- Journal List
- Ann R Coll Surg Engl
- v.99(7); 2017 Sep
- PMC5697028
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Ann R Coll Surg Engl. 2017 Sep; 99(7): 585.
Published online 2017 Aug 30. doi:10.1308/rcsann.2017.0035
PMCID: PMC5697028
PMID: 28853586
J Lamb and R Monkhouse
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Patient positioning is key to successful fixation of distal fibula fractures. When supine, the leg rests in an externally rotated or neutral position. The leg must be rotated internally throughout the operation to enable adequate visualisation of the lateral ankle. Exposure is improved by elevating the ipsilateral hip with a sandbag. However, in patients with a stiff hip or excessive external rotation, this is not enough. In these cases, exposure can be improved further by placing a size 7.5 or greater glove over the foot and securing the glove fingers over the contralateral foot. This provides internal rotation throughout the operation and covers dirty toes.
Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England