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. 2021 Jul 3;14(4):272–281. doi: 10.1007/s12178-021-09710-x

Table 1.

Advantages and disadvantages of each common intraoperative patient position

Position Advantages Disadvantages
Fracture table, hemilithotomy

No need for assistant to pull traction

Efficient if well-versed with table

Imaging easy to obtain

Risk of perineal injury, compartment syndrome, or nerve injury

Table is expensive

Cannot compare leg rotation

Unsuitable for obese patients

Fracture table, well leg straight

No need for assistant to pull traction

Efficient if well-versed with table

Imaging easy to obtain

Can compare leg rotation/alignment

Risk of perineal injury

Unsuitable for obese patients

Table is expensive

Supine on radiolucent table

Table universally available

Protect unstable spine, pelvis

Address multiple orthopedic injuries

Facilitate simultaneous procedures with other surgical services

Good for obese patients

Allows mobilization of open fractures

Can compare leg rotation/alignment

Requires assistant to pull traction
Lateral on radiolucent table

Table universally available

Improves exposure for obese patients

Allows mobilization of open fractures

May result in improved reduction

Imaging more challenging

Requires assistant to pull traction

Cannot compare leg rotation