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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.
Cureus
|May 24, 2024
Summary
This study presents a modified technique using the TRIMANO FORTIS® limb positioner for complex upper limb surgeries. The method enhances surgical efficiency and reproducibility for elbow and humerus procedures.
Area of Science:
- Orthopedic Surgery
- Upper Limb Procedures
Background:
- Complex cases of the proximal humerus, elbow, and proximal forearm are common in trauma and elective orthopedic surgery.
- Existing surgical approaches have varied advantages, limitations, and patient positioning needs.
Purpose of the Study:
- To describe a modified operative technique utilizing the TRIMANO FORTIS® dynamic pneumatic limb positioner.
- To enhance surgical efficiency and reproducibility for procedures involving the elbow, proximal forearm, and humerus.
Main Methods:
- Modification and application of a commercially available dynamic pneumatic limb positioner (TRIMANO FORTIS®).
- Technique applicable to both open and arthroscopic procedures.
- Focus on procedures of the elbow, proximal forearm, midshaft, and distal humerus.
Main Results:
- The described technique offers simplicity and reproducibility.
- Enhanced surgical efficiency was observed.
- The modified use of the TRIMANO FORTIS® is suitable for a range of upper limb pathologies.
Conclusions:
- The modified TRIMANO FORTIS® technique provides a valuable addition to the surgical armamentarium for complex upper limb conditions.
- This approach simplifies patient positioning and improves operative workflow.
- The technique is adaptable for both open and arthroscopic interventions in the specified anatomical regions.
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