Arthrex offers unique lateral arm positioning systems with the 3-Point Shoulder Distraction System and STaR Sleeve, and the TRIMANO Arm Holder to provide simple patient set-up, access and adjustability.

Shoulder

Product

This versatile system provides safe, effective, and easy positioning of the shoulder during all types of arthroscopic or open shoulder surgery performed in the lateral decubitus position. The arm is placed in a shoulder traction and rotation (STaR) sleeve and then connected to the 3-Point Shoulder Traction Tower. Three-point traction with a lateral strap permits ideal shoulder positioning for improved access to the glenohumeral joint. During more routine arthroscopic procedures, single-point traction may be selected at any desired angle of abduction by transferring weights to the third traction cable. The 3-Point Shoulder Distraction System attaches easily to standard OR table clark rails and has color-coded cable ends for easy identification when transferring traction weights.

3-Point Shoulder Distraction System

Human

Child (D)

The Lateral Decubitus Shoulder Traction Tower allows for abduction, forward flexion and traction during open and arthroscopic procedures. The single boom arm can be easily adjusted with two independent hand cranks for simplified intraoperative adjustment. This tower attaches easily to the standard O.R. table Clark Rail. The universal carabiner clamp makes the system compatible with all STaR™ (Shoulder Traction and Rotation) Sleeves. When not in use, the system can be folded, minimizing storage space required in the O.R. suite.

Lateral Decubitus Shoulder Traction Tower

The Shoulder Suspension System for lateral decubitus combines simple and intuitive functionality providing optimum arthroscopic visualization for all shoulder pathology.
Intraoperative control of abduction, internal/external rotation and lateral traction is easily performed in a sterile fashion allowing for the utmost in direct control. The tower is light weight and easily folds into a small vertical footprint for easy storage and set up.

The Arthrex® Shoulder Suspension System (S3) for lateral decubitus positioning combines a simple design with intuitive functionality while providing surgeons with optimal visualization during arthroscopic shoulder procedures. The S3 provides control of abduction, rotation, and direct lateral distraction from within the sterile field for more efficient shoulder procedures. The lightweight tower folds into a compact vertical footprint for easy storage and setup by the clinical staff. Addressing complex shoulder pathology can be easier and more efficient with the Arthrex Shoulder Suspension System.&nbsp;

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Arthrex Shoulder Suspension System (S3) Highlights

The Arthrex® Shoulder Suspension System enables surgeon-controlled abduction, traction, and direct lateral joint distraction with a simple, lightweight, and compact tower system for easier and more efficient shoulder procedures in the lateral decubitus position.

Arthrex Shoulder Suspension System (S3) Tutorial

The Arthrex shoulder suspension system for lateral decubitus positioning combines a simple design with intuitive functionality, while providing surgeons with optimal visualization during arthroscopic shoulder procedures. Attach the tower to the O.R. bed by sliding on the rail clamp and secure it at the rail end by tightening both knobs. Lift the longer lever to change the forward flexion adjustment. Dock the base of the tower into the rail clamp by using the handles and approaching the rail clamp at a slight angle. Pull the safety knob out and raise the handle unfolding the tower. Push the upper boom forward until the locking mechanism is engaged. Attach the weight hanger and add additional weights in 2.5 pound increments if needed. Two additional weights are equivalent to 15 pounds, including the weight hanger, and would be ideal to start for most cases. Move the tower abduction position to position 1 or 2, depending on the surgeon's preference for the range of abduction. Safely open the sterile, disposable arm sleeve and keep it on the back table for instability cases where joint visualization and access are required. Open the lateral distraction sling as well. Both the arm sleeve and distracting sling come packaged with a sterile disc barrier. Attach each disc barrier to the autoclavable connectors. Place the patient's forearm into the sterile arm sleeve and their hand in a gentle fist, and wrap the Velcro tabs around snugly in sequence, resulting in a secure attachment for arm suspension. Hook the autoclave arm sleeve connector with a circular, sterile disc barrier onto the cable trolley, and advance the blue coupling screw in a clockwise direction to secure the connector to the cable trolley. Snap the arm sleeve into the arm sleeve connector, effectively suspending the arm on the opposite end. Rotate the gray part of the connector counterclockwise until it is tight to hold internal external rotation adjustments. Stable arm abduction and internal and external rotation adjustments can be altered on the fly in a sterile manner to produce unparalleled arthroscopic visualization. Without outside help taking the arm out of suspension. Intraoperatively is achieved simply by depressing the tabs holding the arm sleeve to the connector to easily and quickly check the range of motion or access. Pathology. Direct lateral distraction of arthroscopic joint visualization is achieved using the Autoclaved lateral distraction sling connector with a circular sterile disc barrier. Attach the sling connector to the upper extension boom of the tower. Apply the sterile lateral distraction sling to the patient's upper arm and secure it with the buckle. Connect the sling to the gray hook portion of the lateral distraction sling connector and pull the strap down, creating an effective joint distraction force. After removing the weights and weight hanger, fold the tower for removal and storage by returning it to the home position and pulling down on the blue handle to release the locking mechanism. While supporting the boom, slide the upper boom straight back and then pull down to collapse into a vertical structure. To press the blue safety lever at the bottom of the tower while tilting the tower back, and then lift it from the rail clamp at 16 pounds. The tower is light enough for any staff member to maneuver from the Or table to the storage car easily.

The Arthrex® Shoulder Suspension System enables surgeon-controlled abduction, traction and direct lateral joint distraction with a simple and compact shoulder tower system for easier and efficient shoulder procedures.

Arthrex® Shoulder Suspension System

Addressing complex shoulder pathology can be easier and more efficient with the new Arthrex shoulder suspension system, enabling surge and controlled abduction, traction and direct lateral joint distraction in a simple and compact tower. The tower is attached to the Or bed by sliding on the rail clamp and securing it a few inches from the rail end by tightening both knobs. The longer lever is lifted to change the forward flexion adjustment. The base of the tower is docked into the rail clamp by using the handles and approaching the rail clamp at a slight angle as shown. The safety knob is pulled out and the handle is raised, unfolding the tower. The upper boom is pushed forward until the locking mechanism is engaged. The weight hanger is attached and additional weights in two and a half pound increments are added, including the weight hanger. A total of three weights is the equivalent of 15 pounds and would be ideal for most cases. The sterile disposable arm sleeve is opened in a sterile manner to the back table with instability cases where joint visualization and access are required. The lateral traction sling can also be opened. Both of these are packaged with a sterile disc barrier, which are then attached to the autoclaved connectors by the scrub nurse as shown. A common approach to sterile application of the arm sleeve is to first apply a roll on sock to a prepped arm, and finish by applying sterile koban. The forearm is placed into the sterile arm sleeve, and the Velcro tabs are then wrapped around in sequence, resulting in a secure attachment for arm suspension. The autoclaved arm sleeve connector with circular barrier is hooked onto the cable trolley, and the coupling screw is advanced in a clockwise fashion to secure the connector to the cable trolley. The arm sleeve can then be snapped into the arm sleeve connector, effectively suspending the arm on the opposite end. The silver gray part of the connector is rotated counterclockwise until tied to hold internal external rotation adjustments. The tower abduction position is then moved from the home position to position one by the circulating nurse. Stable arm abduction, as well as internal and external rotation, can now be altered on the fly by the surgeon to produce unparalleled arthroscopic visualization without outside help. Taking the arm out of suspension intraoperatively is achieved by simply depressing the tabs holding the arm sleeve to the connector, allowing the surgeon to easily and quickly check range of motion or access pathology, such as peel back in a slap tear or engaging Hill-Sachs lesions. Direct lateral traction of arthroscopic joint visualization is achieved using the autoclaved lateral traction sling connector with a circular barrier, which is attached to the upper extension boom of the tower. The sterile lateral traction sling is then applied to the patient's upper arm and secured with the buckle. The sling is then connected to the hook portion of the lateral traction sling connector, and the strap is pulled down, creating an effective joint distraction force. Unparalleled joint visualization and access to the low 6:00 position is easily achieved for bankart lesions anteriorly and posteriorly. Slap repair visualization is outstanding, allowing quick and efficient repairs, as demonstrated with percutaneous suture passing with a lasso and insertion of a small diameter PushLock knotless anchor. After removing the weights and weight hanger, the tower can be folded for removal and storage by pulling down on the blue handle, sliding the upper boom straight back, and then pulling down to collapse it into a vertical structure. A blue safety lever at the bottom of the tower is depressed, while the tower is tilted back, and then lifted from the rail clamp. At 16 pounds, the tower is light enough for any staff member to easily maneuver from the ore bed to the storage cart.

Lateral Positioners

3-Point Shoulder Distraction System

Lateral Decubitus Shoulder Traction Tower

Shoulder Suspension System (S3)