Arthroscopy Techniques Achieving Post-Free Distraction in Hip Arthroscopy With a Pink Pad Patient Positioning Device Using Standard Hip Distraction Tables  Robert C. Kollmorgen, D.O., Thomas Ellis, M.D., Brian D. Lewis, M.D., Joshua D. Harris, M.D.  Arthroscopy Techniques  DOI: 10.1016/j.eats.2018.11.013 Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 1 Custom pink pad for the Hana table secured to a Hana table. *Pink pad. Arthroscopy Techniques DOI: (10.1016/j.eats.2018.11.013) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 2 Image of the distal and posterior aspect of the secured pink pad on a Hana table. *Pink pad. The arrow indicates distally and posteriorly that the pink pad is secured with purple Velcro strap. Arthroscopy Techniques DOI: (10.1016/j.eats.2018.11.013) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 3 Image of the small pink pad positioning device fixed on the operative table with the Smith & Nephew distractor attached. The black arrow indicates the distractor, and the asterisk (*) indicates the pink pad attached to the bed distally. Arthroscopy Techniques DOI: (10.1016/j.eats.2018.11.013) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 4 Custom pink pad developed specifically for the Smith & Nephew distractor. A draw sheet, indicated by arrow, is placed on the pad for patient transfer. *Custom designed pad for the Smith & Nephew distractor. Arthroscopy Techniques DOI: (10.1016/j.eats.2018.11.013) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 5 Patient is in the supine position on the Hana table for revision left hip arthroscopy (arrow). The image intensifier (*) is brought in from the contralateral side to verify proper positioning of the operative left hip prior to draw sheet removal and placement in the spars. *C-arm image intensifier. The black arrow indicates the operative left hip. Arthroscopy Techniques DOI: (10.1016/j.eats.2018.11.013) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 6 Patient positioning on the Hana table. The patient is in the supine position on a Hana table for revision left hip arthroscopy. Patient is moved proximally, the draw sheet is removed, and the C-arm used to have a clear anteroposterior x-ray of the operative hip. The draw sheet is removed to maximize the contact between the patient and the pink pad, arrow. *Left hip. The black arrow indicates the contact between the patient and the pink pad. Arthroscopy Techniques DOI: (10.1016/j.eats.2018.11.013) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 7 Final patient positioning using the Smith & Nephew distractor for post-free distraction with the pink pad positioning device. Patient is in the supine position for left hip arthroscopy, the contralateral leg is abducted, and the bed is in 15° of Trendelenburg. * Left hip. The black arrow shows the pink pad positioning device. Arthroscopy Techniques DOI: (10.1016/j.eats.2018.11.013) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 8 Patient is in the supine position for left hip arthroscopy with periacetabular osteotomy. The bed is in 5° of Trendelenburg, legs are adducted, and the draw sheet has been removed for maximum patient contact with the pink pad (black arrow). *Left operative hip. The black dot represents the adducted leg positioning. The black arrow indicates the post-free distraction with the pink pad positioning device. Arthroscopy Techniques DOI: (10.1016/j.eats.2018.11.013) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 9 Patient is positioned using a Smith & Nephew distractor for left hip primary arthroscopy. Once prepped and draped, an arthrogram, using air or saline, is performed to aid in achieving post-free distraction of the hip. The black star indicates the left hip. The black arrow indicates the spinal needle used to perform the arthrogram. Arthroscopy Techniques DOI: (10.1016/j.eats.2018.11.013) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 10 The patient is in the supine position for left hip arthroscopy using a Smith & Nephew hip distractor. Distraction is achieved using the pink pad for postless entry for hip arthroscopy. *Left hip. The black arrow indicates appropriate distraction achieved with the pink pad positioning device. Arthroscopy Techniques DOI: (10.1016/j.eats.2018.11.013) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions