The Orthopedic section within the Operative Care Line at the Michael E. DeBakey VA Medical Center requests purchase of a De Mayo Adapt2Fit Modular Knee Positioner. The device is intended to support orthopedic surgical services by improving lower-extremity stabilization during procedures such as total knee arthroplasty, ACL reconstruction, patellar realignment, tendon repairs, and complex fracture fixation. Expected benefits include enhanced patient safety, surgical efficiency, and clinical outcomes.