Simple 1-Step Ankle Arthroscopy Distraction Alicia Unangst, O.M.S. IV, MC, USA, Kevin D. Martin, D.O., MC, USA  Arthroscopy Techniques  Volume 4, Issue 6, Pages e873-e876 (December 2015) DOI: 10.1016/j.eats.2015.08.017 Copyright © 2016 Terms and Conditions

Fig 1 Right anterior ankle arthroscopy setup before sterile field application with the patient supine and the external positioning arm (Spider) on the ipsilateral side on the most distal portion of main bed frame. The photograph highlights the simple setup for anterior ankle arthroscopy, with the external positioning arm attached to the main bedrail, allowing for ample distraction as well as correct patient setup before the surgical approach. Arthroscopy Techniques 2015 4, e873-e876DOI: (10.1016/j.eats.2015.08.017) Copyright © 2016 Terms and Conditions

Fig 2 Standard anterior ankle arthroscopy sterile setup with the patient supine and with the external positioning arm (Spider) in place. The patient is prepared and an ipsilateral hip bump is placed before setup. Sterile towels are then placed beneath the tibia to be used as a fulcrum when needed. The patient is marked appropriately for the procedure; our port sites are also marked. The photograph shows the incorporation of the standard ankle strap (Arthrex), which is placed around the ankle with the padded portion on the dorsum of the foot and with a sterile camera sheath (3M Steri-Drape, 13 cm × 244 cm) in place over the external positioning arm. Once the ankle strap is placed over the ankle and external positioning arm as shown, the operating surgeon can apply ample traction when needed. Arthroscopy Techniques 2015 4, e873-e876DOI: (10.1016/j.eats.2015.08.017) Copyright © 2016 Terms and Conditions

Fig 3 Standard prone posterior ankle arthroscopy sterile setup with the external positioning arm (Spider) in place. The patient is in the prone position with a bump under the ipsilateral hip to help with proper alignment. Sterile towels are placed underneath the tibia to be used as a fulcrum. As shown, the ankle is marked to indicate the correct procedure and the locations for port placement. The setup shows the incorporation of the standard ankle strap (Arthrex), with the padded portion placed around the calcaneus and a sterile camera sheath in place. Arthroscopy Techniques 2015 4, e873-e876DOI: (10.1016/j.eats.2015.08.017) Copyright © 2016 Terms and Conditions