INSTRUCTIONS FOR USE
d. Ensure patient's heels are securely seated in the heels of the boots.
e. Observe
following
regarding proper initial leg flexion:
When using low lithotomy, take care
•
not to hyperextend the leg while
achieving desired abduction.
When using medium or high lithotomy,
•
use minimal initial leg flexion and
abduction as both will increase as legs
are raised.
f. The ankle, knee and opposing shoulder
should be maintained in a relatively
straight-line during positioning.
that, for a typical patient, the thigh and
foot are abducted at approximately the
same angle.
g. To fine tune boot position and flexion, support boot heel with one hand and,
with the other, loosen boot-clamping mechanism roughly ¼ turn. Use both
hands to support and adjust boot to desired position. Tighten clamping
mechanism securely.
WARNING: Additional positioning devices should be used when using
the stirrup in Trendelenburg or reverse Trendelenburg.
h. Perform a final check to ensure that the patient's heels are properly seated in
the heels of the boots and that there are no pressure points on the calf. The leg
must be centered in the boot to eliminate pressure on the peroneal nerve. Close
boot pad.
i.
Place an Allen Safety Drape over each leg to permit continuous monitoring of
leg position during procedure.
Document Number: 80028130
Version: B
general
guidelines
Notice
Page 16
Issue Date: 06 MAR 2020
Ref Blank Template: Ver. F