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Positioning for Orthopaedic Trauma Surgery.

When time is of the essence, Surgeon’s need a consistent patient positioning approach that provides an effective working surface to optimize operative exposure, patient safety, and enable the ability to deploy imaging as quickly as possible.

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Trauma Solutions
Lower Extremity
Upper Extremity
Torso

Practical Solutions for Lower Extremity Trauma Positioning:
A Review of Anterior, Lateral, and Posterior Procedures

Lower extremity fractures can occur in the foot, femur, tibia, and fibula, but the most common fractures are to the ankle. Approximately 300,000 ankle fractures occur annually in the US with 25% of these requiring surgery.  Makeshift positioning approaches can be unstable and change shape during the procedure. BoneFoam Positioning Solutions provide a consistent approach and a stable working surface.

trauma lower extremity problem state
Supine
Lateral
Prone
Most common position to treat lower extremity fractures.

BoneFoam Lower Extremity Solutions

Surgical Leg Elevators

The Ramp elevates the injured leg and creates a stable operative platform above the non-operative leg.
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Post-operative Leg Elevator

Post-operatively the Edema Reduction Leg Elevator (ERLE) elevates and cradles the leg above the level of the heart.
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The Gully™ System

When irrigation and debridement is necessary, The Gully™ System offers a faster, safer, and cleaner approach to extremity washouts.
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Extremity Holder

The BoneFoam Extremity Holder positions the limb for accessing the foot or the hand.
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Knee Wedge Positioner

Provides a stable support for the knee in either an acute or obtuse angle during tibial nailing or retrograde femoral nailing.
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The Lateral decubitus position is useful for treating several traumatic injuries such as calcaneus and acetabulum fractures. In this position, it is necessary to provide a stable surface for surgical access to the operative leg while protecting the contralateral leg.

BoneFoam Lower Extremity Solutions

Lateral Leg Tunnel

Designed to create a strong, stable operating surface while protecting the down leg in the lateral position.
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Lateral Decubitus Arm & Torso Stabilizer

Prevents the patient from rolling anteriorly and provides easy access to IV lines and other anesthesia leads.
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The prone position can also be utilized for treating ankle fractures depending on the fracture pattern.  It is necessary to enable radiologic and surgical access to the operative leg while protecting the contralateral leg.

BoneFoam Lower Extremity Solutions

Prone Leg Elevator Ramp

Elevates the operative ankle above the contralateral side to support surgical and radiological access while the down leg is stabilized and protected with an integrated bolster.
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Prone Positioning System

As surgical techniques evolve, the prone position is being used more frequently to facilitate surgical access.
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Practical Solutions for Upper Extremity Trauma Surgeries

For fractures of the distal humerus, articular surfaces of the elbow and olecranon, the operative elbow flexion varies from 20-30 degrees to 90 degrees. The BoneFoam Upper Extremity solutions facilitate supporting the patient in the lateral decubitus position while providing a stable surgical surface for the elbow and protecting the down arm.

trauma upper extremity problem state

BoneFoam Upper Extremity Solutions

Upper Extremity Block

Position the elbow in a flexed position up to 90 degrees and gives the surgeon the ability to range the elbow 0-90 during the procedure.
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Upper Extremity Wedges

Creating a stable surgical platform is essential for operating on complex elbow fractures of the distal humerus, articular surfaces of the elbow, and olecranon.
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Single Arm Support

Protect the arm while creating space on the operative side of the table.
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Practical Solutions for Iliosacral Trauma Surgeries

Fixation of sacral fractures or sacro-iliac joint disruptions often require screw placements.

trauma torso problem state

BoneFoam Torso Solutions

Pelvis Raising Operative Positioner (PROP)

Elevate the pelvis off of the table to provide access for iliosacral screw placement.
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Lateral Wedges

Enable semi-lateral position stability anywhere between 20-45 degrees.
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