G. Klaud Miller, M.D. Arthroscopy Techniques

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Presentation transcript:

An Inexpensive Support for Prone or Lateral Decubitus Elbow Arthroscopy and Open Elbow Surgery G. Klaud Miller, M.D. Arthroscopy Techniques Volume 6, Issue 4, Pages e1411-e1414 (August 2017) DOI: 10.1016/j.eats.2017.05.022 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 Elbow support fabrication “blueprint.” Arthroscopy Techniques 2017 6, e1411-e1414DOI: (10.1016/j.eats.2017.05.022) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 Parts necessary to construct the elbow support: (A) seven 10-inch-long horizontal pieces for construction of the support; (B) vertical risers (only short and extra large shown); (C) six 90° right angle couplers; and (D) two T couplers. Arthroscopy Techniques 2017 6, e1411-e1414DOI: (10.1016/j.eats.2017.05.022) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 Use the primer first and then cement to assemble the elbow support. Arthroscopy Techniques 2017 6, e1411-e1414DOI: (10.1016/j.eats.2017.05.022) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 4 A standard cast saw can easily cut the PVC pipe without modifications. Arthroscopy Techniques 2017 6, e1411-e1414DOI: (10.1016/j.eats.2017.05.022) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 5 Dry-assemble the parts, make sure that all angles are “square,” and mark alignment (arrows) before cementing the pieces together. Arthroscopy Techniques 2017 6, e1411-e1414DOI: (10.1016/j.eats.2017.05.022) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 6 Use the dauber to apply primer before application of cement. Arthroscopy Techniques 2017 6, e1411-e1414DOI: (10.1016/j.eats.2017.05.022) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 7 A cemented joint after the pieces have been assembled. Arthroscopy Techniques 2017 6, e1411-e1414DOI: (10.1016/j.eats.2017.05.022) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 8 The completed elbow support. Arthroscopy Techniques 2017 6, e1411-e1414DOI: (10.1016/j.eats.2017.05.022) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 9 Completed elbow support with different length vertical risers. Arthroscopy Techniques 2017 6, e1411-e1414DOI: (10.1016/j.eats.2017.05.022) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 10 Support in place under the surgical table mattress with 3 vertical risers of different lengths. Arthroscopy Techniques 2017 6, e1411-e1414DOI: (10.1016/j.eats.2017.05.022) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 11 Prone positioning of a pediatric patient for percutaneous pinning of a supracondylar fracture. Note the easy circumferential access for the image intensifier. Arthroscopy Techniques 2017 6, e1411-e1414DOI: (10.1016/j.eats.2017.05.022) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions