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The modified recovery position for posterior leg surgery.

Conventionally used to approach the posterior leg, the prone position poses an anaesthetic challenge with changes in respiratory and cardiovascular physiology and an increased risk of pressure injuries and nerve damage.1 To avoid prone positioning, for an approach to the left leg, the patient is placed in the left lateral position with hips and shoulders slightly rotated. With the right hip and knee flexed, the torso remains in the lateral position while the left leg is optimally placed for unilateral posterior leg surgery such as an Achilles tendon repair. 
 
 
 
Figure 1 
 
Patient positioned to approach the posterior left leg