# Approaching the Humerus, Elbow, and Proximal Forearm Using the Trimano Arm Holder

## TL;DR

This paper introduces a modified surgical technique using a dynamic limb positioner for elbow and upper arm procedures, aiming to improve efficiency and reproducibility.

## Contribution

The novel contribution is a modified surgical technique using the TRIMANO FORTIS® device for elbow and proximal forearm procedures.

## Key findings

- The modified technique simplifies patient positioning for complex upper limb surgeries.
- It enhances surgical efficiency and reproducibility in open and arthroscopic procedures.

## Abstract

Upper limb surgeons frequently encounter complex cases involving the proximal humerus, elbow joint, and proximal forearm, both in trauma and elective practice. Given the diverse pathology in these areas, various surgical approaches have been described, each with its advantages, limitations, and specific patient positioning requirements.

We describe an operative technique that modifies the use of an existing, commercially available, dynamic pneumatic limb positioner, the TRIMANO FORTIS® (Arthrex, Maquet GmbH), for open and arthroscopic procedures of the elbow, proximal forearm, midshaft, and distal humerus. This technique offers simplicity, reproducibility, and enhanced surgical efficiency.