Innovative Orthopedic Technologies | PURIST & ARCH POSITIONING SYSTEMS

ARCH

The ARCH Leg Positioning System (also known as the ARCH table) has been used in the US since 2006 to assist with direct anterior hip replacement and femoral fractures. The free-standing design allows quick set-up and easy C-arm access with any OR table.

The ARCH table (also known as the ARCH table extension) is a great alternative to a full size fracture table like the MIzuho OSI Hana Table. It can be used for anterior approach total hip arthroplasty (AATHA), as well as femoral fractures (Intramedullary nailings).

Overview

A leading solution for surgical access to the anterior hip, the ARCH Leg Positioning System (also known as the ARCH table) has been used in the US since 2006 to assist with direct anterior hip replacement and femoral fractures. The free-standing design allows quick set-up and easy C-arm access with any OR table. The system consists of a patented arch-shaped leg-positioning track with incremental angle and traction control.

The ARCH can improve surgical accuracy, repeatability, and efficiency.

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Features

This images shows the many positioning options available for the ARCH. The hip joint is the located at the spherical center of the C-Arc, allowing for limb manipulation without adding traction.

Wide variety of positioning options

The rotating arc-shaped leg positioning track provides many options when positioning the operative leg.

*Position shown for left anterior THR


Setup for femoral fractures

The ARCH can be used for femoral fractures by turning the arc-shaped track sideways with both traction boots facing upward.

In the model above, the ARCH table is shown setup for femoral fractures. In this configuration, the C-Arm has plenty of room to maneuver around the device and general surgery table, allowing for x-ray visualization from almost all sides.

The ARCH provides simplified room flipping and operational flexibility.

OR friendly design

The opposite leg holder, perineal operative post and other IOT accessories can be stored on the side rails of the ARCH for simplified setup and efficiency.


Videos


Testimonials

"Having used both the Hana table and the ARCH table for Direct anterior hip replacement I can honestly say the ARCH table is a huge step in the right direction. I find the positioning of the leg reproducible and precise regardless of who is designated to move the leg. With an appropriate proximal femoral release I have no issues with femoral elevation and It is also technically easier for assistants to manipulate the leg as the table compartmentalizes each individual movement. To make this more effective yet, the addition of the MP XRAYCER makes sure you leave the OR 100% confident in your implant positioning, alignment, and leg lengths"

Austin McPhilamy, MD War Memorial Hospital Sault Ste. Marie, MI USA


“I prefer the ARCH to the Hana/ProFix table because it provides precise and graduated positioning. I can always return to any previous position and know exactly where I am (degrees of rotation, flexion/extension, adduction, traction).”

Steven L. Myerthall, MD The CORE Institute Gilbert, AZ USA


“The ARCH provides controlled and repeatable movement of the leg. Femoral elevation is achieved automatically by the counter lever effect of the edge of the table when dropping the leg during femoral preparation.”

Stefan Kreuzer, MD (Designing Surgeon and Founder of IOT) INOV8 Orthopedics Houston, TX USA


“I have been using both Hana tables as well as ARCH Leg Positioning Systems for several years now. Both systems work well in my experience. We decided to purchase the new ARCH Leg Positioning System for our ASC because of its space saving footprint and easy handling.”

David R. Whiddon, MD Longleaf Surgery Center Trinity, FL USA


“We had three hips done by 2pm. Having a slight delay on the fourth as the patient had to go to X-ray. Having the two Arch Tables has saved us two hours.”

Gregory William Brick, MBCHB Brigham and Women’s Hospital Boston, MA USA


“I am using an ARCH and a Hana table at the hospital and an ARCH at the surgical center. I consistently achieve better femoral exposure with the ARCH using the edge of the OR table levering up the femur vs using a hook. The ARCH offers more reproducible positioning of the limb; it is more cost effective than the Hana table and certainly easier to set up.”

Joseph P. Nessler, MD St. Cloud Hospital and St. Cloud Surgical Center St. Cloud, MN USA


“We have been using two ARCH tables for several years now with great success. We have performed over 500 DAA's of several different brand hips in this time. In our experience, because of its sturdy design, the ARCH system proved to be very reliable.”

Paul Maitino, DO FAOAO Joint Reconstructive Specialists, Inc. Oklahoma City, OK USA