Fig 1.

(A) Universal Medical head positioner pad repurposed to extend the traction distance for hip arthroscopy in the supine position. (B) Preparation for right hip arthroscopy in a tall patient in the supine position on the hip distraction system without the padding extension. The traction distance is limited by the length constraint of the distraction system, Active Heel Traction Boot, and hip distraction system. (C) Foam extension pad placement for a patient undergoing hip arthroscopy in the supine position. The pad's concave side is adjacent to the curvature of the perineal post. The pad is 10 cm wide when uncompressed and 2 inches when compressed by the patient. (D) The supine patient is positioned against the extension pad along the perineal post. This will extend the traction distance by 5 cm as the right hip is being distracted.