Iranian Journal of Orthopedic Surgery

Lateral Decubitus Position for Hip Fracture Fixationin a Knee Disarticulation Amputee(Case Report)

Document Type : Case Report

Authors

Hasan Barati
Mojtaba Baroutkoub
Amir Barzanouni
Ali Keipourfard
Ali Ghozatfar

Orthopedics and Trauma Surgery group, Faculty of medicine, Shahid Beheshti University of medical sciences, Tehran, Iran

10.22034/ijos.2025.541490.1141
Abstract
Abstract
Femoral neck fracture is one of the most disabling affections in older patients. The usual surgical position in fixation of femoral neck fracture is the supine position on radiolucent fracture table. A technique of placing the patient in lateral decubitus position has been reported. This report describes this position in a patient with prior knee disarticulation. A 40-year-old man with a right hip fracture (Pauwels I, Garden II) fracture with a previous knee disarticulation secondary to extensive tibial trauma underwent close reduction and internal fixation in left lateral decubitus position. The knee and hip joint were flexed to 45° securely on the Mayo stand. Then, the patient's affected limb was lifted, and a pillow - pad was placed under it. This position was supported by two side supports -one on the back and one on back of trunk. Improving C-arm accessibility and adjustment, leading to reduction of contaminating, a more accurate lateral view of the proximal femur, decreasing the risk of reduction loss, optimizing the workflow, and more suitability in complex patients are the benefits seen in this case. On the other hand, increasing total surgical time, and harder fluoroscopy adjustments were the challenges. In this patient with prior disarticulation, lateral decubitus position for femoral neck fracture showed promising intra and post-operative results.

Keywords

: Femoral neck fractures, Patient positioning, Disarticulation, Knee

Subjects

Iranian Journal of Orthopedic Surgery
Volume 23, Issue 3
Summer 2025
Pages 148-151

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