The present inventive subject matter is a device or fixture for positioning, adjusting, and stretching a patients extremity for surgical procedures where alignment is critical and minute adjustments may be required. The device prevents the patients extremity to move once the physician has selected the precise position for the elected procedure, using a combination of an articulating and rotating frame or support plates and support rings attached to the extremity surgical positioning system which acts as a limb splint that firmly attached to the surgical table. The support plates are attached to the patient via a series of adjustable straps preventing the extremity from moving independently of the support plate. A locking rack and gear configuration and a myriad of adjustable locking pivot points positioned along and within the outer/inner proximal tube and outer/inner distal tube to either lengthen or rotate various portions of the extremity.
