Scissor position of the orthopedic table for the resolution of intertrochanteric and subtrochanteric hip fractures
Author
dc.contributor.author
Barrientos Mendoza, Cristian Nelson
Author
dc.contributor.author
Brañes Fierro, Julián Andrés Ricardo
Author
dc.contributor.author
Wulf Ibáñez, Rodrigo
Author
dc.contributor.author
Barahona Vásquez, Maximiliano
Author
dc.contributor.author
Carvajal Fuentes, Sebastián
Admission date
dc.date.accessioned
2021-10-28T19:53:04Z
Available date
dc.date.available
2021-10-28T19:53:04Z
Publication date
dc.date.issued
2021
Cita de ítem
dc.identifier.citation
Cureus 13(7): e16442 (2021)
es_ES
Identifier
dc.identifier.other
10.7759/cureus.16442
Identifier
dc.identifier.uri
https://repositorio.uchile.cl/handle/2250/182476
Abstract
dc.description.abstract
During the surgical resolution of intertrochanteric and subtrochanteric hip fractures on an orthopedic table, a fluoroscope needs to be used in orthogonal planes. This requires that the contralateral leg does not obstruct the radioscopic view, so patients are often placed in a hemilithotomy position. This position, also called the Lloyd-Davis position, involves hip flexion, hip abduction, hip external rotation, and knee flexion. However, rare complications, such as acute leg posterior compartment syndrome, have been described.
In addition, patients with severe osteoarthritis and joint stiffness or a history of total hip arthroplasty may have difficulty achieving this position, and the well leg may be at risk of injury in a hemilithotomy position. A previously described position called the "scissor position" is, in our opinion, a safer and more efficient technique for placing the well leg on the orthopedic table, using only a pillow and a self-adhesive compression bandage. This simple position allows a lateral fluoroscopic view of the injured femur without overlapping or interference from the other limb.
es_ES
Lenguage
dc.language.iso
en
es_ES
Publisher
dc.publisher
Cureus
es_ES
Type of license
dc.rights
Attribution-NonCommercial-NoDerivs 3.0 United States