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Approaching the Humerus, Elbow, and Proximal Forearm Using the Trimano Arm Holder
Angelos Assiotis1, Adam Rumian1, Clarence Yeoh1
1Trauma and Orthopaedics, Lister Hospital, East and North Hertfordshire NHS Trust, Stevenage, GBR.
Abstract:
Upper limb surgeons frequently encounter complex cases involving the proximal humerus, elbow joint, and proximal forearm, both in trauma and elective practice. Given the diverse pathology in these areas, various surgical approaches have been described, each with its advantages, limitations, and specific patient positioning requirements. We describe an operative technique that modifies the use of an existing, commercially available, dynamic pneumatic limb positioner, the TRIMANO FORTIS® (Arthrex, Maquet GmbH), for open and arthroscopic procedures of the elbow, proximal forearm, midshaft, and distal humerus. This technique offers simplicity, reproducibility, and enhanced surgical efficiency.
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