Area of Science:

• Orthopedic Surgery
• Traumatology

Background:

• Proximal femur fractures are prevalent traumatic injuries requiring surgical intervention.
• Effective patient preparation and positioning are paramount for successful surgical outcomes.

Purpose of the Study:

• To review current evidence on patient positioning options for proximal femur fractures.
• To highlight principles and emerging techniques for orthopedic surgeons.

Main Methods:

• Literature review of existing evidence on patient positioning for proximal femur fractures.
• Analysis of benefits and complications associated with different positioning techniques.

Main Results:

• Strategic positioning is essential for uncomplicated reduction and fixation.
• Fracture tables are increasingly used with intramedullary devices, but may increase malrotation risk.
• Radiolucent tables offer flexibility but require more assistance for reduction maintenance.

Conclusions:

• Surgeons must be aware of diverse positioning techniques for proximal femur fractures.
• Familiarity with the benefits and potential complications of each technique is vital for optimal treatment.
• Tailoring positioning to specific injury patterns and patient characteristics is key.