Certified Surgical Technologist (CST) Practice Exam

How should a patient be positioned when they have an intertrochanteric fracture?

1. Lateral

2. Prone

3. Supine

4. Trendelenburg

The correct answer is: Supine

When a patient has an intertrochanteric fracture, positioning them supine is critical. This position helps to maintain stability and alignment of the affected limb while minimizing pain and preventing further injury. In a supine position, the weight is evenly distributed across the back, and the legs can be supported in a neutral alignment, reducing strain on the hip and surrounding structures. Additionally, being supine allows for easier access for medical personnel to conduct further assessments or interventions, including imaging studies or preparing for surgical intervention if necessary. This positioning also facilitates the use of various immobilization devices, such as traction splints or external fixators, that may be required for managing the fracture effectively. Other positions, such as lateral, prone, or Trendelenburg, may not provide the same level of stability, comfort, or accessibility necessary for optimal management of an intertrochanteric fracture. The supine position is thus the most appropriate and commonly used for patients with this type of fracture.