Surgical table and accessories to facilitate hip arthroscopy
A system includes a surgical table, a pad disposed on a table portion of the surgical table, and a leg distraction unit configured for modular attachment to the surgical table, the leg distraction unit configured to apply a distraction force to a leg of the patient while the patient is positioned on the pad and the table portion is tilted so that the patient's head is below the patient's hip, wherein the table portion is capable of tilting to a tilt angle in which the distraction force applied to the leg of the patient is counteracted by a combination of a friction force provided by the pad and a force of gravity from the patient being tilted so that the patient is kept from sliding in a direction of the distraction force.
1 . A distraction system for removably mounting to a surgical table having a table portion and a table base portion so that the distraction system can be selectively used with the surgical table, the distraction system comprising:
a mounting portion configured to be selectively connected to the table base portion for removably mounting the distraction system to the table base portion such that the distraction system can be connected to the table base portion for use in a procedure requiring distraction and disconnected from the table base portion for a procedure in which distraction is not required;
a pair of arms rotatably connected to the mounting portion at a proximal end portion of each arm, wherein each arm independently rotates about an associated vertically oriented axis to provide for hip adduction and abduction of a leg of a patient; and
a pair of telescopically adjustable support posts, each extending upwardly from a corresponding one of the pair of arms.
2 . The distraction system of claim 1 , comprising adjustable locking mechanisms for securing the mounting portion to the table base portion.
3 . The distraction system of claim 2 , wherein the adjustable locking mechanisms are interchangeable with at least one other type of adjustable locking mechanism configured for securing the mounting portion to a different table base portion.
4 . The distraction system of claim 1 , comprising a pair of linear adjusters, wherein each linear adjuster is attached to a corresponding one of the pair of arms.
5 . The distraction system of claim 4 , wherein at least one linear adjuster of the pair of linear adjusters comprises a linear bearing.
6 . The distraction system of claim 5 , wherein the linear bearing comprises a locking linear slide.
7 . The distraction system of claim 6 , wherein the locking linear slide is configured to pull a patient restraint away from the surgical table to distract the leg of the patient.
8 . The distraction system of claim 7 , wherein the patient restraint comprises a foot support.
9 . The distraction system of claim 5 , wherein the linear bearing comprises a telescoping linear slide.
10 . The distraction system of claim 4 , wherein each telescopically adjustable support post is connected to a corresponding one of the pair of arms by a corresponding one of the pair of linear adjusters.
11 . The distraction system of claim 10 , wherein a telescoping feature of at least one telescopically adjustable support post is located on an upper portion of the at least one telescopically adjustable support post above the corresponding linear adjuster.
12 . The distraction system of claim 10 , wherein a telescoping feature of at least one telescopically adjustable support post is located on a lower portion of the at least one telescopically adjustable support post below the corresponding linear adjuster.
13 . The distraction system of claim 1 , wherein the pair of telescopically adjustable support posts each extend downwardly from a corresponding one of the pair of arms.
14 . The distraction system of claim 1 , wherein the telescopically adjustable support posts comprise locking casters.
15 . The distraction system of claim 1 , wherein the telescopically adjustable support posts comprise leveling casters.
16 . The distraction system of claim 1 , wherein the telescopically adjustable support posts comprise mounts for attaching surgical equipment.
17 . A method for distracting a leg of a patient, the method comprising:
mounting a distraction system to a base portion of a surgical table;
positioning a patient partially on a table portion of the surgical table;
supporting legs of the patient by the distraction system, the distraction system comprising:
a mounting portion configured to be selectively connected to the table base portion for removably mounting the distraction system to the table base portion such that the distraction system can be connected to the table base portion for use in a procedure requiring distraction and disconnected from the table base portion for a procedure in which distraction is not required;
a pair of arms rotatably connected to the mounting portion at a proximal end portion of each arm, wherein each arm independently rotates about an associated vertically oriented axis to provide for hip adduction and abduction of the leg of the patient, and
a pair of telescopically adjustable support posts, each extending upwardly from a corresponding one of the pair of arms; and
distracting at least one leg of the patient using the distraction system.
18 . The method of claim 17 , comprising adjusting a position of at least one of the pair of arms using a linear adjuster attached to a corresponding one of the pair of arms.
19 . The method of claim 18 , wherein the linear adjuster comprises a linear bearing.
20 . The method of claim 19 , wherein the linear bearing comprises a locking linear slide.
21 . The method of claim 20 , wherein distracting at least one leg of the patient using the distraction system comprises pulling a patient restraint away from the surgical table using the locking linear slide.
22 . The method of claim 21 , wherein the patient restraint comprises a foot support.