Table 1.

Pearls and Pitfalls for Postless Distraction

Step	Pearl	Pitfall
Fixation of the pad to the table.	•Make certain all straps are fastened to the table.	•Overtightening of the strap can cause tearing of the pad.
Transfer of the patient.	•Place patient where he or she would be normally with the large post. •Try to position as far proximal as possible on the table and have a clear anteroposterior image of the hip.	•Pad can shift during transfer without proper attention.
C-arm image to ensure proper position.	•Be present for positioning until your team learns the new positioning.	•If patient is too high metal can block operative hip. •The patient being too low creates a risk for patient safety on the table.
Removal of the draw sheet.	•Log roll the patient to remove the sheet. •Do not place the patient in the spurs until the sheet is removed.	•Aggressive pulling of the draw sheet can cause tearing of the pad.