The present inventive subject matter is the method of use as well as a device or fixture for positioning and manipulating a patients 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 patients 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.
