Acetabulum

16.2.1 Supine position

O Figs. 16.14-16.17. Indications

Operations for acetabulum fractures using the following access: ilioinguinal access, Smith-Peterson access, extended iliofemoral access, extended Pfannenstiel access, modified Stoppa access.

Preparations

4 Arm positioning devices

4 Shaving in the area of the incision and preoperative skin cleansing Positioning

4 Standard operating table position 1, position 2 or universal operating table

4 Anaesthetic preparation and induction in supine position with 2 adapted arm positioning devices 4 Normal positioning of the operating table in the theatre 4 When positioning the patient, take appropriate measures to prevent decubitus at areas which are subjected to pressure 4 Position both arms in abduction position on the arm positioning devices 4 Apply the neutral electrode and connect to the HF surgery device 4 Arrange absorbent drapes or self-adhesive covers for preoperative skin disinfection 4 Position the operating lights 4 Patient warming system

D Fig. 16.15. By using the narrow CRP back plate 1150.45, the Iso-C3D can also be used in the supine position without any problems
D Fig. 16.16. Supine position on CRP operating table 1150.16 with use of the image intensifier

O Figs. 16.18-16.20. Indications

Operations for acetabulum fractures using the following access: Kocher-Langenbeck access, combined ventral/dorsal access, extended access.

Preparations

4 Arm positioning devices

4 Gel ring, gel cushion, Goepel leg holder, side supports, radial adjusting clamps, padded cushions (normal and flat) and wedge cushions, tunnel cushions, body belts, 4 Shaving in the area of the incision and preoperative skin cleansing

Positioning

4 Standard operating table position 1 or universal operating table 4 Anaesthetic preparation and induction in supine position with 2 adapted arm positioning devices 4 Normal positioning of the operating table in the theatre 4 When positioning the patient, take appropriate measures to prevent decubitus at areas which are subjected to pressure 4 Fit the radial adjusting clamp to the side rail of the head plate, position the

Goepel leg holder 4 Spread out the arm on the side not being operated 4 Move the patient onto the healthy side

4 Move the lower arm forwards so that the weight of the upper body does not lie directly on the shoulder 4 Fit the radial adjusting clamps to the side rails of the leg plates/head plate and position the body supports on the level of the sacrum of the symphysis and the scapula 4 1st possibility: position the legs with the padded cushions (normal and flat) and possibly wedge cushions 4 Fix the lower leg and the positioning aids with the body belts 4 2nd possibility: position the legs with the tunnel cushion 4 Apply the neutral electrode and connect to the HF surgery device 4 Arrange absorbent drapes or self-adhesive covers for preoperative skin disinfection 4 Position the operating lights 4 Patient warming system

D Fig. 16.18. Lateral position on CRP operating table 1150.16 with 2 CRP accessory adapters and lateral positioning cushion for anatomic positioning of the lower arm
D Fig. 16.19. Lateral position on universal operating table with vacuum mat

O Figs. 16.21-16.24. Indications

Operations for acetabulum fractures using the Kocher-Langenbeck access. Preparations

4 Arm positioning devices

4 Special head positioning cushion for prone position 4 Thorax, pelvic and wedge cushion, padded roll 4 Shaving in the area of the incision and preoperative skin cleansing

Positioning

4 Standard operating table position 1, position 2 or universal operating table

4 Anaesthetic preparation and induction in supine position with 2 adapted arm positioning devices 4 Transfer to the prepared operating table in the induction room 4 Position both tables next to each other, with the prepared table lowered 4 Place the patient in prone position on the padded cushion of the prepared operating table and take him into the theatre 4 Normal positioning of the operating table in the theatre 4 When positioning the patient, take appropriate measures to prevent decubitus at areas which are subjected to pressure 4 Position the head on the special head positioning cushion 4 Position both arms on the arm positioning devices 4 Apply the neutral electrode and connect to the HF surgery device 4 Arrange self-adhesive covers for preoperative skin disinfection 4 Position the operating lights 4 Patient warming system

17.1 Shoulder - 218

17.1.1 Supine position - 218

17.1.2 Beach-chair position - 220

17.1.3 Prone position - 222

17.2 Upper arm - 224

17.2.1 Supine position - 224

17.2.2 Prone position - 226

17.3.1 Supine position - 228

17.3.2 Prone position - 230

17.4 Forearm and hand - 232

17.4.1 Supine position - 232

+1 0

Post a comment