The fracture table as a distraction mode in ankle arthroscopy

Adequate distraction can be obtained in ankle arthroscopy by placing a Steinmann pin transversely in the calcaneus and using the fracture table in a hip or tibial nailing mode. A sterile traction bow is attached to the calcaneal pin and then to the traction crank apparatus of the fracture table. Gross traction is first applied through the leg in the usual manner and then fine traction tension may be increased or decreased intraoperatively through the traction crank. This method of using the fracture table is easy to perform and is familiar to the orthopaedist, as it is used in intramedullary nailing procedures. The primary advantage is that it allows for excellent exposure while avoiding the morbidity associated with a distraction pin through the distal tibia.