the present inventive subject matter is the method of use as well as a device or fixture for positioning and manipulating a patient &# 39 ; s lower extremity for surgical and diagnostic procedures where alignment is critical and minute adjustments may be required . once firmly attached to the operating table , the device prevents the patient &# 39 ; s extremity from moving after the physician has selected the precise position for the elected procedure . this is achieved by a combination of a fracture reduction plate , posts , shimming blocks and an articulating and rotating frame or cradle with an adjustable and lockable rack and gear configuration and pivot joints attached to a foot assembly which acts as a leg and foot splint . the cradle is attached to the patient via a series of adjustable straps preventing the extremity from moving independently of the cradle .