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Positioning Techniques in Surgical Applications - part 9

Bụng, anterolateral, trung gian và posteromedial truy cập vào các khớp mắt cá chân, truy cập vào các mắt cá bên trong, mắt cá ngoài, truy cập trung gian bên và phía trước, talocalcaneonavicular, trung gian và tiếp cận chân đến chân giữa và các ngón chân, gãy xương, posttraumatic, bẩm sinh thu thập và lệch chi tiết, | 251 18 18.4 Lower leg Fig. 18.29. Fluoroscopy possible through 360 o Fig. 18.28. Legs positioned on divided CRP leg plates with individual adjustment Fig. 18.30. Legs positioned on single-section CRP module 1150.45 Fig. 18.31. Legs positioned on CRP operating table 1150.16 Fig. 18.33. Lateral fluoroscopy of the tibia with left leg lowered o Fig. 18.32. Minimally invasive operation to the tibia with image intensifier in anteroposterior position 252 Chapter 18 Lower extremities 18.5 Foot 18.5.1 Supine position D Figs. 18.34-18.39. Indications Ventral anterolateral medial and posteromedial access to the ankle joint access to the inner malleolus and outer malleolus lateral and medial access to the talocalcaneonavicular front medial and plantar access to the middle foot and to the toes for fractures posttraumatic congenital and acquired misalignment arthrosis synovitis osteochondral lesions soft tissue lesions and tumours. Preparations 4 Arm positioning devices 4 Wedge cushion body support 4 Shaving in the area of the incision and preoperative skin cleansing 4 Apply a tourniquet in position 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 on the arm positioning device in abduction position 4 Apply the neutral electrode and connect to the HF surgery device 4 Connect the compressed air supply to the tourniquet 4 Arrange absorbent drapes or self-adhesive covers for preoperative skin disinfection 4 Position the operating lights 4 Patient warming system D Fig. 18.34. Legs positioned on divided CRP leg plates with individual adjustment 253 18 18.5 Foot Fig. 18.36. Divided leg plates with individual adjustment o Fig. 18.35. Legs positioned on .