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Can be protective to an injured spine
3%
40/1351
Facilitates access to other injured sites in the polytrauma patient
34/1351
Provides easier fluoroscopic imaging
11%
144/1351
Allows for easy reduction of the distal fragment to the flexed proximal fragment
76%
1023/1351
Easier to assess rotation
7%
99/1351
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Based on the references provided, the advantages of the lateral position include: facilitates the retraction of the vastus lateralis, allows hip flexion to aid reduction, improves access to the proximal segment (easier to get starting point). Disadvantages of the lateral position include: intraoperative imaging may be more difficult, rotation is more difficult to judge, and lateral positioning may not be practical in the polytraumatized patient. Advantages of the supine position include: may help protect a potentially unstable spine, facilitates access to sites other than the injured femur, shorter setup time, rotational and angulatory deformities may be more easily appreciated. Disadvantages of the supine position include: starting point localization may be more difficult.
3.5
(37)
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