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The bone & joint journal · Oct 2013
The recovery position for posterior surgery of the ankle and hindfoot.
- N Gougoulias, E J C Dawe, and A Sakellariou.
- Frimley Park Hospital, Portsmouth Road, Camberley, Surrey GU16 7UJ, UK.
- Bone Joint J. 2013 Oct 1; 95-B (10): 1317-9.
AbstractMost posterior hindfoot procedures have been described with the patient positioned prone. This affords excellent access to posterior hindfoot structures but has several disadvantages for the management of the airway, the requirement for an endotracheal tube in all patients, difficulty with ventilation and an increased risk of pressure injuries, especially with regard to reduced ocular perfusion. We describe use of the 'recovery position', which affords equivalent access to the posterior aspect of the ankle and hindfoot without the morbidity associated with the prone position. A laryngeal mask rather than endotracheal tube may be used in most patients. In this annotation we describe this technique, which offers a safe and simple alternative method of positioning patients for posterior hindfoot and ankle surgery.
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