A linha de posicionadores de membro da Arthrex proporciona o posicionamento seguro, fácil e eficaz do joelho durante as cirurgias artroscópicas. Para maiores informações, consulte os produtos de posicionamento do joelho: suporte para perna de baixo perfil e posicionador de membro universal da Arthrex.

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RECURSOS PARA CLIENTES

Durante cirurgias artroscópicas, posicione o joelho com segurança, eficácia e facilidade usando posicionadores de membros.

Thomas R. Carter, MD, (Phoenix, AZ) presents the Arthrex® PivotPost, a lateral post that moves in three planes. This allows it to be easily placed in the proper position to the patient and also to pivot out of the way when not in use. The unique over‐the‐top sweeping design prevents the patient’s leg from moving over the post when valgus stress or a figure‐four position is applied.

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video

PivotPost Full Motion Lateral Post for Knee Arthroscopy

The Arthrex post has a special adapter that makes it very easy to apply on the side of the bed. It does not have to be in a specific position to put on, and it's very easy to slide up and down if you need to adjust the position of the holder, and even underneath of the drapes. One can easily grab to rotate it up and away and very easily have fixation with the holder secured. The pivot post glides very easily up and down to adjust the height. All you have to do is pull the button and it locks at various heights to accommodate the leg. With the general position of the pivot post. Foam pad with Velcro straps is applied for cleanliness and it adds extra protection. When one positioning of the leg when the case is over. It's very easy to remove, and the next one used padding and cleanliness for preparation of the leg. Pressing a button allows 90 degrees of external rotation. It locks into place so that it does not slip or slide during draping. Once the drapes are applied, it locks back into place. It is easy to access underneath the drapes, which we will show you later. Once it's locked into place, you can then adjust the height to enable valgus stress applied. And you can see the leg does not rotate as does a standard post. If you need additional support, pressing the button slides in and even further securing the leg to get the device out of the way. Press the handle, press the button, and gains easy access so that you can bring the knee in any position that you need, whether. Figure four for lateral or drilling. It's easy to bring and flex fully. A few things to even make it more useful. And tips that we've learned is when you have this sliding in and out, you can see the attachment of the tourniquet. The tourniquet should be placed at the 1:00 position on the right leg, or obviously at the 11:00 position on the left leg. What that enables one. When they rotate it, it does not hit the tourniquet attachment. If the tourniquet is over, it can at times make it a little more difficult to rotate and hit the tourniquet attachment. In addition, we recommend having it in the resting position instead of having it internally rotated initially, as this allows easier movement of the leg in a medial lateral plane. The height of the post should be slightly higher, so that easy rotates under the drapes. The drapes will change the height of height of this slightly as we'll demonstrate later. You do not want it too low, because the drapes will have an effect on being able to rotate it. So just slightly above the rotation. Ability to avoid hitting this. But the same token not too high, which will have some difficulty in proper position once the leg is prepped. Applying the drape. Go ahead and secure the one midline and on the lateral. By doing so, it's easier to hold up to enable you to rotate and bring the pivot post down in position. If it's too snug, it may make it difficult to hit and the drape may elevate off of the leg. All right. You ready? Okay. All right. Okay, wait a minute. Okay. Another pearl is Before having the anesthesiologist completely secure the drape, he can hold it. Leg down and rotate the post. And then he can secure the drape. That way there's not bunching of the drape between the leg. If he does secure the drape fully, you can see when I pull it sometimes will pull the drape down and make it more difficult. Or tension, which can affect where the anesthesiologist secures the drape. Once you have it reduced, then you can gently push down, have it secured. And the knee will not rotate because of the bar coming over the knee. The same token, you can bend the knee fully, rotate it out of the way, let you have a figure of four position and the knee is easily flexed as far as you need to gain access to the posterolateral corner. On drilling or any other position that you require. When examining the medial side of the knee. Even with this ACL deficient knee, I can perform a very firm valgus stress and the leg does not rotate upward. Thus, my assistant does not need to stabilize the knee and thus has both hands to assist in the surgery. And on the video you can see the entire meniscus, even the posterior root in this ACL deficient knee with an anteromedial approach. You can see the pin comes out on the femur fairly high up, so that you have a good depth of the femoral tunnel. In this case, the pivot post acts as a lateral post. Thus, you can lift the leg up or bend the knee to get out of the way so that the pin is retrievable. If you have a circumferential holder, the pin very likely will hit that and possibly even penetrate the tourniquet.

Thomas R. Carter, MD, (Phoenix, AZ) presents the PivotPost, a lateral post that moves in three planes to easily place in the proper position to the patient and pivot out of the way when not in use. The unique over-the-top sweeping design prevents the patient’s leg from moving over the post when valgus stress or a figure four is applied.

PivotPost Full Motion Lateral Post

The custom adapter can be applied easily to the bed. The knob is pulled out to adjust the height of the base and the button push to rotate it 90 degrees out of the way. A foam pad with Velcro straps can be applied to provide some cushion between the device and the leg. The height is adjusted to accommodate the knee and pushed in so that the knee does not rotate upward or outward. Because of its low profile, it easily fits underneath. The drape also is accessible underneath the drapes, with the valgus stress shown to open up widely and preventing the knee from rotating upward, as would a lateral post. It is then moved 90 degrees out of the way to accommodate a figure of four position, or being able to bend the knee up. When drilling in Anteromedial portal for an ACL, foam pad is removed and ready for the next case.

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