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Surgeons

Hear from the experts

Join the growing group of direct anterior specialists who rely on the PURIST and ARCH for better surgical control.

ARCH IOT Innovative Orthopedic Technologies

Steven L. Myerthall, MD

“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

PURIST IOT Innovative Orthopedic Technologies

David R. Dietrich, MD

"I have been using the PURIST leg positioning system for the past few years at both hospitals in our community. I routinely do my total hips DA, and the PURIST is my preferred means of positioning.  Use of the PURIST is quick and easy, and it has a very small footprint which makes for expeditious room set-up and turnover.  I have used other positioning devices, including having extensive experience with the ARCH system.  After using the PURIST, I am spoiled.  It is simple, reliable, and in my opinion, indispensable for efficient OR work flow."

David R. Dietrich, MD
Gulf Coast Regional Medical Center, Panama City, FL, USA

PURIST IOT Leg Positioning System

Kevin M. Lee, MD

“The PURIST leg positioner for anterior hip surgery is an effective alternative to bigger, more expensive fracture tables.  It is small in size and doesn’t take up much floor space and can work with any standard operating table.  Setting up the table is easy and easily taught. X-ray and fluoro are easy to obtain with no obstruction.  Working the leg positioner can be taught easily to OR personnel and executed by them safely. Exposure to the hip is equivalent with other systems.  I believe the cost of the positioner is much lower than self-standing traction tables making it a more feasible option for smaller, lower volume hospitals or surgery centers.”

Kevin M. Lee, MD
Teton Valley Health Care 
Driggs, ID, USA

ARCH IOT Leg Positioning System

Austin McPhilamy, MD

"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

ARCH for measurable, reproducible positioning

Joseph P. Nessler, MD

“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

PURIST for measurable, reproducible positioning

Craig Waller, MD

“The PURIST is a dynamic, streamlined traction device that gives the user positive usable feedback while being simple and easy to use.”

Craig Waller, MD
Macquarie University Clinic, 
Macquarie University, NSW, Australia

ARCH for DAA

David R. Whiddon, MD

“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

PURIST for measurable, reproducible positioning

Dr. Laurent Clairbois

“In our test of the PURIST Leg Positioning System, we like its compact design that is compatible with any OR table and completely free standing. The PURIST is easy to operate by an OR nurse after a short 2 minute instruction. The device achieves all necessary leg positions easily and reproducibly.

Dr. Laurent Clairbois
Clinique Saint-Pierre , Ottignies, 
Belgium

ARCH Orthopedic Leg Positioning System

Gregory William Brick, MBCHB

“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

ARCH Orthopedic Leg Positioning System

Stefan Kreuzer, MD

“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

ARCH Leg Positioning System for DAA

Ramy Kurdi, DO

“I have been using the ARCH table for over 4 years and successfully performed hundreds of total hip replacements using the direct anterior approach.

I have the luxury of choosing between different tables at my hospital and I choose the ARCH every time because of its ease of use. With a detachable bump as a fulcrum under the proximal femur that attaches to nearly any table, the ARCH provides a better presentation of the femur for both total and hemi-arthroplasty of hip.  The table is easily stored and used in smaller OR rooms, and is a fraction of the cost of other well-known tables, at a fraction of the size.

There is no other table I would choose for arthroplasty using direct anterior approach to the hip, or for femoral fractures, and I recommend the ARCH table without reservation.”

Ramy Kurdi, DO
Memorial Healthcare, 
Owosso, Michigan, USA

PURIST Orthopedic Leg Positioning System

Stefan Kreuzer, MD

“The next-generation leg positioning device is designed to boost efficiency and surgeon control throughout the anterior THR procedure. The PURIST does everything I need it to do for my anterior hip surgeries and it does it in a very elegant and efficient way.”

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Paul Maitino, DO FAOAO

“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

Unleash your surgical genius 

Surgical Videos

Learn how leading DAA experts are using IOT Leg Positioning Systems in the OR. 

Surgical Pearls - Dr. Kreuzer
Play Video

Surgical Pearls - Dr. Kreuzer
Dr. Stefan Kreuzer (Houston, TX) walks through his femoral exposure procedure and femoral implant installation using the PURIST. 
Duration: 07.52

Surgical - Dr. Cooke
Dr. Cameron Cooke (Brisbane, Australia) shares his experience and covers every step of his anterior THA technique using the PURIST.
Duration: 23:15