Table 2.
Recommendations | |
---|---|
Padding of bony prominences | Foam padding, feet and ankles in traction boots, and blankets placed on ipsilateral arm |
Ipsilateral upper extremity | Placement across patient's body (flexion <90°), with pulse oximetry, papoose wrapping, and safety belt |
Contralateral upper extremity | Arm board (shoulder abducted <60°, elbow flexion <20°) and IV access |
Perineal post | Lateralized to operative side—contact with medial thigh (check for genital compression) |
Foot and ankle | Traction boots |
Fluoroscopy | 45° lateral Dunn view, ROM, and vacuum crescent sign |
Operative hip | 15° of flexion and 0° of adduction before application of traction |
Ipsilateral foot | Internal rotation of 10°-15° |
Contralateral lower extremity | Delicate countertraction (10-20 lb [4.5-9 kg]) |
IV, intravenous; ROM, range of motion.