Pediatric lower extremity surgery using a hand table

Operating on the pediatric lower extremity has its own inherent challenges due to the diversity of the problems, the smaller size of the patient, and the often-distorted anatomy associated with congenital malformations. Additional concerns arise with respect to positioning on the operating table to meet the surgeon's comfort, the anesthesiologist's need for proximity, and facility of radiographic imaging. The authors use a standard hand table to ameliorate these additional concerns without allocation of additional hospital resources.