Lower Leg Stirrups | Lecture Note

University:
The University Of Western Ontario
Course:
Biology 2290F | Scientific Method in Biology
Academic year:

2022
Views:

76

Pages:

3
Author:

Kyuwon J.

Candy Cane stirrups ● Leg supportive device ○ Could be used for surgery ○ Hold patient's lower limb, make it stable ○ Securing legs and ankles ● Common gynecologic urologic ● Correctional surgeries ○ Perineal /pelvic access is possible with this stirrup ○ elevated , abduction position of the leg ○ Used for accessing vaginal, rectal regions if possible(if needed) ● Advantage ○ Simple in design, easy to apply ○ light weight + easy setup ○ Leg is secure and accessible with elevated positions ● Disadvantage ○ Pressure point focuses on calf due to straps ■ Risk in nerve compression ■ Peroneal nerve injury ○ Less support compared to boot stirrup ■ More risk in compartment syndrome if this posture continues on for duration of time ○ Limited adjustability especially in hip and knee Boot Stirrups ● Boot shaped leg support ● Enclosure of whole ankle ● Adjustable support along lower legs ● Gynecologic, urologic surgeries ○ Similar to candy cane stirrups ○ Suited for longer procedures ○ Stability and comfort is essential ○ Better control of hip flexion, abduction + rotation ● Advantage ○ Even weight distributions ○ Safer for long duration case ■ Lower risk of compartment syndrome ○ Foot and leg well secured ■ Minimization on unintended movements ● Disadventage ○ Builder equipment ■ More expensive ○ Still cause never compression if not padded ○ Tight straps may impair circulation ● Must have adequate padding under calf surrounding the boot to reduce risk of neuropathy Feature Candy Cane Stirrups Boot Stirrups (Yellofins) Design Simple pole (“candy cane”) with foot Boot-shaped cradle enclosing foot straps & calf Support Localized at ankle & calf (straps) Distributed along foot, ankle, and calf Adjustability Limited control of hip/knee flexion & abduction Highly adjustable: hip flexion, knee flexion, abduction, rotation Setup Simple, quick, lightweight Bulkier, more complex, more costly Procedure Duration Suitable for short cases Suitable for long cases (>2–3 hrs) Advantages Quick to set up, accessible, lightweight Even weight distribution, stable, safer for long surgeries Disadvantages / Risks Higher risk of nerve compression (peroneal), compartment syndrome, less stable Bulkier, expensive, still risk of nerve compression if not padded Best Use Short gynecologic/urologic/colorectal cases with minimal time in lithotomy Longer gynecologic/urologic/colorectal cases requiring stability & adjustability