{"title":"View All","description":"","products":[{"product_id":"tibial-fracture-locked-plate-technique","title":"Fratura Distal da Tíbia - Tratamento com Placa Bloqueada","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the treatment of tibial shaft fractures. This training offers a technical immersion in \u003cb\u003elocked plate osteosynthesis\u003c\/b\u003e via a \u003cb\u003eminimally invasive approach\u003c\/b\u003e, presented with a focus on \u003cb\u003eanatomic reduction\u003c\/b\u003e and \u003cb\u003estable fixation\u003c\/b\u003e.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eSurgical treatment of tibial shaft fractures with long oblique and spiral patterns.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eUtilization of an \u003cb\u003eanatomic locked plate\u003c\/b\u003e.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003eMinimally invasive approach\u003c\/b\u003e.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePreliminary and final \u003cb\u003epercutaneous reduction\u003c\/b\u003e.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003eOsteosynthesis optimization\u003c\/b\u003e.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Preoperative Planning\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Evaluation of tibial shaft fractures and associated fibular fractures using X-ray and computed tomography for precise planning.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMinimally Invasive Access\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Creation of skin portals guided by a surgical marker and image intensifier for the introduction of percutaneous reduction clamps.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eSafe Percutaneous Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Methodology for achieving preliminary and final \u003cb\u003epercutaneous reduction\u003c\/b\u003e with reduction clamps, including ankle traction and rotational maneuvers, monitored by image intensifier.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTunnel Creation and Plate Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Technique for creating a submuscular tunnel with a long dissector, guided by palpation, for the introduction of the \u003cb\u003eanatomic locked plate\u003c\/b\u003e which already possesses pre-fabricated anatomic curvature.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDefinitive Fixation and Osteosynthesis Optimization\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Procedure for drilling and inserting distal screws into the \u003cb\u003edistal tibia\u003c\/b\u003e, with the plate positioned flush to the bone to avoid medial malleolus irritation. Insertion of an additional screw near the fracture site to optimize energy distribution and balance the osteosynthesis. \u003c\/span\u003eFinalization with proximal screws.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComprehensive Final Assessment\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Confirmation of \u003cb\u003eanatomic reduction\u003c\/b\u003e, sufficient number of screws, adequate positioning of the long plate, relative stability, and maintenance of external rotation similar to the contralateral side.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComplete Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Step-by-step guide to the entire procedure, from patient positioning to surgical closure.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eAprimore suas habilidades em cirurgia de trauma. Inscreva-se agora e domine técnicas avançadas no tratamento de fraturas do eixo tibial.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55255333568881,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturadoTercoDistaldaTibia-TratamentocomPlacaBloqueada_result_390c9e29-9c80-47b5-b8a2-17f88f648742.webp?v=1783447999"},{"product_id":"4-diafise-da-tibia","title":"Distal Third Tibia Fracture - Treatment with Locking Plate","description":"\u003cdiv class=\"SCXW72028098 BCX0\"\u003e\u003cdiv class=\"OutlineElement Ltr SCXW72028098 BCX0\"\u003e\n\u003cp\u003eMaster the treatment of diaphyseal tibial fractures. This training offers a technical immersion in locked plate osteosynthesis via a minimally invasive approach, presented with a focus on anatomical reduction and stable fixation.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical treatment of diaphyseal tibial fractures with long oblique and spiral patterns.\u003c\/li\u003e\n\u003cli\u003eUse of locked anatomical plate.\u003c\/li\u003e\n\u003cli\u003eMinimally invasive approach.\u003c\/li\u003e\n\u003cli\u003ePreliminary and final percutaneous reduction.\u003c\/li\u003e\n\u003cli\u003eOptimization of osteosynthesis.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Preoperative Planning:\u003c\/strong\u003e Assessment of diaphyseal tibial fractures and associated fibula fractures through X-ray and computed tomography for precise planning.\u003c\/li\u003e\u003cli\u003e\n\u003cstrong\u003eMinimally Invasive Access:\u003c\/strong\u003e Creation of access portals in the skin guided by a dermographic pen and image intensifier for the introduction of percutaneous reduction clamps.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSafe Percutaneous Reduction:\u003c\/strong\u003e Methodology for obtaining preliminary and final percutaneous reduction with reduction clamps, including traction and rotation maneuvers of the ankle, accompanied by an image intensifier.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eTunnel Creation and Plate Insertion:\u003c\/strong\u003e Technique for creating a submuscular tunnel with a long dissector, guided by palpation, for the introduction of the anatomically pre-twisted locked plate.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDefinitive Fixation and Optimization of Osteosynthesis:\u003c\/strong\u003e Procedure for drilling and inserting distal screws in the distal third of the tibia, with the plate positioned snugly against the bone to avoid irritation of the medial malleolus.Insertion of an additional screw near the fracture focus to optimize energy distribution and balance the osteosynthesis. Finalization with proximal screws.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eComprehensive Final Assessment:\u003c\/strong\u003e Confirmation of anatomical reduction, sufficient number of screws, proper positioning of the long plate, relative stability, and maintenance of external rotation similar to the contralateral side.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eComplete Technical PDF:\u003c\/strong\u003e Step-by-step guide of the procedure, from patient positioning to surgical closure.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in trauma surgery. Enroll now and master advanced techniques in the treatment of diaphyseal tibia fractures.\u003c!-- notionvc: b41be7e1-f0e1-485c-8be9-e2471252503b --\u003e\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55255335240049,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturadoTercoDistaldaTibia-TratamentocomPlacaBloqueada_result.webp?v=1782475616"},{"product_id":"fratura-diafisaria-distal-de-tibia-via-haste-intramedular-com-acesso-suprapatelar","title":"Distal Tibial Shaft Fracture via Intramedullary Nail with Suprapatellar Approach","description":"\u003cp\u003eEnhance your skills in the treatment of distal diaphyseal tibial fractures, especially in elderly patients, aiming for early rehabilitation and ambulation. This training offers a technical immersion in intramedullary nail osteosynthesis with a suprapatellar portal, optimizing alignment and minimizing invasiveness.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eTreatment of distal diaphyseal tibial fractures in elderly patients.\u003c\/li\u003e\n\u003cli\u003eIntramedullary nail fixation.\u003c\/li\u003e\n\u003cli\u003eSuprapatellar access technique.\u003c\/li\u003e\n\u003cli\u003eOptimization of alignment and stability for early rehabilitation.\u003c\/li\u003e\n\u003cli\u003eMinimization of invasiveness and protection of soft tissues.\u003c\/li\u003e\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eStrategic Patient Positioning:\u003c\/strong\u003e Methodology for positioning with the knee in semi-flexion and alignment of the diaphysis guided by palpation of the tibial crest, crucial to avoid complications with the soft tissues.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Creation of the Suprapatellar Portal:\u003c\/strong\u003e Skin marking techniques and access with an electric scalpel, positioned in the lower region, near the trochlea and the apex of the patella, using a protective sleeve to preserve the articular cartilage.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Angle of Attack:\u003c\/strong\u003e Benefits of suprapatellar access for a superior angle of attack, facilitating the passage of the guide wire and milling with greater comfort and ease.\u003c\/li\u003e\u003cli\u003e\n\u003cstrong\u003eReduction and Insertion of the Guide Wire:\u003c\/strong\u003e Methodology for percutaneous reduction with forceps, with progression of the olive guide wire and verification of its centralization in the AP and lateral views, aiming at the center of the ankle.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMilling and Introduction of the Intramedullary Rod:\u003c\/strong\u003e Milling techniques to widen the medullary canal and introduction of a larger diameter rod, maintaining the protective sleeve and safeguarding the articular cartilage.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eProximal and Distal Blocking:\u003c\/strong\u003e Execution of proximal blocking percutaneously with the patient keeping the leg in a stable position, and \"free-hand\" technique for the distal locking screws, with precise skin marking to avoid friction with soft tissues.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptional Fixation of the Fibula:\u003c\/strong\u003e Indication and technique for fibula fixation with TEN rod in distal fractures to optimize stability and allow early loading and ambulation.\u003c\/li\u003e\u003cli\u003e\n\u003cstrong\u003eClosure and Rehabilitation:\u003c\/strong\u003e skin closure and rehabilitation that allows for full weight-bearing ambulation and a favorable prognosis.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eComplete Technical PDF:\u003c\/strong\u003e A complete step-by-step of the procedure, from patient positioning to surgical closure.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eElevate your level in trauma surgery. Enroll now and master the technique of distal tibial diaphyseal fracture fixation with intramedullary nail via suprapatellar access, optimizing outcomes and rehabilitation.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: f2d2afed-bda4-49c5-80d9-10bf3a64558a --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55291210858865,"sku":"","price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaDiafisariaDistaldeTibiaviaHasteIntramedularcomAcessoSuprapatelar_result.webp?v=1782473125"},{"product_id":"fratura-diafisaria-do-umero-tratamento-com-haste-intramedular","title":"Diaphyseal Humerus Fracture - Treatment with Intramedullary Nail","description":"\u003cp\u003eMaster the treatment of diaphyseal humeral fractures. This training offers a technical immersion in osteosynthesis with intramedullary nails, covering everything from planning to advanced reduction and locking maneuvers, to optimize your surgical outcomes.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eTreatment of diaphyseal humeral fractures.\u003c\/li\u003e\n\u003cli\u003eIntramedullary nail fixation technique.\u003c\/li\u003e\n\u003cli\u003eUse of Kirschner wire as a \"joystick\" for manipulation of the proximal fragment.\u003c\/li\u003e\n\u003cli\u003ePrecise measurement of the nail and considerations regarding the tapering of the medullary canal.\u003c\/li\u003e\n\u003cli\u003ePerforming proximal and distal locks, focusing on the high difficulty of the distal lock.\u003c\/li\u003e\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eInitial Assessment and Marking:\u003c\/strong\u003e Learn to delineate the long axis of the humerus and identify the deformity and exact location of the fracture, using a dermographic pen for precise surgical planning.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCreation of Aligned Access Portal:\u003c\/strong\u003e Master the technique of creating an access portal aligned with the diaphysis and the rotator cuff, with special attention to incisions along the direction of the fibers to avoid injuries and the need for future repair.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eManipulation of the Proximal Fragment with Kirschner Wire (\"Joystick\"):\u003c\/strong\u003e Understand how to use a 3.0mm or 2.0mm Kirschner wire as a \"joystick\" to assist in the adduction and correction of the rotation of the upper fragment, exposing the entry point and facilitating a precise entry angle at the transition between the greater tuberosity and the humeral head.\u003c\/li\u003e\u003cli\u003e\n\u003cstrong\u003eOptimized Entry Point:\u003c\/strong\u003e Learn how to direct the introduction of the guide wire predominantly at the humeral head, avoiding the tubercle-head transition to prevent fractures of the greater tuberosity during the widening of the entry point.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAccurate Radiographic Assessment of the Entry Point:\u003c\/strong\u003e Learn how to perform the radiographic assessment of the entry point directly with the \"joystick\" in anteroposterior and lateral views, ensuring precise visualization of the free proximal fragment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMeasurement and Insertion of the Intramedullary Rod:\u003c\/strong\u003e Develop the skill to measure the intramedullary rod accurately, considering the triangular tapering of the medullary canal to avoid protrusions and optimize the fit of the implant.\u003c\/li\u003e\u003cli\u003e\n\u003cstrong\u003eProximal Blocking Techniques:\u003c\/strong\u003e Master the creation of proximal blocks, using oblique screws directed to the humeral calcar to ensure the fixation of the stem.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eHigh Difficulty Distal Blocking:\u003c\/strong\u003e Delve into the freehand distal blocking technique, a challenging procedure due to the triangular anatomy of the distal humerus. Understand the importance of using a sharp-tipped drill to avoid slippage and ensure the precision of the one-centimeter incision.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eClosure and Post-operative Results:\u003c\/strong\u003e Understand the importance of suturing the rotator cuff (since the incision is in the direction of the fibers) to prevent shoulder function issues in the post-operative period, and the subcutaneous and skin closure that allows for early mobility.\u003c\/li\u003e\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eComplete Technical PDF:\u003c\/strong\u003e Educational document detailing all stages of the surgical technique for the treatment of diaphyseal humeral fractures with intramedullary nail.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in humeral surgery. Enroll now and master advanced techniques for the treatment of diaphyseal fractures with intramedullary nail, ensuring optimized surgical outcomes for your patients.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 2180df5d-2bcc-4a24-abad-5234caa6a87e --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55291220689265,"sku":"","price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaDiafisariadoUmero-TratamentocomHasteIntramedular_result.webp?v=1782473133"},{"product_id":"fratura-da-diafise-umeral-tratamento-com-placa-em-ponte","title":"Humeral Shaft Fracture - Bridge Plate Treatment","description":"\u003cp\u003eMaster the treatment of humeral diaphysis fractures with a minimally invasive approach. This training offers a technical immersion in bridge plate osteosynthesis, focusing on tissue preservation, minimization of bleeding, and, crucially, protection of the radial nerve.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eMinimally invasive treatment of humeral diaphysis fractures.\u003c\/li\u003e\n\u003cli\u003eUse of bridge plate.\u003c\/li\u003e\n\u003cli\u003eStrategic incisions for tissue preservation and protection of the radial nerve.\u003c\/li\u003e\n\u003cli\u003eCreation of a submuscular tunnel for plate passage.\u003c\/li\u003e\n\u003cli\u003eSequential fixation and precise alignment of fragments.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eStrategic Incisions and Initial Exposure:\u003c\/strong\u003e Learn to perform proximal incisions following the biceps-deltoid interval and distal slightly lateral, allowing for identification and protection of the radial nerve. Master the dissection by following the orientation of the muscle fibers to minimize muscle cutting and bleeding.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eUse of Retractors and Protection of the Radial Nerve:\u003c\/strong\u003e Understand the use of medial and lateral retractors, with critical attention to the contraindication of the lateral Hohmann retractor, which significantly increases the risk of radial nerve injury. Ensure visualization and protection of the radial nerve throughout the procedure.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePreparation and Creation of the Tunnel for the Plate:\u003c\/strong\u003e Develop the skill to perform dissection with a dissector, following the humeral diaphysis to prepare a tunnel. Learn to create the tunnel from distal to proximal and then from proximal to distal, with constant palpation to ensure staying on the bony surface and avoiding deviations of the instruments.\u003c\/li\u003e\u003cli\u003e\n\u003cstrong\u003ePlate Verification and Positioning:\u003c\/strong\u003e Learn how to verify the plate size for compliance with the implant length and adjust the incision line for a more medial approach if necessary, advancing plane by plane and coagulating to optimize visibility.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePlate Passage with Digital Guide:\u003c\/strong\u003e Master the technique of passing the plate through the tunnel with the help of your finger as a guide, palpating the end of the plate to direct it close to the bone and avoid muscle interposition. The assistant maintains light traction to prevent overlapping of the bone fragments.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSequential Fixation and Precise Alignment:\u003c\/strong\u003e Learn to fix the plate step by step, starting with a distal screw to center it.Proceed with the insertion of a proximal screw and, with gentle traction and alignment of the fragments, insert the additional screws (second distal, second proximal, and third, if space allows) before the final tightening to allow for proper manipulation and alignment.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eComplete Technical PDF:\u003c\/strong\u003e Detailed educational document describing the minimally invasive surgical procedure for the treatment of humeral diaphysis fractures with bridge plate, from incisions to final fixation.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in humeral surgery. Enroll now and master advanced bridge plate osteosynthesis techniques, ensuring superior results and the safety of the radial nerve in your patients.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 87a8f099-c9ed-4f32-8cb6-68bd5ea10896 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55291231568241,"sku":"","price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturadaDiafiseUmeral-TratamentocomPlacaemPonte_result.webp?v=1782475625"},{"product_id":"fratura-diafisaria-do-femur-haste-intramedular-anterograda-cefalomedular","title":"Diaphyseal Femur Fracture - Antegrade Cephalomedullary Intramedullary Nail","description":"\u003cp\u003eMaster the treatment of diaphyseal femur fractures, especially in cases of local bone fragility, with a focus on early rehabilitation. This training offers a technical immersion in osteosynthesis with an antegrade cephalomedullary intramedullary nail, emphasizing a minimally invasive approach without the use of a traction table.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eTreatment of diaphyseal femur fractures, including in patients with bone fragility.\u003c\/li\u003e\n\u003cli\u003eFixation technique with antegrade cephalomedullary intramedullary nail.\u003c\/li\u003e\n\u003cli\u003eMinimally invasive approach without a traction table, allowing free manipulation of the limb.\u003c\/li\u003e\n\u003cli\u003ePre-surgical and intraoperative reduction maneuvers.\u003c\/li\u003e\n\u003cli\u003ePrecise and efficient distal locking.\u003c\/li\u003e\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eInitial Planning and Reduction:\u003c\/strong\u003e Learn how to perform hip flexion maneuvers, external rotation, and internal rotation to plan the reduction before the surgical incision, allowing for free manipulation of the limb.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAccess and Accurate Insertion of the Guide Wire:\u003c\/strong\u003e Master the incision for the intramedullary rod and the introduction of the guide wire with favorable angulation, allowing for controlled curvature and ensuring flexibility and control in the initial direction. Check the introduction of the guide wire in the anteroposterior (AP) and lateral views.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOpening the Medullary Canal and Reduction:\u003c\/strong\u003e Learn how to open the medullary canal using a soft tissue protector and introduce the olive wire. The fracture reduction is performed using the previously planned maneuvers.\u003c\/li\u003e\u003cli\u003e\n\u003cstrong\u003eOptimized Medullary Canal Milling:\u003c\/strong\u003e Develop the skill to mill the medullary canal after the successful passage of the guide wire, seeking a bur size that provides a snug fit for better stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eProximal Fixation with Cephalomedullary Nail:\u003c\/strong\u003e Use an 11-millimeter diameter cephalomedullary nail and create a lateral access for the fixation of the sliding screw. Perform synchronized measurement and positioning of the sliding screw, targeting the center of the femoral head in both AP and lateral projections, even in diaphyseal fractures.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eHigh-Precision Distal Locking:\u003c\/strong\u003e Master the distal locking technique using a skin mini-portal aligned with the bone tunnel to avoid difficulties with soft tissues.Learn to align the drill with the image intensifier, using the first drill as a guide for the second, ensuring parallelism and avoiding loss of the hole due to manipulations of the lower limb. Understand the importance of precision in the first drilling for the agility of the block and to avoid inadvertent insertion of the screw into an incorrect hole.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Post-Operative:\u003c\/strong\u003e Prepare for a minimally invasive surgery that results in a comfortable post-operative experience, allowing full load and immediate rehabilitation as early as the day after surgery.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eComplete Technical PDF:\u003c\/strong\u003e Detailed educational document that describes the surgical technique for the treatment of diaphyseal femur fractures using a cephalomedullary antegrade intramedullary nail. Covers everything from initial planning and patient positioning to the stages of reduction, instrumentation, and closure.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in the treatment of diaphyseal femur fractures. Enroll now and master advanced techniques with cephalomedullary antegrade intramedullary nails to optimize outcomes and the rehabilitation of your patients.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 6a8b2cf6-99ec-45fd-9c91-35bb3a2fdd0d --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55291240481137,"sku":"","price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaDiafisariadoFemur-HasteIntramedularAnterogradaCefalomedular_result.webp?v=1782475708"},{"product_id":"fratura-diafisaria-de-femur-haste-intramedular-retrograda","title":"Diaphyseal Femur Fracture - Retrograde Intramedullary Nail","description":"\u003cp\u003eEnhance your skills in the treatment of diaphyseal femur fractures in young patients, often resulting from high-energy trauma. This training offers a technical immersion in the retrograde intramedullary nail fixation procedure, emphasizing proper patient positioning, precise surgical access, and the crucial steps for nail insertion and locking.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eTreatment of diaphyseal femur fractures, especially in young patients with high-energy trauma.\u003c\/li\u003e\n\u003cli\u003eRetrograde intramedullary nail fixation technique.\u003c\/li\u003e\n\u003cli\u003ePatient positioning and strategic surgical access.\u003c\/li\u003e\n\u003cli\u003eOpening of the medullary canal and fracture reduction.\u003c\/li\u003e\n\u003cli\u003eNail insertion and proximal and distal locking.\u003c\/li\u003e\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Patient Positioning:\u003c\/strong\u003e Learn to position the patient in a supine position with the knee flexed at approximately 40 degrees, using the surgical table itself to ensure stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Surgical Access:\u003c\/strong\u003e Master the incision technique in the flexed knee region, specifically over the patellar tendon, extending from the inferior pole of the patella to the tuberosity of the tibia.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eEffective Medullary Canal Opening:\u003c\/strong\u003e Understand the importance of using a motor for opening the medullary canal in young patients, preventing damage to the patellar cartilage with the use of soft tissue protectors.\u003c\/li\u003e\u003cli\u003e\n\u003cstrong\u003eFracture Reduction with Lateral Assistance:\u003c\/strong\u003e Learn how to make a lateral incision of approximately two centimeters to assist in the reduction of the fracture, introducing your finger for palpation, especially in challenging cases with significant muscle mass and edema.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMilling and Measurement of the Rod:\u003c\/strong\u003e Develop the skill to mill the medullary canal to allow the introduction of an intramedullary rod of appropriate diameter, and perform the measurement of the rod using the guide wire itself with the assistance of two similar wires.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eIntroduction of the Retrograde Intramedullary Rod:\u003c\/strong\u003e Learn how to introduce the rod retrogradely while constantly checking the fluoroscopic images, ensuring that the end of the rod directed towards the hip exceeds the lesser trochanter to avoid stress and the risk of subtrochanteric fracture.\u003c\/li\u003e\u003cli\u003e\n\u003cstrong\u003ePrecise Distal Locking:\u003c\/strong\u003e Master the fabrication of distal locking screws using a specific guide, drill, and gauge. Understand the need for internal rotation of the knee to assess the correct screw size due to the trapezoidal shape of the distal femur, preventing false impressions.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMinimally Invasive Proximal Locking:\u003c\/strong\u003e Perform proximal locking under fluoroscopy, with minimally invasive access, ensuring the profile is checked through leg rotation to confirm the correct size of the lock, even with significant muscle mass.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Results:\u003c\/strong\u003e Achieve surgical results where the rod is positioned above the lesser trochanter and following the Blumensaat line, without prominences at the knee, allowing for some mobility in the postoperative period.\u003c\/li\u003e\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eComplete Technical PDF:\u003c\/strong\u003e Detailed educational document that describes the entire surgical procedure for the treatment of diaphyseal femur fractures using retrograde intramedullary nail, covering everything from patient positioning to closure.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in the treatment of diaphyseal femur fractures. Enroll now and master advanced techniques with retrograde intramedullary nail to optimize outcomes in complex trauma cases.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 17986d67-bfe3-4414-800b-e049eee1bf1f --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55291254636913,"sku":"","price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaDiafisariadeFemur-HasteIntramedularRetrograda_result.webp?v=1782473147"},{"product_id":"fratura-do-colo-do-quinto-metacarpo-fratura-do-boxeador","title":"Fracture of the Neck of the Fifth Metacarpal (Boxer's Fracture)","description":"\u003cp\u003eMaster the surgical treatment of fifth metacarpal neck fractures, known as \"boxer's fractures,\" especially when the angulation exceeds 40 degrees. This training offers a technical immersion in reduction and fixation with a double compression screw, using a minimally invasive approach to optimize patient recovery.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eTreatment of fifth metacarpal neck fractures with angulation greater than 40 degrees.\u003c\/li\u003e\n\u003cli\u003eDouble compression screw fixation technique.\u003c\/li\u003e\n\u003cli\u003eMinimally invasive surgical approach.\u003c\/li\u003e\n\u003cli\u003ePreoperative planning based on X-rays.\u003c\/li\u003e\n\u003cli\u003ePrecise guide wire insertion and bone drilling.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eX-ray Evaluation and Precise Planning:\u003c\/strong\u003e Learn to interpret X-rays to identify the surgical indication. Master the pre-operative markings with a dermographic pen, aligning them with the diaphysis of the fifth metacarpal in the anteroposterior (AP) and lateral projections to guide the direction of the guide wire.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStrategic and Minimally Invasive Surgical Access:\u003c\/strong\u003e Develop the skill to perform a transverse incision of approximately 1.5 cm on the skin, perpendicular to the direction of the extensor tendon of the fifth finger. Understand the importance of blunt dissection, using a blunt Metzenbaum scissors, along the direction of the tendon fibers to minimize tissue trauma.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Guide Wire Insertion:\u003c\/strong\u003e Learn how to insert the guide wire based on the pre-operative markings, ensuring precise alignment in the anteroposterior, lateral, and oblique projections.\u003c\/li\u003e\u003cli\u003e\n\u003cstrong\u003eMeasurement and Directional Drilling:\u003c\/strong\u003e Learn to perform precise measurements to determine the appropriate screw size after confirming the positioning of the guide wire, and drill directly over the guide wire.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eInsertion of Double Compression Screw:\u003c\/strong\u003e Master the technique of inserting the double compression screw through the guide wire, following the guidelines established in manuals such as the AO's.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFinal Confirmation and Accelerated Recovery:\u003c\/strong\u003e Understand the criteria for the final confirmation of the reduced fracture and the screw positioned extra-articularly. The minimally invasive technique ensures a very satisfactory recovery, avoiding extensive skin incisions and more aggressive approaches, with skin closure performed with only two stitches.\u003c\/li\u003e\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed Technical PDF:\u003c\/strong\u003e A comprehensive educational document that describes the surgical procedure for treating the fracture of the fifth metacarpal neck, from the initial radiographic assessment to surgical closure.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your hand surgery skills. Enroll now and master advanced techniques in treating the boxer’s fracture, ensuring precise results and optimized recovery for your patients.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 63ed0a96-7791-49b2-83ca-1b68c3b88155 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55291260764529,"sku":"","price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturadoColodoQuintoMetacarpo_FraturadoBoxeador__result.webp?v=1782473153"},{"product_id":"fratura-do-rebordo-posterior-do-acetabulo-com-luxacao-do-quadril","title":"Posterior Acetabular Rim Fracture with Hip Dislocation","description":"\u003cp\u003eMaster the treatment of posterior acetabular rim fractures associated with hip dislocation. This training offers a technical immersion in a carefully planned and executed surgical approach, aiming for the reduction of fragments, fixation to restore joint congruence, and hip stability.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical treatment of posterior acetabular rim fractures with hip dislocation.\u003c\/li\u003e\n\u003cli\u003eKocher-Langenbeck surgical access.\u003c\/li\u003e\n\u003cli\u003eReduction and fixation of fragments to restore the anatomy and function of the joint.\u003c\/li\u003e\n\u003cli\u003eProtection of neurovascular structures, with emphasis on the sciatic nerve and the circumflex artery.\u003c\/li\u003e\n\u003cli\u003eReconstruction of the external rotator muscles.\u003c\/li\u003e\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eInitial Assessment and Optimized Surgical Access:\u003c\/strong\u003e Learn to interpret computed tomography scans to identify hip dislocation and large fragments of the posterior acetabular rim. Master the Kocher-Langenbeck approach, using landmarks such as the apex of the greater trochanter, the posterior superior iliac spine, and the long axis of the femur.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDissection and Strategic Exposure:\u003c\/strong\u003e Develop the skill to perform an incision in the iliotibial tract and blunt dissection through the fibers of the gluteus maximus. Identify and elevate the gluteus medius, and perform a tenotomy of the gluteus maximus to facilitate exposure. Identify the external rotators, including the piriformis, superior gemellus, internal obturator, and inferior gemellus.\u003c\/li\u003e\u003cli\u003e\n\u003cstrong\u003eNeurovascular Protection and Safe Tenotomy:\u003c\/strong\u003e Perform the tenotomy of the piriformis and identify the superior and inferior gemelli muscles, as well as the internal obturator. Understand the crucial protection of the quadratus femoris, due to the passage of the circumflex artery that nourishes the head of the femur in this region. Use the retracted tendons (piriformis and gemelli) as cushioning for the sciatic nerve, which runs adjacent to the access.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eIdentification and Accurate Reduction of Fragments:\u003c\/strong\u003e Learn how to identify the inferior and superior fragments of the acetabular roof. Understand how to clean and detach the joint for better identification of reduction parameters, and reposition the fragments in their anatomical locations after dislocation reduction.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eTemporary Fixation and Plate Molding:\u003c\/strong\u003e Master the technique of introducing the inferior retractor into the lesser sciatic notch after careful detachment. Temporarily fix the fragments with Kirschner wires. Use aluminum to mold a model of the plate, which will be used to create a definitive mold for the fixation plate.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDefinitive Fixation with Multiple Plates:\u003c\/strong\u003e Learn how to fix the main plate to the ischium, surrounding the entire posterior rim, with screws directed towards the acetabular roof. Use a second plate at the vertex of the upper fragment for fixation. Understand how the use of these two plates provides satisfactory reduction and stability, eliminating the need for spring plates.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAnatomical Reconstruction and Closure:\u003c\/strong\u003e Perform the identification and reconstruction of the piriformis, superior gemellus, inferior gemellus, and internal obturator tendons. Learn how to reinsert the piriformis into its original position, with slight external rotation of the hip assisting in the reinsertion of the tendons.Restore the anatomical structure while preserving the femoral square and the gluteus medius, without muscle cuts. Finish with the suture of the iliotibial tract.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed Technical PDF:\u003c\/strong\u003e Educational document that describes the surgical procedure for the treatment of fractures of the posterior rim of the acetabulum associated with hip dislocation, from the initial assessment to reconstruction and closure.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in hip surgery. Enroll now and master advanced techniques for acetabular reconstruction, ensuring the restoration of joint congruence and hip stability for your patients.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: a3f48450-8e3e-4d20-802e-acfb41265ccb --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55291267940721,"sku":"","price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturadoRebordoPosteriordoAcetabulocomLuxacaodoQuadril_result.webp?v=1782475637"},{"product_id":"fraturas-diafisarias-do-radio-e-da-ulna","title":"Diaphyseal Fractures of the Radius and Ulna","description":"\u003cp\u003eMaster the surgical treatment of diaphyseal fractures of the radius and ulna with this comprehensive training. Explore surgical approaches that emphasize anatomical preservation and clean technique, from planning and access to reduction and fixation, aiming to optimize patient recovery.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical treatment of diaphyseal fractures of the radius and ulna.\u003c\/li\u003e\n\u003cli\u003eDorsal approach (Thompson) for the radius fracture.\u003c\/li\u003e\n\u003cli\u003eTraditional approach for the ulna fracture.\u003c\/li\u003e\n\u003cli\u003eAnatomical reduction and stabilization of the fracture.\u003c\/li\u003e\n\u003cli\u003eTissue preservation and minimization of bleeding.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eTreatment of the Diaphyseal Radius Fracture (Thompson Approach):\u003c\/strong\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003ePlanning and Marking:\u003c\/strong\u003e Learn to mark and palpate the Lister tubercle and the lateral epicondyle, drawing a line between them. Use muscle palpation to define the exact location of the skin incision and the imaging intensifier to locate the fracture site.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eIncision and Dissection:\u003c\/strong\u003e Master the skin incision with electrocautery and hemostasis. Deepen the dissection to identify the muscle intervals, using gauze for blunt dissection and visualizing the fascia for the ideal access plane, preserving the natural planes of the forearm.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFascia Opening and Exposure:\u003c\/strong\u003e Make a small incision through the fascia, creating the interval between the common extensor of the fingers and the short radial extensor of the wrist, with careful progression to preserve underlying structures and prevent muscle damage.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFracture Identification and Cleaning:\u003c\/strong\u003e Palpate the proximal fragment of the radius and define the trajectory towards the bone with your index finger.Make gentle contact with the scalpel on the bony surface to locate the apex and the proximal fragment, maintaining dissection along the anatomical planes and exposing the fracture ends. Clean the fracture edges to find a reference point for reduction.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eTreatment of Diaphyseal Fracture of the Ulna (Distal Third):\u003c\/strong\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003ePositioning and Access:\u003c\/strong\u003e Position the patient in a supine position with the arm flexed. Perform dissection between the extensor carpi ulnaris and flexor carpi ulnaris muscles, carefully opening the fascia to avoid muscle damage.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eIdentification of the Fracture and Preservation of the Periosteum:\u003c\/strong\u003e Identify the fracture, even with distorted anatomy. Elevate the periosteum anatomically to minimize trauma to the soft tissues and facilitate closure over the plate.\u003c\/li\u003e\u003cli\u003e\n\u003cstrong\u003eBone Bed Preparation and Reduction:\u003c\/strong\u003e Create the bone bed precisely on the dorsal (tension) cortex of the ulna. Clean the fracture edges in search of reference points, using a \"bony crest\" as a guide for anatomical reduction and avoiding the creation of segmental fracture.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStabilization and Plating:\u003c\/strong\u003e Reposition the reduction clamp distally to optimize manipulation. With the radius already stabilized, achieve the reduction of the ulna for excellent stability and alignment. Perform plate pre-tensioning to avoid \u003cem\u003egap\u003c\/em\u003e on the opposite cortex and use a 3.5 mm locked DCP (Dynamic Compression Plate).\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eClosure and Recovery:\u003c\/strong\u003e Close the periosteum over the plate, preserving all muscle structures.Respect the anatomical dissection with total muscle preservation and perform closure in layers for a significantly improved postoperative recovery.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eComplete Technical PDF:\u003c\/strong\u003e A detailed educational document that addresses surgical techniques for the treatment of diaphyseal fractures of the radius (Thompson approach) and the ulna (traditional approach). It includes everything from initial planning and access to reduction and fixation of the fragments.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in forearm surgery. Enroll now and master advanced osteosynthesis techniques for diaphyseal fractures of the radius and ulna, ensuring anatomical reduction and optimized recovery for your patients.\u003c!-- notionvc: 0238465f-bae8-4856-b486-dec4dc9e8490 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55291275673969,"sku":"","price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturasDiafisariasdoRadioedaUlna_result.webp?v=1782475654"},{"product_id":"distal-tibial-fracture-training","title":"Distal Tibial Diaphyseal Fracture via Intramedullary Nail with Suprapatellar Approach","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eEnhance your skills in treating distal tibial shaft fractures, especially in elderly patients, aiming for early rehabilitation and ambulation. This training offers a technical immersion in \u003cb\u003eintramedullary nail osteosynthesis\u003c\/b\u003e with a \u003cb\u003esuprapatellar portal\u003c\/b\u003e, optimizing alignment and minimizing invasiveness.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of distal tibial shaft fractures in elderly patients.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFixation with an intramedullary nail.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003eSuprapatellar access technique.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimization of alignment and stability for early rehabilitation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMinimization of invasiveness and protection of soft tissues.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eStrategic Patient Positioning\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Methodology for positioning with the knee in semi-flexion and diaphyseal alignment guided by palpation of the tibial crest, crucial for avoiding soft tissue complications.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise Suprapatellar Portal Creation\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Techniques for skin marking and access with an electrocautery, with positioning in the inferior region, near the trochlea and the apex of the patella, using a protective sleeve to preserve articular cartilage.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Angle of Attack\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Benefits of suprapatellar access for a superior angle of attack, facilitating guidewire passage and reaming with greater comfort and ease.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eReduction and Guidewire Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Methodology for percutaneous reduction with a clamp, with progression of the olive-tipped guidewire and verification of its centralization in AP and lateral views, aiming for the center of the ankle.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eReaming and Intramedullary Nail Introduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Reaming techniques to enlarge the medullary canal and introduction of the largest diameter nail, maintaining the protective sleeve and protecting the articular cartilage.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProximal and Distal Locking\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Execution of proximal locking percutaneously with the patient keeping the leg in a stable position, and \"freehand\" technique for distal locking screws, with precise skin marking to avoid friction with soft tissues.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptional Fibula Fixation\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Indication and technique for fibula fixation with a TEN nail in distal fractures to optimize stability and allow early weight-bearing and ambulation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eClosure and Rehabilitation\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Skin closure and rehabilitation that allows full weight-bearing ambulation and a favorable prognosis.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComplete Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Full step-by-step procedure, from patient positioning to surgical closure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eElevate your level in trauma surgery. Enroll now and master the technique of fixing distal tibial shaft fractures with an intramedullary nail via a suprapatellar approach, optimizing results and rehabilitation.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55291322761585,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaDiafisariaDistaldeTibiaviaHasteIntramedularcomAcessoSuprapatelar_result_462e24ac-0921-430a-9c6d-81ad9678ef35.webp?v=1782473196"},{"product_id":"humeral-shaft-fracture-nail-technique","title":"Humeral Diaphyseal Fracture with Intramedullary Nail","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the treatment of humeral shaft fractures. This training offers a technical immersion in intramedullary nailing, covering everything from planning to advanced reduction and locking maneuvers, to optimize your surgical outcomes.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of humeral shaft fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003eIntramedullary nail fixation technique.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eUse of Kirschner wire as a \"joystick\" for proximal fragment manipulation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise nail measurement and considerations regarding medullary canal tapering.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePerformance of proximal and distal locking, with a focus on the high difficulty of distal locking.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eInitial Assessment and Marking\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to delineate the long axis of the humerus and identify the deformity and the exact fracture site, using a surgical marker for precise surgical planning.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eCreation of an Aligned Access Portal\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the technique of creating an access portal aligned with the diaphysis and rotator cuff, with special attention to incisions along the fibers to avoid injuries and the need for future repair.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProximal Fragment Manipulation with Kirschner Wire (\"Joystick\")\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Understand how to use a 3.0mm or 2.0mm Kirschner wire as a \"joystick\" to assist in adduction and rotation correction of the superior fragment, exposing the entry point and facilitating a precise entry angle at the transition between the greater tuberosity and the humeral head.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Entry Point\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn how to direct guidewire introduction predominantly into the humeral head, avoiding the tubercle-head transition to prevent greater tuberosity fractures during entry point reaming.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise Radiographic Evaluation of the Entry Point\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to perform radiographic evaluation of the entry point directly with the \"joystick\" in anteroposterior and lateral views, ensuring precise visualization of the free proximal fragment.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eIntramedullary Nail Measurement and Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Develop the skill of precisely measuring the intramedullary nail, considering the triangular tapering of the medullary canal to avoid prominences and optimize implant fit.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProximal Locking Techniques\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the performance of proximal locking, using oblique screws directed to the humeral calcar to ensure nail fixation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eHigh-Difficulty Distal Locking\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Delve into the freehand distal locking technique, a challenging procedure due to the triangular anatomy of the distal humerus. Understand the importance of using a sharp-tipped drill bit to prevent slippage and ensure the precision of the one-centimeter incision.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eClosure and Postoperative Outcomes\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Understand the importance of rotator cuff suture (since the incision is along the fibers) to prevent shoulder function problems postoperatively, and subcutaneous and skin closure that allows early mobility.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComplete Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Educational document detailing all steps of the surgical technique for the treatment of humeral shaft fractures with an intramedullary nail.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eElevate your skills in humerus surgery. Enroll now and master advanced techniques for treating diaphyseal fractures with an intramedullary nail, ensuring optimized surgical results for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55291329413489,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaDiafisariadoUmero-TratamentocomHasteIntramedular_result_d0a635e1-739a-419f-9d0a-f7b3f392cd16.webp?v=1782473200"},{"product_id":"humeral-shaft-fracture-bridge-plating","title":"Humeral Diaphyseal Fracture with Bridge Plating","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the treatment of humeral shaft fractures with a minimally invasive approach. This training offers a technical immersion in \u003cb\u003ebridge plating osteosynthesis\u003c\/b\u003e, focusing on tissue preservation, minimizing bleeding, and, crucially, protecting the radial nerve.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMinimally invasive treatment of humeral shaft fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003eUse of bridge plating.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eStrategic incisions for tissue preservation and radial nerve protection.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eCreation of a submuscular tunnel for plate passage.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eSequential fixation and precise fragment alignment.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eStrategic Incisions and Initial Exposure\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to make proximal incisions following the biceps-deltoid interval and distal incisions slightly lateral, allowing for identification and protection of the radial nerve. Master dissection following the orientation of muscle fibers to minimize muscle cutting and bleeding.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eUse of Retractors and Radial Nerve Protection\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Understand the use of medial and lateral retractors, with critical attention to the contraindication of the lateral Hohmann retractor, which significantly increases the risk of radial nerve injury. Ensure visualization and protection of the radial nerve throughout the procedure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePlate Preparation and Tunnel Creation\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Develop the skill of dissecting with a periosteal elevator, following the humeral shaft to prepare a tunnel. Learn to create the tunnel from distal to proximal and then from proximal to distal, with constant palpation to ensure remaining on the bone surface and avoiding instrument deviation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePlate Verification and Positioning\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn how to verify plate size for conformity with implant length and adjust the incision line for a more medial approach if necessary, advancing plane by plane and coagulating to optimize visualization.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePlate Passage with Digital Guidance\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the technique of passing the plate through the tunnel with the aid of a finger as a guide, palpating the end of the plate to direct it flush to the bone and avoid muscle interposition. The assistant maintains slight traction to prevent overlapping of bone fragments.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eSequential Fixation and Precise Alignment\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to fix the plate step-by-step, starting with a distal screw for centralization. Proceed with the insertion of a proximal screw and, with slight traction and fragment alignment, insert additional screws (second distal, second proximal, and third, if space allows) before final tightening to permit adequate manipulation and alignment.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComplete Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Detailed didactic document describing the minimally invasive surgical procedure for the treatment of humeral shaft fractures with bridge plating, from incisions to final fixation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eElevate your skills in humerus surgery.Enroll now and master advanced techniques of \u003cb\u003ebridge plating osteosynthesis\u003c\/b\u003e, ensuring superior results and radial nerve safety in your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55291333181809,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturadaDiafiseUmeral-TratamentocomPlacaemPonte_result_1b7abf08-a8cf-4571-bb35-839bfb490091.webp?v=1782475660"},{"product_id":"femoral-shaft-fracture-cephalomedullary-nail","title":"Anterograde Intramedullary Nail - Cephalomedullary","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the treatment of femoral shaft refractures, especially in cases of local bone fragility, focusing on early rehabilitation. This training offers a technical immersion in \u003cb\u003eanterograde cephalomedullary intramedullary nail osteosynthesis\u003c\/b\u003e, emphasizing a minimally invasive approach without the use of a traction table.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of femoral shaft refractures, including in patients with bone fragility.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFixation technique with an \u003cb\u003eanterograde cephalomedullary intramedullary nail\u003c\/b\u003e.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMinimally invasive approach without a traction table, allowing free limb manipulation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePre-surgical and intra-procedural reduction maneuvers.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise and efficient distal locking.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePlanning and Initial Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to perform hip flexion, external rotation, and internal rotation maneuvers to plan reduction before surgical incision, allowing free limb manipulation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eAccess and Precise Guidewire Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the creation of the incision for intramedullary nailing and the introduction of the guidewire with a favorable angulation, allowing controlled curvature and ensuring flexibility and control in the initial direction. \u003c\/span\u003eVerify guidewire introduction in anteroposterior (AP) and lateral views.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMedullary Canal Opening and Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn how to open the medullary canal through a soft tissue protector and introduce the olive-tipped guidewire. \u003c\/span\u003eFracture reduction is performed using previously planned maneuvers.\u003c\/li\u003e\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Medullary Canal Reaming\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Develop the skill of reaming the medullary canal after successful guidewire passage, seeking a reamer size that provides a snug fit for better stability.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProximal Fixation with Cephalomedullary Nail\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Utilize an 11-millimeter diameter \u003cb\u003ecephalomedullary nail\u003c\/b\u003e and create a lateral access for sliding screw fixation. Perform synchronized measurement and positioning of the sliding screw, aiming for the center of the femoral head in AP and lateral views, even in diaphyseal fractures.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eHigh-Precision Distal Locking\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the distal locking technique using a mini skin portal aligned with the bone tunnel to avoid difficulties with soft tissues.Learn to align the drill bit with the image intensifier, using the first drill bit as a guide for the second, ensuring parallelism and avoiding hole loss due to lower limb manipulations. Understand the importance of precision in the first drilling for quick locking and to avoid inadvertent screw insertion into an incorrect hole.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Postoperative Care\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Prepare for a minimally invasive surgery that results in comfortable postoperative recovery, allowing full weight-bearing and immediate rehabilitation the day after surgery.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComplete Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Detailed didactic document describing the surgical technique for treating femoral shaft refractures using an \u003cb\u003eanterograde cephalomedullary intramedullary nail\u003c\/b\u003e. Covers everything from initial planning and patient positioning to reduction steps, instrumentation, and closure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eEnhance your skills in treating femoral shaft fractures. Enroll now and master advanced techniques with an \u003cb\u003eanterograde cephalomedullary intramedullary nail\u003c\/b\u003e to optimize results and rehabilitation for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55291342651761,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaDiafisariadoFemur-HasteIntramedularAnterogradaCefalomedular_result_65bfcde7-5382-434a-85d0-c0d0b5fc6a16.webp?v=1782475659"},{"product_id":"femoral-fracture-retrograde-technique","title":"Retrograde Intramedullary Nailing for Femoral Diaphyseal Fracture","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the treatment of femoral shaft refractures, especially in cases of local bone fragility, focusing on early rehabilitation. This training offers a technical immersion in \u003cb\u003eanterograde cephalomedullary intramedullary nail osteosynthesis\u003c\/b\u003e, emphasizing a minimally invasive approach without the use of a traction table.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of femoral shaft refractures, including in patients with bone fragility.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFixation technique with an \u003cb\u003eanterograde cephalomedullary intramedullary nail\u003c\/b\u003e.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMinimally invasive approach without a traction table, allowing free limb manipulation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePre-surgical and intra-procedural reduction maneuvers.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise and efficient distal locking.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePlanning and Initial Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to perform hip flexion, external rotation, and internal rotation maneuvers to plan reduction before surgical incision, allowing free limb manipulation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eAccess and Precise Guidewire Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the creation of the incision for intramedullary nailing and the introduction of the guidewire with a favorable angulation, allowing controlled curvature and ensuring flexibility and control in the initial direction. \u003c\/span\u003eVerify guidewire introduction in anteroposterior (AP) and lateral views.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMedullary Canal Opening and Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn how to open the medullary canal through a soft tissue protector and introduce the olive-tipped guidewire. \u003c\/span\u003eFracture reduction is performed using previously planned maneuvers.\u003c\/li\u003e\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Medullary Canal Reaming\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Develop the skill of reaming the medullary canal after successful guidewire passage, seeking a reamer size that provides a snug fit for better stability.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProximal Fixation with Cephalomedullary Nail\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Utilize an 11-millimeter diameter \u003cb\u003ecephalomedullary nail\u003c\/b\u003e and create a lateral access for sliding screw fixation. Perform synchronized measurement and positioning of the sliding screw, aiming for the center of the femoral head in AP and lateral views, even in diaphyseal fractures.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eHigh-Precision Distal Locking\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the distal locking technique using a mini skin portal aligned with the bone tunnel to avoid difficulties with soft tissues.Learn to align the drill bit with the image intensifier, using the first drill bit as a guide for the second, guaranteeing parallelism and avoiding hole loss due to lower limb manipulations. Comprehend the importance of precision in the first drilling for quick locking and to avoid inadvertent screw insertion into an incorrect hole.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Postoperative Care\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Prepare for a minimally invasive surgery that results in a comfortable postoperative recovery, allowing full weight-bearing and immediate rehabilitation the day after surgery.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComplete Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Detailed didactic document that describes the surgical technique for the treatment of femoral shaft refractures using an \u003cb\u003eanterograde cephalomedullary intramedullary nail\u003c\/b\u003e.It covers everything from initial planning and patient positioning to reduction steps, instrumentation, and closure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eEnhance your skills in treating femoral shaft fractures. Enroll now and master advanced techniques with an \u003cb\u003eanterograde cephalomedullary intramedullary nail\u003c\/b\u003e to optimize results and rehabilitation for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55291418870129,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaDiafisariadeFemur-HasteIntramedularRetrograda_result_56712572-ec09-4703-89f8-f0783f43c8da.webp?v=1782473211"},{"product_id":"fifth-metacarpal-fracture-double-compression","title":"Fracture of the Neck of the Fifth Metacarpal (Boxer's Fracture)","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the surgical treatment of fifth metacarpal neck fractures, known as \"boxer's fracture,\" especially when angulation exceeds 40 degrees. This training offers a technical immersion in reduction and fixation with a double-compression screw, using a minimally invasive approach to optimize patient recovery.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of fifth metacarpal neck fractures with angulation greater than 40 degrees.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDouble-compression screw fixation technique.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003eMinimally invasive surgical approach.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePreoperative planning based on radiographs.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise guidewire insertion and bone drilling.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eRadiographic Evaluation and Precise Planning\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to interpret radiographs to identify the surgical indication. Master preoperative markings with a surgical marker, aligning them with the fifth metacarpal shaft in anteroposterior (AP) and lateral projections to guide the guidewire direction.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eStrategic and Minimally Invasive Surgical Access\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Develop the skill of performing a transverse skin incision of approximately 1.5 cm, perpendicular to the direction of the fifth finger extensor tendon. Understand the importance of blunt dissection, using Metzenbaum scissors without sharp tips, along the tendon fibers to minimize tissue trauma.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Guidewire Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn how to insert the guidewire based on preoperative markings, ensuring precise alignment in anteroposterior, lateral, and oblique projections.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMeasurement and Directed Drilling\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to perform precise measurement to determine the appropriate screw size after confirming guidewire positioning, and perform drilling directly over the guidewire.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDouble-Compression Screw Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the technique of inserting the double-compression screw through the guidewire, following guidelines established in manuals such as those from the AO.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFinal Confirmation and Accelerated Recovery\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Understand the criteria for final confirmation of the reduced fracture and the extra-articularly positioned screw. The minimally invasive technique ensures very satisfactory recovery, avoiding extensive skin incisions and more aggressive approaches, with skin closure performed with only two stitches.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDetailed Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: A complete didactic document describing the surgical procedure for treating fifth metacarpal neck fractures, from initial radiographic evaluation to surgical closure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eEnhance your hand surgery skills. Enroll now and master advanced techniques in the treatment of boxer's fracture, ensuring precise results and optimized recovery for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55291426931057,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturadoColodoQuintoMetacarpo_FraturadoBoxeador__result_3236e3a1-5536-4cd9-8810-0b7a0ee66797.webp?v=1782473214"},{"product_id":"radial-ulnar-fracture-surgical-guide","title":"Diaphyseal Fractures of the Radius and Ulna","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the surgical treatment of radial and ulnar shaft fractures with this comprehensive training. Explore surgical approaches that emphasize anatomic preservation and clean technique, from planning and access to reduction and fixation, aiming to optimize patient recovery.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eSurgical treatment of radial and ulnar shaft fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDorsal approach (Thompson) for radial fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTraditional approach for ulnar fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eAnatomic reduction and fracture stabilization.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTissue preservation and minimization of bleeding.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/b\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of Radial Shaft Fracture (Thompson Approach):\u003c\/span\u003e\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePlanning and Marking\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to mark and palpate Lister's tubercle and the lateral epicondyle, drawing a line between them. Utilize muscle palpation to define the exact location of the skin incision and the image intensifier to locate the fracture site.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eIncision and Dissection\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the skin incision with electrocautery and hemostasis. Deepen the dissection to identify muscle intervals, using gauze for blunt dissection and visualizing the fascia for the ideal access plane, preserving the natural planes of the forearm.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFascia Opening and Exposure\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Make a small incision through the fascia, creating the interval between the extensor digitorum communis and extensor carpi radialis brevis muscles, with careful progression to preserve underlying structures and prevent muscle damage.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFracture Identification and Cleaning\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Palpate the proximal radial fragment and define the trajectory towards the bone with the index finger. Make gentle contact with the scalpel on the bone surface to find the apex and the proximal fragment, maintaining dissection along the anatomic planes and exposing the fracture ends. Clean the fracture edges to find a reference point for reduction.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of Ulnar Shaft Fracture (Distal Third):\u003c\/span\u003e\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l3 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePositioning and Access\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Position the patient in supine decubitus with the arm flexed. Perform dissection between the extensor carpi ulnaris and flexor carpi ulnaris muscles, opening the fascia carefully to avoid muscle damage.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l3 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFracture Identification and Periosteum Preservation\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Identify the fracture, even with distorted anatomy. Elevate the periosteum anatomically to minimize soft tissue trauma and facilitate closure over the plate.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l3 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eBone Bed Preparation and Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Create the bone bed precisely on the dorsal (tension) cortex of the ulna. Clean the fracture edges in search of reference points, using a \"bone crest\" as a guide for anatomic reduction and avoiding the creation of a segmental fracture.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l3 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eStabilization and Plating\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Reposition the reduction clamp distally to optimize manipulation. With the radius already stabilized, achieve ulnar reduction for excellent stability and alignment. Perform plate pre-tensioning to avoid a gap in the opposite cortex and use a 3.5 mm locked DCP (Dynamic Compression Plate).\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l3 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eClosure and Recovery\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Close the periosteum over the plate, preserving all muscular structures. Respect anatomic dissection with total muscular preservation and perform layered closure for significantly improved postoperative recovery.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo4; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComplete Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: A detailed didactic document covering surgical techniques for treating radial (Thompson approach) and ulnar (traditional approach) shaft fractures. Includes everything from initial planning and access to reduction and fragment fixation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eEnhance your forearm surgery skills. Enroll now and master advanced osteosynthesis techniques for radial and ulnar shaft fractures, ensuring anatomic reduction and optimized recovery for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55291435188593,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturasDiafisariasdoRadioedaUlna_result_0b0c1513-4e8b-4a9f-9d5d-7311390c8d1f.webp?v=1782475662"},{"product_id":"posterior-acetabular-fracture-surgery","title":"Fracture of the Posterior Acetabular Wall with Hip Dislocation","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the treatment of posterior acetabular wall fractures associated with hip dislocation. This training offers a technical immersion in a carefully planned and executed surgical approach, aiming for fragment reduction, fixation to re-establish joint congruence, and hip stability.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eSurgical treatment of posterior acetabular wall fractures with hip dislocation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003eKocher-Langenbeck surgical approach.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eReduction and fixation of fragments to restore joint anatomy and function.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProtection of neurovascular structures, with emphasis on the sciatic nerve and circumflex artery.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eReconstruction of external rotator muscles.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eInitial Assessment and Optimized Surgical Access\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to interpret CT scans to identify hip dislocation and large posterior acetabular wall fragments. Master the Kocher-Langenbeck approach, using landmarks such as the apex of the greater trochanter, the posterior superior iliac spine, and the long axis of the femur.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eStrategic Dissection and Exposure\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Develop the skill of performing an incision in the iliotibial tract and blunt dissection through the gluteus maximus fibers. Identify and elevate the gluteus medius, and perform tenotomy of the gluteus maximus to facilitate exposure. Identify the external rotators, including the piriformis, superior gemellus, obturator internus, and inferior gemellus.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eNeurovascular Protection and Safe Tenotomy\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Execute piriformis tenotomy and identify the superior and inferior gemellus muscles, and the obturator internus. Understand the crucial protection of the quadratus femoris, due to the passage of the circumflex artery that nourishes the femoral head in this region. Use the retracted tendons (piriformis and gemelli) as padding for the sciatic nerve, which passes adjacent to the access.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise Fragment Identification and Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn how to identify the inferior and superior fragments of the acetabular roof. Learn to clean and free the joint for better identification of reduction parameters, and reposition the fragments in their anatomical locations after dislocation reduction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProvisional Fixation and Plate Contouring\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the technique of introducing the inferior retractor into the lesser sciatic notch after careful detachment. Perform provisional fixation of fragments with Kirschner wires. Use aluminum to contour a plate model, which will be used for the definitive fixation plate.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDefinitive Fixation with Multiple Plates\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to fix the main plate to the ischium, contouring the entire posterior rim, with screws directed towards the acetabular roof. Use a second plate at the apex of the superior fragment for fixation. Understand how the use of these two plates provides satisfactory reduction and stability, eliminating the need for spring plates.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eAnatomical Reconstruction and Closure\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Perform identification and reconstruction of the piriformis, superior gemellus, inferior gemellus, and obturator internus tendons. Learn to reinsert the piriformis in its original position, with slight external rotation of the hip assisting in tendon reinsertion. Restore the anatomical structure with preservation of the quadratus femoris and gluteus medius, without muscle cuts. \u003c\/span\u003eFinalize with suture of the iliotibial tract.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDetailed Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Didactic document describing the surgical procedure for treating posterior acetabular wall fractures associated with hip dislocation, from initial evaluation to reconstruction and closure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eEnhance your hip surgery skills.Enroll now and master advanced techniques for acetabular reconstruction, ensuring restoration of joint congruence and hip stability for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55291450261873,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturadoRebordoPosteriordoAcetabulocomLuxacaodoQuadril_result_c899b4dc-4768-412d-83af-55a5bb93de9f.webp?v=1782475750"},{"product_id":"lesao-do-anel-pelvico-open-book-luxacao-da-sinfise-pubica","title":"Pelvic Ring Injury \"Open Book\" (Pubic Symphysis Dislocation)","description":"\u003cdiv style=\"mso-element: para-border-div; border: none black 1.0pt; mso-border-alt: none black 0cm; padding: 0cm 0cm 0cm 0cm;\"\u003e\u003cp class=\"MsoNormal\" style=\"border: none; mso-border-alt: none black 0cm; padding: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;\"\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-fareast-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003eMaster the surgical treatment of \"open book\" pelvic ring injury, an opening of the pubic symphysis. This training offers a hands-on immersion in anterior reduction and fixation, covering everything from patient positioning and surgical access, with attention to the bladder, to the use of temporary screws for controlled reduction and the application of plates for definitive fixation, aiming for pelvic ring stability and early rehabilitation.\u003c\/span\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\" style=\"border: none; mso-border-alt: none black 0cm; padding: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;\"\u003e\u003cstrong\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-fareast-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv style=\"mso-element: para-border-div; border: none black 1.0pt; mso-border-alt: none black 0cm; padding: 0cm 0cm 0cm 0cm; margin-left: 17.45pt; margin-right: 0cm;\"\u003e\n\u003cp class=\"MsoListParagraphCxSpFirst\" style=\"margin-left: 18.0pt; mso-add-space: auto; text-indent: -18.0pt; mso-list: l0 level1 lfo1; border: none; mso-border-alt: none black 0cm; padding: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;\"\u003e\u003c!-- [if !supportLists]--\u003e\u003cspan style=\"font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;\"\u003e\u003cspan style=\"mso-list: Ignore;\"\u003e·\u003cspan style=\"font: 7.0pt 'Times New Roman';\"\u003e         \u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c!--[endif]--\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-fareast-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003eTreatment of \"open book\" pelvic ring injury (pubic symphysis dislocation).\u003c\/span\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoListParagraphCxSpMiddle\" style=\"margin-left: 18.0pt; mso-add-space: auto; text-indent: -18.0pt; mso-list: l0 level1 lfo1; border: none; mso-border-alt: none black 0cm; padding: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;\"\u003e\u003c!-- [if !supportLists]--\u003e\u003cspan style=\"font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;\"\u003e\u003cspan style=\"mso-list: Ignore;\"\u003e·\u003cspan style=\"font: 7.0pt 'Times New Roman';\"\u003e         \u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c!--[endif]--\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-fareast-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003eReduction and previous fixation of the pubic symphysis.\u003c\/span\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoListParagraphCxSpMiddle\" style=\"margin-left: 18.0pt; mso-add-space: auto; text-indent: -18.0pt; mso-list: l0 level1 lfo1; border: none; mso-border-alt: none black 0cm; padding: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;\"\u003e\u003c!-- [if !supportLists]--\u003e\u003cspan style=\"font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;\"\u003e\u003cspan style=\"mso-list: Ignore;\"\u003e·\u003cspan style=\"font: 7.0pt 'Times New Roman';\"\u003e         \u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c!--[endif]--\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-fareast-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003eSurgical access with bladder protection.\u003c\/span\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoListParagraphCxSpMiddle\" style=\"margin-left: 18.0pt; mso-add-space: auto; text-indent: -18.0pt; mso-list: l0 level1 lfo1; border: none; mso-border-alt: none black 0cm; padding: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;\"\u003e\u003c!-- [if !supportLists]--\u003e\u003cspan style=\"font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;\"\u003e\u003cspan style=\"mso-list: Ignore;\"\u003e·\u003cspan style=\"font: 7.0pt 'Times New Roman';\"\u003e         \u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c!--[endif]--\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-fareast-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003eUse of temporary screws for controlled reduction.\u003c\/span\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoListParagraphCxSpMiddle\" style=\"margin-left: 18.0pt; mso-add-space: auto; text-indent: -18.0pt; mso-list: l0 level1 lfo1; border: none; mso-border-alt: none black 0cm; padding: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;\"\u003e\u003c!-- [if !supportLists]--\u003e\u003cspan style=\"font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;\"\u003e\u003cspan style=\"mso-list: Ignore;\"\u003e·\u003cspan style=\"font: 7.0pt 'Times New Roman';\"\u003e         \u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c!--[endif]--\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-fareast-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003eApplication of plates for definitive fixation.\u003c\/span\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoListParagraphCxSpLast\" style=\"margin-left: 18.0pt; mso-add-space: auto; text-indent: -18.0pt; mso-list: l0 level1 lfo1; border: none; mso-border-alt: none black 0cm; padding: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;\"\u003e\u003c!-- [if !supportLists]--\u003e\u003cspan style=\"font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;\"\u003e\u003cspan style=\"mso-list: Ignore;\"\u003e·\u003cspan style=\"font: 7.0pt 'Times New Roman';\"\u003e         \u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c!--[endif]--\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-fareast-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003ePelvic ring stability and early rehabilitation.\u003c\/span\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv style=\"mso-element: para-border-div; border: none black 1.0pt; mso-border-alt: none black 0cm; padding: 0cm 0cm 0cm 0cm;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"border: none; mso-border-alt: none black 0cm; padding: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;\"\u003e\u003cstrong\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-fareast-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv style=\"mso-element: para-border-div; border: none black 1.0pt; mso-border-alt: none black 0cm; padding: 0cm 0cm 0cm 0cm; margin-left: 17.45pt; margin-right: 0cm;\"\u003e\n\u003cp class=\"MsoListParagraphCxSpFirst\" style=\"margin-left: 18.0pt; mso-add-space: auto; text-indent: -18.0pt; mso-list: l2 level1 lfo2; border: none; mso-border-alt: none black 0cm; padding: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;\"\u003e\u003c!-- [if !supportLists]--\u003e\u003cspan style=\"font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;\"\u003e\u003cspan style=\"mso-list: Ignore;\"\u003e·\u003cspan style=\"font: 7.0pt 'Times New Roman';\"\u003e        \u003cstrong\u003e \u003c\/strong\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cstrong\u003e\u003c!--[endif]--\u003e\u003c\/strong\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-fareast-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003cstrong\u003ePositioning and Access:\u003c\/strong\u003e Position the patient in a supine position for free access of the image intensifier. Make an incision approximately 2 cm above the pubic symphysis, exposing the fascia of the rectus femoris and the linea alba. Make a longitudinal incision along the linea alba and locate the pubic tubercle.\u003c\/span\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoListParagraphCxSpMiddle\" style=\"margin-left: 18.0pt; mso-add-space: auto; text-indent: -18.0pt; mso-list: l2 level1 lfo2; border: none; mso-border-alt: none black 0cm; padding: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;\"\u003e\u003c!-- [if !supportLists]--\u003e\u003cspan style=\"font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;\"\u003e\u003cspan style=\"mso-list: Ignore;\"\u003e·\u003cspan style=\"font: 7.0pt 'Times New Roman';\"\u003e      \u003cstrong\u003e   \u003c\/strong\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cstrong\u003e\u003c!--[endif]--\u003e\u003c\/strong\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-fareast-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003cstrong\u003eExposure and Preparation: \u003c\/strong\u003eProtect the bladder (previously emptied) with a flexible retractor. Detach the periosteum from the symphysis to create space for the plate. Identify the opening of the symphysis and, if necessary, clean the fibrosis. Position a Hohmann retractor in the obturator foramen for exposure.\u003c\/span\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoListParagraphCxSpMiddle\" style=\"margin-left: 18.0pt; mso-add-space: auto; text-indent: -18.0pt; mso-list: l2 level1 lfo2; border: none; mso-border-alt: none black 0cm; padding: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;\"\u003e\u003c!-- [if !supportLists]--\u003e\u003cspan style=\"font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;\"\u003e\u003cspan style=\"mso-list: Ignore;\"\u003e·\u003cspan style=\"font: 7.0pt 'Times New Roman';\"\u003e        \u003cstrong\u003e \u003c\/strong\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cstrong\u003e\u003c!--[endif]--\u003e\u003c\/strong\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-fareast-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003cstrong\u003eTemporary Reduction:\u003c\/strong\u003e Use temporary screws, one on each side of the symphysis, inserted from anterior to posterior with precise measurement.Use a specific clamp attached to these screws for reduction and adjustment, visually controlling the shear and opening.\u003c\/span\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoListParagraphCxSpMiddle\" style=\"margin-left: 18.0pt; mso-add-space: auto; text-indent: -18.0pt; mso-list: l2 level1 lfo2; border: none; mso-border-alt: none black 0cm; padding: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;\"\u003e\u003c!-- [if !supportLists]--\u003e\u003cspan style=\"font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;\"\u003e\u003cspan style=\"mso-list: Ignore;\"\u003e·\u003cspan style=\"font: 7.0pt 'Times New Roman';\"\u003e       \u003cstrong\u003e  \u003c\/strong\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cstrong\u003e\u003c!--[endif]--\u003e\u003c\/strong\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-fareast-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003cstrong\u003eFinal Fixation:\u003c\/strong\u003e With the reduction maintained, use a specific plate for the symphysis with the introduction of screws at a 30-degree angle. If non-locked screws are not secure, add a second previously locked plate for greater stability.\u003c\/span\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoListParagraphCxSpLast\" style=\"margin-left: 18.0pt; mso-add-space: auto; text-indent: -18.0pt; mso-list: l2 level1 lfo2; border: none; mso-border-alt: none black 0cm; padding: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;\"\u003e\u003c!-- [if !supportLists]--\u003e\u003cspan style=\"font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;\"\u003e\u003cspan style=\"mso-list: Ignore;\"\u003e·\u003cspan style=\"font: 7.0pt 'Times New Roman';\"\u003e         \u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c!--[endif]--\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-fareast-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003cstrong\u003eClosure and Verification:\u003c\/strong\u003e Do not address the sacroiliac joint if the posterior ligaments are intact.Reinsert the rectus abdominal tendon and close the linea alba to prevent herniation. Continuously protect the bladder. Close the skin guided by dermographic marks for aesthetics.\u003c\/span\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv style=\"mso-element: para-border-div; border: none black 1.0pt; mso-border-alt: none black 0cm; padding: 0cm 0cm 0cm 0cm;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"border: none; mso-border-alt: none black 0cm; padding: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;\"\u003e\u003cstrong\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-fareast-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv style=\"mso-element: para-border-div; border: none black 1.0pt; mso-border-alt: none black 0cm; padding: 0cm 0cm 0cm 0cm; margin-left: 17.45pt; margin-right: 0cm;\"\u003e\n\u003cp class=\"MsoListParagraph\" style=\"margin-left: 18.0pt; mso-add-space: auto; text-indent: -18.0pt; mso-list: l1 level1 lfo3; border: none; mso-border-alt: none black 0cm; padding: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;\"\u003e\u003c!-- [if !supportLists]--\u003e\u003cspan style=\"font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;\"\u003e\u003cspan style=\"mso-list: Ignore;\"\u003e·\u003cspan style=\"font: 7.0pt 'Times New Roman';\"\u003e         \u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c!--[endif]--\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-fareast-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Covers everything from patient positioning, surgical access, exposure of the pubic symphysis, provisional reduction with screws and specific clamps, to definitive fixation with plates and verification of posterior stability and closure. It also includes a practical summary of the procedure with key points.\u003c\/span\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv style=\"mso-element: para-border-div; border: none black 1.0pt; mso-border-alt: none black 0cm; padding: 0cm 0cm 0cm 0cm;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"border: none; mso-border-alt: none black 0cm; padding: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm;\"\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-fareast-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003eEnhance your skills in pelvic surgery.Sign up now and master the techniques for the reduction and anterior fixation of the pubic symphysis, ensuring the stability of the pelvic ring and early rehabilitation for your patients.\u003c\/span\u003e\u003cspan style=\"mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial;\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003c\/div\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55586787492209,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/LesaodoAnelPelvicoOpenBook_LuxacaodaSinfisePubica__result.webp?v=1782473265"},{"product_id":"pelvic-open-book-fixation","title":"Open Book Pelvic Ring Injury (Pubic Symphysis Dislocation)","description":"\u003cdiv style=\"mso-element: para-border-div; border: none black 1.0pt; mso-border-alt: none black 0cm; padding: 0cm 0cm 0cm 0cm;\"\u003e\u003cp class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eMaster the surgical treatment of \"open book\" type pelvic ring injury, an opening of the pubic symphysis. This training offers practical immersion in reduction and anterior fixation, covering everything from patient positioning and surgical access, with attention to the bladder, to the use of temporary screws for controlled reduction and the application of plates for definitive fixation, aiming for pelvic ring stability and early rehabilitation. \u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eTreatment of \"open book\" pelvic ring injury (pubic symphysis dislocation). \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eReduction and anterior fixation of the pubic symphysis. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eSurgical access with bladder protection. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eUse of temporary screws for controlled reduction. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eApplication of plates for definitive fixation. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003ePelvic ring stability and early rehabilitation.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003ePositioning and Access: \u003c\/strong\u003ePosition the patient in dorsal decubitus for free access of the image intensifier. Perform an incision approximately 2 cm superior to the pubic symphysis, exposing the rectus femoris fascia and the linea alba. Make a longitudinal incision in the linea alba and locate the pubic tubercle. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003eExposure and Preparation:\u003c\/strong\u003e Protect the bladder (previously emptied) with a malleable retractor. Dissect the periosteum of the symphysis to create space for the plate. Identify the symphysis opening and, if necessary, clean any fibrosis. Position a Hohmann retractor in the obturator foramen for exposure. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003eProvisional Reduction:\u003c\/strong\u003e Use temporary screws, one on each side of the symphysis, inserted from anterior to posterior with precise measurement.Employ a specific clamp coupled to these screws for reduction and adjustment, visually controlling shear and opening. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003eDefinitive Fixation:\u003c\/strong\u003e With reduction maintained, use a specific plate for the symphysis with screw insertion at a 30-degree angle. If non-locked screws are not firm, add a second locked plate anteriorly for greater stability. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003eClosure and Verification: \u003c\/strong\u003eDo not approach the sacroiliac joint if the posterior ligaments are intact.\u003cspan style=\"mso-spacerun: yes;\"\u003e  \u003c\/span\u003eReinsert the rectus abdominis tendon and close the linea alba to prevent herniation. Continuously protect the bladder. Close the skin guided by dermographic markings for aesthetics.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003eDetailed PDF\u003c\/strong\u003e: Covers patient positioning, surgical access, exposure of the pubic symphysis, provisional reduction with screws and specific clamp, definitive fixation with plates, verification of posterior stability, and closure. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eAlso includes a practical summary of the procedure with key points. \u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eEnhance your skills in pelvic surgery. Enroll now and master the techniques for reduction and anterior fixation of the pubic symphysis, ensuring pelvic ring stability and early rehabilitation for your patients. \u003c\/span\u003e\u003c\/p\u003e\n\u003c\/div\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55587935322481,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/LesaodoAnelPelvicoOpenBook_LuxacaodaSinfisePubica__result_a9bfc6ff-f215-4705-8cde-ed3dbe100da5.webp?v=1782473271"},{"product_id":"fratura-desviada-do-quinto-metatarso","title":"Displaced Fracture of the Fifth Metatarsal","description":"\u003cp class=\"MsoNormal\"\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in the surgical treatment of the deviated fifth metatarsal fracture. This procedure requires attention to anatomical reduction to avoid \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emetatarsalgias\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e or gait dysfunctions, especially in young patients and athletes. This training details the surgical procedure using a locked plate and screws, focusing on rapid functional recovery and return to sports activities.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eSurgical treatment of deviated fifth metatarsal fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eAnatomical reduction and stable fixation with a locked plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003eSurgical access and protection of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eneurovascular\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e structures.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eAccess Evaluation and Planning: \u003c\/strong\u003eAnalysis of X-rays to identify the fracture angulation and the potential for load-bearing impairment, metatarsalgia, or gait dysfunction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eNeurovascular Identification and Protection: \u003c\/strong\u003eRecognition and anatomical distancing of sensory nerves, veins, and arteries along the surgical pathway.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eSurgical Access and Fracture Exposure:\u003c\/strong\u003e Palpation of the head and diaphysis of the fifth metatarsal, single incision with internal scalpel, uniform detachment of the periosteum, and enlargement of access distally, if necessary.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eFracture Reduction and Temporary Stabilization:\u003c\/strong\u003e Identification of fracture vertices, reduction under direct visualization with reduction forceps, and temporary stabilization with Kirschner wires, avoiding the area of the future plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eDefinitive Fixation with Locked Plate: \u003c\/strong\u003ePositioning of low-profile mini fragment plate, use of long screws for adequate load distribution and reduction of future removal needs.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eClosure and Results:\u003c\/strong\u003e Closure in layers, with markings for aesthetic results. Stable fixation allows for early loading with rigid-soled footwear.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eComplete Technical PDF:\u003c\/strong\u003e The PDF details the technique of anatomical reduction, provisional stabilization, and definitive fixation using a locked mini fragment plate and low-profile long screws. Additionally, the document describes the expected outcomes, such as achieving precise anatomical reduction and stable fixation, which allows for early loading. The closure by layers is performed aiming for a superior aesthetic result.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in the surgical treatment of fifth metatarsal fractures. Enroll now and master the techniques of anatomical reduction and stable fixation.\u003c\/span\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55588396564849,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaDesviadadoQuintoMetatarso_result.webp?v=1782473275"},{"product_id":"displaced-fracture-of-the-fifth-metatarsal","title":"Fratura Deslocada do Quinto Metatarso","description":"\u003cdiv\u003e\u003c!--StartFragment --\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in the surgical treatment of displaced fifth metatarsal fractures. This procedure demands attention to anatomical reduction to prevent metatarsalgia or gait dysfunction, especially in young patients and athletes. This training details the surgical procedure using a locked plate and screws, with a focus on rapid functional recovery and return to sports activities.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eSurgical treatment of displaced fifth metatarsal fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eAnatomical reduction and stable fixation with a locked plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eSurgical approach and protection of neurovascular structures.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eAssessment and Approach Planning: \u003c\/strong\u003eAnalysis of radiographs to identify fracture angulation and the potential for impaired weight-bearing, metatarsalgia, or gait dysfunction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eNeurovascular Identification and Protection:\u003c\/strong\u003e Recognition and anatomical retraction of sensory nerves, veins, and arteries within the surgical field.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eSurgical Approach and Fracture Exposure:\u003c\/strong\u003e Palpation of the fifth metatarsal head and shaft, a single internal scalpel incision, uniform periosteal elevation, and distal extension of the approach if necessary.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eFracture Reduction and Provisional Stabilization:\u003c\/strong\u003e Identification of fracture vertices, reduction under direct visualization with reduction forceps, and provisional stabilization with Kirschner wires, avoiding the area of the future plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eDefinitive Fixation with Locked Plate:\u003c\/strong\u003e Positioning of a low-profile mini-fragment plate, use of long screws for adequate load distribution, and reduction of the need for future removal.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eClosure and Results:\u003c\/strong\u003e Layered closure, with markings for an aesthetic outcome. Stable fixation allows early weight-bearing with a rigid-soled shoe.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eComplete Technical PDF:\u003c\/strong\u003e The PDF details the technique of anatomical reduction, provisional stabilization, and definitive fixation using a locked mini-fragment plate and low-profile long screws. Furthermore, the document describes the expected outcomes, such as achieving precise anatomical reduction and stable fixation, which enables early weight-bearing. Layered closure is performed aiming for a superior aesthetic result.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in the surgical treatment of fifth metatarsal fractures. Enroll now and master the techniques of anatomical reduction and stable fixation.\u003c\/span\u003e\u003c\/p\u003e\n\u003c!--EndFragment --\u003e\n\u003c\/div\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55588783620465,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaDesviadadoQuintoMetatarso_result_16de1932-186e-4da0-80ca-4290cdf38825.webp?v=1782473282"},{"product_id":"fratura-de-barton-dorsal-do-radio","title":"Dorsal Barton Fracture of the Radius","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the surgical treatment of dorsal Barton fractures of the radius, which present joint displacement and require stabilization with a plate through a dorsal approach. This training offers a practical immersion in the reduction technique, surgical access, implant selection, and fixation, aiming to restore the anatomy and function of the wrist, allowing for early mobility in the postoperative period, especially in elderly patients.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eSurgical treatment of dorsal Barton fractures of the radius.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eIndirect reduction technique.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eSurgical access and implant selection.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eFixation to restore the anatomy and function of the wrist.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eEarly mobility in the postoperative period.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eSurgical Assessment and Access:\u003c\/strong\u003e The training begins with radiographic assessment for planning the reduction and implant. It covers the marking of the access over the Lister tubercle, identification of the muscle compartments, and retraction of tendons to expose the fracture.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eImplant Selection and Reduction: \u003c\/strong\u003eThe exploration of the styloid region is presented to identify \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ecomminution\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e. The course recommends delicate implants to avoid tendon \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eirritation\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e. The indirect reduction technique is demonstrated, using a proximal screw to reduce the fragment through the plate, with traction maneuvers if necessary.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eFixation and Checks: \u003c\/strong\u003eAfter the main plate, the training teaches how to use a second low-profile plate for highlighted dorsal fragments, aiming to restore the joint area. Checks are taught to ensure that no tendon is under the plate and that the holes do not violate the joint.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eClosure and Results:\u003c\/strong\u003e The plates are positioned against the bone, ensuring free tendons. The training covers the assessment of reduction in terms of radial length, angulation, and inclination, and the immediate release of mobility in elderly patients post-operatively. The closure of the skin concludes the procedure.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Covers the initial assessment, surgical access, exploration and selection of the implant, indirect reduction, fixation of additional fragments, checks, final assessment, and closure. It also includes a practical summary of the procedure with the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ekey points\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf2\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your wrist surgery skills. Enroll now and master the techniques for treating dorsal Barton fractures, ensuring anatomical restoration and early mobility for your patients.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55618337505649,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturadeBartonDorsaldoRadio_result.webp?v=1782473287"},{"product_id":"dorsal-bartons-fracture-of-the-radius","title":"Dorsal Barton's Fracture of the Radius","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the surgical treatment of dorsal Barton's fracture of the radius, which presents with articular displacement and requires plate stabilization via a dorsal approach. This training offers a practical immersion in the reduction technique, surgical access, implant selection, and fixation, aiming to restore wrist anatomy and function, allowing for early postoperative mobility, especially in elderly patients.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eSurgical treatment of dorsal Barton's fractures of the radius.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eIndirect reduction technique.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eSurgical access and implant selection.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eFixation to restore wrist anatomy and function.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eEarly postoperative mobility.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eAssessment and Surgical Access: \u003c\/strong\u003eThe training begins with radiographic assessment for reduction and implant planning. It covers marking the access over Lister's tubercle, identification of muscle compartments, and tendon retraction to expose the fracture.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eImplant Selection and Reduction:\u003c\/strong\u003e Exploration of the styloid region to identify comminution is presented. The course recommends delicate implants to prevent tendon irritation. The indirect reduction technique is demonstrated, using a proximal screw to reduce the fragment through the plate, with traction maneuvers if necessary.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eFixation and Checks:\u003c\/strong\u003e After the main plate, the training teaches how to use a second low-profile plate for detached dorsal fragments, aiming to restore the articular region. Checks are taught to ensure no tendons are under the plate and that the screw holes do not violate the joint.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eClosure and Results: \u003c\/strong\u003eThe plates are positioned flush with the bone, ensuring tendons are free. The training covers assessment of the reduction in terms of radial length, angulation, and inclination, and immediate mobilization in elderly patients postoperatively. Skin closure concludes the procedure.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Covers initial assessment, surgical access, exploration and implant selection, indirect reduction, fixation of additional fragments, checks, final assessment, and closure. Also includes a practical summary of the procedure with key points.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your wrist surgery skills.Enroll now and master the techniques for dorsal Barton's fracture treatment, ensuring anatomical restoration and early mobility for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55618368340337,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturadeBartonDorsaldoRadio_result_5a3e9af3-e075-4171-9a65-6f3f39a35d0e.webp?v=1782473293"},{"product_id":"fratura-do-terco-distal-do-radio-acesso-volar","title":"Distal Third Radius Fracture (Volar Approach)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the surgical treatment of distal radius fractures with \u003c\/span\u003e\u003cspan class=\"cf0\"\u003edorsal and volar comminution\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e, and dorsal angulation. This training offers a hands-on immersion in a volar approach, starting with provisional fixation of the fracture, followed by careful dissection of the planes and tendons, leading to \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eosteosynthesis\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e with a plate, aiming for anatomical reduction and stability for the patient's functional recovery.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003eSurgical treatment of distal radius fractures with \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ecomminution\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e and dorsal angulation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eVolar approach for reduction and fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eProvisional fixation of the fracture.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eCareful dissection of the planes and tendons.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003eOsteosynthesis\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e with a plate for anatomical restoration.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eProvisional Fixation and Assessment:\u003c\/strong\u003e The training begins with the manual reduction maneuver and provisional stabilization using a 2.5 mm Kirschner wire, aiming for a good initial positioning of the fracture.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eVolar Surgical Access:\u003c\/strong\u003e The access is made with an incision over the radial flexor of the wrist. The section of the fascia covering this tendon is addressed, and careful progression of dissection, layer by layer, is performed to avoid muscle cuts and bleeding. The radial artery is located, and the long flexor of the thumb and the pronator quadratus are identified. A needle is used to pinpoint the exact joint location, delineating the distal limit of the approach. It concludes with an L-shaped incision on the pronator quadratus.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eRadio Exposure and Plate Implantation:\u003c\/strong\u003e The radio is exposed, and a \u003c\/span\u003e\u003cspan class=\"cf0\"\u003edislocator\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e is used to prepare the plate bed. With the fracture already reduced by provisional fixation, the placement of screws must respect the radial inclination to avoid intra-articular positioning. It is recommended to maintain the reduction manually or use additional wires to prevent loss of reduction.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eClosure and Results:\u003c\/strong\u003e The access through the pronator quadratus is sutured to cover the plate. The final result is satisfactory, with well-positioned screws, maintained radial inclination, and well-fixed fracture. The closure is performed in layers up to the skin.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Covers provisional fixation, volar surgical access, exposure of the radius and plate implantation, and closure and outcomes. It also includes a practical summary of the procedure with the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ekey points\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your wrist surgery skills. Enroll now and master the techniques for treating distal radius fractures, ensuring anatomical reduction and stability for your patients' functional recovery.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55618403008881,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturadoTercoDistaldoRadio_AcessoVolar__result.webp?v=1782473297"},{"product_id":"distal-radius-fracture-volar-approach","title":"Distal Radius Fracture (Volar Approach","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the surgical treatment of distal radius fractures with dorsal and volar comminution and dorsal displacement. This training offers practical immersion in a volar approach, starting with provisional fracture fixation, followed by careful dissection of planes and tendons, up to plate osteosynthesis, aiming for anatomical reduction and stability for the patient's functional recovery.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eSurgical treatment of distal radius fractures with comminution and dorsal displacement.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eVolar approach for reduction and fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eProvisional fracture fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eCareful dissection of planes and tendons.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003ePlate osteosynthesis for anatomical restoration.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eProvisional Fixation and Assessment: \u003c\/strong\u003eThe training begins with a manual reduction maneuver and provisional stabilization with a 2.5 mm Kirschner wire, aiming for good initial fracture positioning.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eVolar Surgical Approach: \u003c\/strong\u003eThe approach is made with an incision over the flexor carpi radialis. It addresses the sectioning of the fascia covering this tendon and the careful progression of dissection, plane by plane, to avoid muscle cuts and bleeding. The radial artery is located, and the flexor pollicis longus and pronator quadratus are identified. A needle is used to identify the exact point of the joint, delimiting the distal limit of the approach. It concludes with an L-shaped incision in the pronator quadratus.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eRadius Exposure and Plate Implantation: \u003c\/strong\u003eThe radius is exposed, and a periosteal elevator is used to prepare the plate bed. With the fracture already reduced by provisional fixation, screw placement must respect the radial inclination to prevent intra-articular positioning. It is recommended to maintain reduction manually or use additional wires to avoid loss of reduction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eClosure and Results:\u003c\/strong\u003e The access through the pronator quadratus is sutured to cover the plate. The final result is satisfactory, with well-positioned screws, maintained radial inclination, and a well-fixed fracture. Closure is performed layer by layer up to the skin.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Covers provisional fixation, the volar surgical approach, radius exposure and plate implantation, and closure and results.It also includes a practical summary of the procedure with key points.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your wrist surgery skills. Enroll now and master the techniques for treating distal radius fractures, ensuring anatomical reduction and stability for your patients' functional recovery.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55618425258353,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturadoTercoDistaldoRadio_AcessoVolar__result_3008a3f6-1453-4f5f-a52c-4ef4fe2f5c0c.webp?v=1782473304"},{"product_id":"fratura-multifragmentar-do-radio-distal-abordagem-volar","title":"Multifragmentary Distal Radius Fracture (Volar Approach)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the surgical treatment of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e distal radius fractures with this training focused on the volar approach. The procedure aims to restore radial length and joint congruence, using a combination of manual traction, provisional percutaneous fixation, and a strategy of volar plate fixation with screws of different lengths to stabilize the multiple fragments, including the dorsal component, without the need for additional dorsal access.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003eTreatment of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e distal radius fractures.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eVolar approach for reduction and fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eStrategies to restore radial length and joint congruence.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eVolar plate fixation with screws of different lengths.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eDorsal component stabilization without additional access.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eAssessment and Provisional Reduction:\u003c\/strong\u003e The training covers the analysis of images of the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e distal radius fracture and manual traction reduction (\u003c\/span\u003e\u003cspan class=\"cf0\"\u003eligamentotaxis\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e). It includes provisional percutaneous fixation with wires at the radial styloid and Lister's tubercle for fragment stabilization.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eVolar Surgical Access: \u003c\/strong\u003eDetails of the incision, coagulation, and dissection of the planes. It teaches how to retract tendons (long flexor of the thumb and radial flexor of the wrist \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eulnarly\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e) and protect the radial artery radially, for a wide approach. The fascia is sectioned linearly.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eExposure of the Pronator Quadratus:\u003c\/strong\u003e The course covers the identification of the pronator quadratus and how to position retractors. A needle delineates the joint limit. Access to the pronator quadratus is performed in an L shape, with subperiosteal elevation to expose the fracture lines, observing the already reduced volar face.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eVolar Preparation and Fixation: \u003c\/strong\u003eThe retractor is exchanged, the fracture vertices are cleaned, and the plate is introduced while respecting the joint limit. It begins with a cortical screw in the oval hole for compression. Short screws are used to fix the volar fragment, and with digital maneuvers, long screws stabilize the dorsal surface without the need for another access. The short screws are replaced with long ones (18\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e–20 mm), including the styloid, concluding the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eosteos\u003c\/span\u003e\u003cspan class=\"cf0\"\u003eynthesis\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e in the remaining holes.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eClosure and Final Results:\u003c\/strong\u003e The square pronator is sutured in a straight manner. The reduction is satisfactory, with the anatomy of the radius close to normal. The skin closure is performed for a satisfactory outcome.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Covers provisional fixation, volar surgical access, exposure of the radius and plate implantation, and closure and final results. It also includes a practical summary of the procedure with the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ekey points\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in wrist surgery. Enroll now and master the techniques for treating \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e distal radius fractures, ensuring functional restoration and stability for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55618449080689,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaMultifragmentardoRadioDistal_AbordagemVolar__result.webp?v=1782475700"},{"product_id":"multifragmentary-distal-radius-fracture-volar-approach","title":"Multifragmentary Distal Radius Fracture (Volar Approach)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the surgical treatment of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e distal radius fractures with this training focused on the volar approach. The procedure aims to restore radial length and articular congruity, using a combination of manual traction, provisional percutaneous fixation, and a fixation strategy with a volar plate and screws of different lengths to stabilize the multiple fragments, including the dorsal component, without the need for an additional dorsal approach.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003eTreatment of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e distal radius fractures.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eVolar approach for reduction and fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eStrategies to restore radial length and articular congruity.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eFixation with a volar plate and screws of different lengths.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eStabilização do componente dorsal sem acesso adicional.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eConteúdo Detalhado:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eAvaliação e Redução Provisória:\u003c\/strong\u003e O treinamento abrange a análise de imagens de \u003c\/span\u003e\u003cspan class=\"cf0\"\u003efraturas multifragmentárias\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e do rádio distal e redução por tração manual (ligamentotaxia). Inclui fixação percutânea provisória com fios K no estiloide radial e no tubérculo de Lister para estabilização dos fragmentos.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eAcesso Cirúrgico Volar: \u003c\/strong\u003eDetalhes da incisão, coagulação e dissecação dos planos teciduais. Ensina como retrair tendões (flexor longo do polegar e flexor radial do carpo \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eulnarmente\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e) e proteger a artéria radial radialmente para um amplo acesso. A fáscia é incisa linearmente.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eExposure of the Pronator Quadratus:\u003c\/strong\u003e The course covers the identification of the pronator quadratus and how to position retractors. A needle delineates the articular margin. Access to the pronator quadratus is made in an L-shape, with subperiosteal elevation to expose the fracture lines, observing the already reduced volar surface.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003ePreparation and Volar Fixation:\u003c\/strong\u003e Retractors are exchanged, fracture vertices are cleaned, and the plate is introduced respecting the articular margin. It begins with a cortical screw in the oval hole for compression. Short screws are used to fix the volar fragment, and with digital maneuvers, long screws stabilize the dorsal surface without the need for another approach. The short screws are exchanged for long ones (18\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e–20 mm), including the styloid, completing the osteosynthesis in the remaining holes.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eClosure and Final Results:\u003c\/strong\u003e The pronator quadratus is sutured in a straight fashion. The reduction is satisfactory, with radial anatomy close to normal. Skin closure is performed for a satisfactory outcome.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Covers provisional fixation, volar surgical approach, radius exposure and plate implantation, and closure and final results. It also includes a practical summary of the procedure with key points.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your wrist surgery skills. Enroll now and master the techniques for treating \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e distal radius fractures, ensuring functional restoration and stability for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55618478506353,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaMultifragmentardoRadioDistal_AbordagemVolar__result_f9951eac-d4aa-467c-bdfd-721af32dfdd3.webp?v=1782475704"},{"product_id":"fratura-multifragmentar-da-patela","title":"Multifragmentary Fracture of the Patella","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eThe management of multifragmentary \u003c\/span\u003e\u003cspan class=\"cf0\"\u003epatellar fractures\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e with involvement of the extensor mechanism represents a significant technical challenge in orthopedics. This training offers a practical immersion in \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eosteosynthesis\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e that restores joint congruence and extensor function while minimizing the prominence of the material.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003eSurgical treatment of multifragmentary \u003c\/span\u003e\u003cspan class=\"cf0\"\u003epatellar fractures\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e with involvement of the extensor mechanism.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eAnatomical reduction and stable fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003eUse of \u003c\/span\u003ecannulated\u003cspan class=\"cf0\"\u003e screws and \u003c\/span\u003ecerclage\u003cspan class=\"cf0\"\u003e.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eManagement of secondary fragments in the lateral wing.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eOptimized Surgical Access:\u003c\/strong\u003e Precise marking and single incision to manipulate fragments \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eintraoperatively\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e and identify \"teeth\" of the fracture, facilitating reduction.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003ePrecise Reduction Technique:\u003c\/strong\u003e Methodology to use the reduction clamp and hand as a mold, adjusting the anchoring for primary stability without translation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eEffective Application of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eCirclage\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e:\u003c\/strong\u003e Creation of longitudinal incisions in the quadriceps tendon for proper positioning of the wire to the bone, with traction technique and burial of the ends in the muscle mass to avoid complications.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eFixation of Lateral Fragments:\u003c\/strong\u003e Use of double compression screws for the fixation of fragments in the lateral wing, with complete burial of the head to prevent implant prominence.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eIdentification of the Key Fragment:\u003c\/strong\u003e Focus on the importance of the lower pole inserted into the patellar tendon as a crucial point for the reduction and concentration of screws with washers for stabilization.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003ePrevention of Complications:\u003c\/strong\u003e Strategies to avoid instability \u003c\/span\u003e\u003cspan class=\"cf0\"\u003epost-fixation\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e and considerations regarding implant prominence, especially patellar plates, which often require removal.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Technical document summarizing the surgical treatment of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e patellar fractures, addressing: demarcation and surgical access; reduction and stabilization techniques; preparation and fixation with \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ecannulated\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e screws and \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ecerclage\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e; fixation of lateral fragments; and final considerations, including the management of the key fragment at the inferior pole.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in the treatment of complex patellar fractures. Enroll and master the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eosteosynthesis\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e techniques that ensure superior functional restoration.\u003c\/span\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55618541683057,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaMultifragmentardaPatela_result.webp?v=1782475807"},{"product_id":"multi-fragmentary-patella-fracture","title":"Multi-fragmentary Patella Fracture","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eThe management of multi-fragmentary patella fractures with extensor mechanism compromise represents a significant technical challenge in orthopedics. This training offers a practical immersion in osteosynthesis that restores articular congruence and extensor function, minimizing implant prominence.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eSurgical treatment of multi-fragmentary patella fractures with extensor mechanism compromise.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eAnatomical reduction and stable fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eUse of cannulated screws and cerclage.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eManagement of secondary fragments in the lateral retinaculum.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eOptimized Surgical Approach: \u003c\/strong\u003ePrecise demarcation and a single incision to intraoperatively manipulate fragments and identify fracture \"teeth,\" facilitating reduction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePrecise Reduction Technique: \u003c\/strong\u003eMethodology for using reduction forceps and the hand as a mold, adjusting the anchor for primary stability without translation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eEffective Cerclage Application: \u003c\/strong\u003eCreation of longitudinal incisions in the quadriceps tendon for precise wire positioning close to the bone, with a traction technique and burying of the ends within the muscle mass to prevent complications.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eFixation of Lateral Fragments:\u003c\/strong\u003e Use of double compression screws for fixation of fragments in the lateral retinaculum, with complete burying of the head to prevent implant prominence.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eI\u003cstrong\u003edentification of the Key Fragment: \u003c\/strong\u003eFocus on the importance of the inferior pole inserted into the patellar tendon as a crucial point for reduction and concentration of screws with a washer for stabilization.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003ePrevention of \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eComplications\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003e: \u003c\/strong\u003eStrategies to avoid post-fixation instability and considerations regarding implant prominence, especially plates in the patella, which frequently require removal.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed PDF: \u003c\/strong\u003eTechnical document summarizing the surgical treatment of multi-fragmentary patella fractures, addressing: demarcation and surgical approach; reduction and stabilization techniques; preparation and fixation with cannulated screws and cerclage; fixation of lateral fragments; and final considerations, including the management of the key fragment in the inferior pole.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your skills in the treatment of complex patella fractures. Enroll and master osteosynthesis techniques that ensure superior functional restoration.\u003c\/span\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55618551087473,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaMultifragmentardaPatela_result_905801a5-20bd-426d-9378-cd258e3945e4.webp?v=1782475810"},{"product_id":"fratura-diafisaria-alta-da-tibia-com-deformidade","title":"High Diaphyseal Tibia Fracture with Deformity","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eFracture treatments \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ediaphyseal\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e tibial shaft fractures with pre-existing bone deformity represent a technical challenge due to the instability of the shear line and the presence of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eosteopenic\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e bone.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eThis training offers a straightforward solution with dual-column fixation (medial and lateral) using plates molded by a minimally invasive technique, presented in a 4K video from a surgical perspective.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003ePreoperative planning with image intensifier.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003eAnti-shear \u003c\/span\u003e\u003cspan class=\"cf0\"\u003efixation\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e with anatomical medial plate.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eLateral approach with molded bridge plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eMinimally invasive technique with tissue preservation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003eStrategies for osteopenic \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ebones\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e and postoperative early mobility.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eImage-Guided Skin Marking:\u003c\/strong\u003e Precise positioning of surgical accesses.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eAnti-Shear \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eFixation\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e Medial:\u003c\/strong\u003e Anatomical fibula plate with multiple proximal screws for alignment and indirect reduction.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eAnatomical Reduction with Tissue Preservation:\u003c\/strong\u003e Complete skin access without \"funnel\" formation and minimally invasive manipulation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eLateral Bridge Plate Implantation: \u003c\/strong\u003eSubmuscular tunnel technique using \u003c\/span\u003e\u003cspan class=\"cf0\"\u003edissector\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e and digital palpation to avoid intramuscular insertion.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eTibial Curvature Plate Modeling:\u003c\/strong\u003e Custom adaptation with a table modeler to avoid protrusions.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eStable Fixation with Cortical and Locked Screws:\u003c\/strong\u003e Strategic combination for torque, stability, and load distribution.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eMinimally Invasive Surgery with Dual Column Fixation:\u003c\/strong\u003e Anatomical reduction and biomechanical stability for low-density bones.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e The supplementary PDF material provides a comprehensive and objective summary of the procedure, including all stages of the surgery, from pre-operative planning to closure.It describes the reference points for skin marking, the types of plates and screws used, the techniques for indirect reduction and modeling of the implants, as well as practical guidelines for performing medial and lateral accesses with minimal tissue aggression.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your surgical precision in the treatment of complex tibial fractures. Sign up now and master the two-column fixation technique with a minimally invasive approach.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55618584904049,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaDiafisariaAltadaTibiacomDeformidade_result.webp?v=1782475812"},{"product_id":"diaphyseal-tibia-fracture-with-deformity","title":"Diaphyseal Tibia Fracture with Deformity","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eTreating high diaphyseal tibial fractures with pre-existing bone deformity presents a technical challenge due to the instability of the shear fracture pattern and the presence of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eosteopenic\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e bone.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eThis training offers a direct solution with two-column fixation (medial and lateral) using pre-contoured plates via a minimally invasive technique, displayed in 4K video from a surgical perspective.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eFocus of the Training:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003ePre-operative planning with image intensifier.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eAnti-shear fixation with an anatomical medial plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eLateral approach with a pre-contoured bridging plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eMinimally invasive technique with tissue preservation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eStrategies for \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eosteopenic\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e bones and early post-operative mobility.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eImage-Guided Skin Marking:\u003c\/strong\u003e Precise positioning of surgical approaches.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eMedial Anti-Shear Fixation:\u003c\/strong\u003e Anatomical fibular plate with multiple proximal screws for alignment and indirect reduction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eAnatomical Reduction with Tissue Preservation:\u003c\/strong\u003e Full skin access without \"funnel\" formation and minimally invasive manipulation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eLateral Bridging Plate Implantation:\u003c\/strong\u003e Submuscular tunnel technique using a dissector and digital palpation to avoid intramuscular insertion.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePlate Contouring for Tibial Curvature: \u003c\/strong\u003eCustomized adaptation with a table bender to avoid prominences.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eStable Fixation with Cortical and Locking Screws:\u003c\/strong\u003e Strategic combination for torque, stability, and load distribution.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eMinimally Invasive Surgery with Two-Column Fixation:\u003c\/strong\u003e Anatomical reduction and biomechanical stability for low-density bones.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eIncluded Material: \u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed PDF: \u003c\/strong\u003eThe complementary PDF material provides a complete and objective summary of the procedure, including all surgical steps, from pre-operative planning to closure. It describes the landmarks for skin marking, the types of plates and screws used, techniques for indirect reduction and implant contouring, as well as practical guidelines for performing medial and lateral approaches with minimal tissue aggression.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your surgical precision in treating complex tibial fractures.Enroll now and master the technique of two-column fixation with a minimally invasive approach.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":55618596962673,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaDiafisariaAltadaTibiacomDeformidade_result_a370c13a-bfd1-4573-aabf-ba23090c3410.webp?v=1782475711"},{"product_id":"fratura-do-planalto-tibial-com-afundamento-central-e-osteotomia-incompleta","title":"Tibial Plateau Fracture with Central Depression and Incomplete Osteotomy","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMastering the treatment of complex tibial plateau fractures is a challenge that requires technical precision and biomechanical understanding. This training offers a technical immersion in the management of central depressed tibial plateau fractures with incomplete shear lines, presented in video format with a focus on the surgical perspective.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eSurgical treatment of central depressed tibial plateau fractures with incomplete shear.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eMeticulous approach to surgical access.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eIncomplete (elastic) osteotomy technique for elevating the depressed fragment.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eStrategic use of bone graft.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003ePlate and screw fixation for anatomical reduction and stabilization.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eOptimized Surgical Access: \u003c\/strong\u003eIncision methodology in \"hockey stick\" and precise bone dissection for broad visualization and minimization of tissue damage, facilitating closure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eEarly Drainage of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eHemarthrosis\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e:\u003c\/strong\u003e Technique for optimizing the visualization of the surgical field, providing a clean environment for the procedure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eIncomplete Osteotomy (Elastic): \u003c\/strong\u003eLearning a technique that preserves the anterolateral lower cortex, allowing for elastic lifting of the fragment without creating a loose segment, which simplifies reduction and stabilization.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eEfficient Meniscus Handling:\u003c\/strong\u003e Techniques for \u003c\/span\u003e\u003cspan class=\"cf0\"\u003edisinsertion\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e of the meniscus adhered to the bone and the use of wires for adequate exposure and efficient capsular repair.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eExpanded Joint Exposure:\u003c\/strong\u003e Maneuvers of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003evarus\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e to open the lateral compartment and obtain direct visualization of the depression.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003ePrecise Depression Elevation:\u003c\/strong\u003e Methodology for uniformly elevating the impacted bone block, with discreet overcorrection for graft accommodation and stability, using bimanual control.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eStable Fixation Strategy:\u003c\/strong\u003e Application of the plate with screws at a strategic point for initial compression, followed by the insertion of locked screws \u003c\/span\u003e\u003cspan class=\"cf0\"\u003esubchondral\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e, forming a joint support network.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eAnatomical Closure: \u003c\/strong\u003eClosure techniques that maintain the integrity of the anterior tibial muscle and follow anatomical planes, contributing to an aesthetic and functional outcome.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Document summarizing the surgical treatment of lateral tibial plateau fracture with central depression and incomplete shear line, addressing access, proper bone dissection, elastic osteotomy, meniscus handling, exposure and elevation of the depression, reduction and fixation techniques, and surgical closure for an anatomical and functional result.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in managing complex tibial plateau fractures. Enroll now and master the techniques of elastic osteotomy and stable fixation.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55618631598449,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturadoPlanaltoTibialcomAfundamentoCentraleOsteotomiaIncompleta_result.webp?v=1782475712"},{"product_id":"tibial-plateau-fracture-with-central-depression-and-incomplete-osteotomy","title":"Tibial Plateau Fracture with Central Depression and Incomplete Osteotomy","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMastering the treatment of complex tibial plateau fractures is a challenge that demands technical precision and biomechanical understanding. This training offers a technical immersion into the management of tibial plateau fractures with central depression and an incomplete shear fracture line, presented in a video with a focus on the surgical perspective.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eSurgical treatment of tibial plateau fracture with central depression and incomplete shear.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eMeticulous approach to surgical access.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eTechnique of incomplete (elastic) osteotomy for lifting the depressed fragment.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eStrategic use of bone graft.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eFixation with plate and screws for anatomical reduction and stabilization.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Content\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eOptimized Surgical Access:\u003c\/strong\u003e \"Hockey stick\" incision methodology and subperiosteal dissection for wide visualization and minimization of tissue damage, facilitating closure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eEarly Hemarthrosis Drainage:\u003c\/strong\u003e Technique for optimizing visualization of the surgical field, providing a clean environment for the procedure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eIncomplete (Elastic) Osteotomy:\u003c\/strong\u003e Learning a technique that preserves the inferior anterolateral cortex, allowing elastic elevation of the fragment without creating a free segment, which simplifies reduction and stabilization.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eEfficient Meniscal Management: \u003c\/strong\u003eTechniques for detaching the meniscus adhered to the bone and using sutures for adequate exposure and efficient capsular repair.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eExpanded Articular Exposure:\u003c\/strong\u003e Varus maneuvers to open the lateral compartment and obtain direct visualization of the depression.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePrecise Depression Elevation:\u003c\/strong\u003e Methodology for uniformly lifting the impacted bone block, with slight overcorrection for graft accommodation and stability, using bimanual control.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eStable Fixation Strategy: \u003c\/strong\u003eApplication of the plate with a screw at a strategic point for initial compression, followed by the insertion of subchondral locked screws, forming an articular support network.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eAnatomical Closure:\u003c\/strong\u003e Closure techniques that maintain the integrity of the tibialis anterior muscle and follow anatomical planes, contributing to an aesthetic and functional outcome.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eIncluded Material\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Document summarizing the surgical treatment of lateral tibial plateau fracture with central depression and incomplete shear fracture line, addressing access, subperiosteal dissection, elastic osteotomy, meniscal management, exposure and elevation of the depression, techniques of reduction and fixation, and surgical closure for an anatomical and functional result.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your skills in managing complex tibial plateau fractures. Enroll now and master the techniques of elastic osteotomy and stable fixation.\u003c\/span\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55618669379953,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturadoPlanaltoTibialcomAfundamentoCentraleOsteotomiaIncompleta_result_a3e6fc6c-ea63-4144-be99-d83aeceb59c1.webp?v=1782475819"},{"product_id":"fratura-do-plato-tibial-com-afundamento-central-acesso-anterolateral-e-osteotomia-incompleta","title":"Tibial Plateau Fracture with Central Depression (Anterolateral Approach and Incomplete Osteotomy)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the treatment of central depressed tibial plateau fractures. This training offers a technical immersion in \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eosteosynthesis\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e using incomplete osteotomy and specific anterolateral access, presented in 4K video from a surgical perspective, to restore anatomy and joint function.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003eOsteosynthesis\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e of central depressed and incomplete shear tibial plateau fractures.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eAnterolateral \"hockey stick\" access for wide exposure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eIncomplete (elastic) osteotomy technique for elevating depressed fragments.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003eUse of structural bone graft and fixation with \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ecannulated\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e \u003c\/span\u003e\u003cspan class=\"cf0\"\u003esubchondral\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e screws and plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eManagement of soft tissues and prevention of complications.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eOptimized Surgical Access: \u003c\/strong\u003eMethodology for marking and incision in \"hockey stick\" style, facilitating joint exploration and aesthetic skin closure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eControlled Dissection and Tissue Preservation:\u003c\/strong\u003e Dissection techniques to maintain the integrity of the anterior tibial muscle and fascia, minimizing bleeding and optimizing recovery.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eMeniscus Management and Joint Exposure:\u003c\/strong\u003e Preparation of the meniscus with \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eVicryl\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e sutures and precise lifting for wide exposure of the depression, ensuring the integrity of the structures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eElastic Osteotomy for Anatomical Reduction:\u003c\/strong\u003e An incomplete osteotomy approach that maintains the intact anterolateral cortex, allowing the depressed fragment to be lifted back to its natural position.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eBone Grafting Strategies:\u003c\/strong\u003e Protocols for filling the depression with granule grafts, including overcorrection for accommodation and resistance, and the use of structural grafts for support.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eStable Fixation and Subchondral \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eNetwork\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e:\u003c\/strong\u003e Positioning of guide wires for \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ecannulated\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e \u003c\/span\u003e\u003cspan class=\"cf0\"\u003esubchondral\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e screws, creating a \"network\" for primary stability, and strategic use of the plate for compression and maintenance of the lift.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eClosure by Layers for Restructuring:\u003c\/strong\u003e Systematic approach for closing soft and bony tissues, restructuring anatomy and optimizing functional and aesthetic outcomes.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf0\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Practical summary of the procedure, addressing: fracture condition (tibial plateau with central depression and incomplete shear); anterolateral surgical access in \"hockey stick\"; detailed preparation and dissection; handling of the meniscus and incomplete (elastic) osteotomy; elevation of the depression and grafting; fixation with \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ecannulated\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e screws and plate; and closure by layers for anatomical and tissue restoration, culminating in anatomical reduction and good stabilization.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in treating tibial plateau fractures.Sign up now and master the techniques of elastic osteotomy and anterolateral access.\u003c\/span\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55618719711601,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturadoPlatoTibialcomAfundamentoCentral_AcessoAnterolateraleOsteotomiaIncompleta__result.webp?v=1782473351"},{"product_id":"tibial-plateau-fracture-with-central-depression-anterolateral-approach-and-incomplete-osteotomy","title":"Tibial Plateau Fracture with Central Depression (Anterolateral Approach and Incomplete Osteotomy)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the treatment of tibial plateau fractures with central depression. This training offers a technical immersion in osteosynthesis using incomplete osteotomy and a specific anterolateral approach, presented in 4K video from a surgical perspective, to restore anatomy and joint function.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eOsteosynthesis of tibial plateau fractures with central depression and incomplete shear.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\"Hockey stick\" anterolateral approach for wide exposure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eIncomplete (elastic) osteotomy technique for lifting depressed fragments.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eUse of structural bone graft and fixation with subchondral cannulated screws and plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eSoft tissue management and prevention of complications.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eOptimized Surgical Approach:\u003c\/strong\u003e Methodology for \"hockey stick\" marking and incision, facilitating joint exploration and aesthetic skin closure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eControlled Dissection and Tissue Preservation:\u003c\/strong\u003e Dissection techniques to maintain the integrity of the tibialis anterior muscle and fascia, minimizing bleeding and optimizing recovery.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eMeniscus Management and Joint Exposure:\u003c\/strong\u003e Meniscus preparation with \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eVicryl\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e sutures and precise lifting for ample exposure of the depression, ensuring the integrity of structures.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eElastic Osteotomy for Anatomical Reduction:\u003c\/strong\u003e Incomplete osteotomy approach that keeps the anterolateral cortex intact, allowing the depressed fragment to be elevated with natural return to position.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eBone Grafting Strategies:\u003c\/strong\u003e Protocols for filling the depression with granular graft, including overcorrection for accommodation and strength, and use of structural graft for support.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eStable Fixation and Subchondral Network:\u003c\/strong\u003e Positioning of guide wires for subchondral cannulated screws, creating a \"network\" for primary stability, and strategic use of the plate for compression and maintenance of the elevation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eLayered Closure for Restructuring: \u003c\/strong\u003eSystematic approach for soft tissue and bone closure, restructuring anatomy and optimizing functional and aesthetic outcomes.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eIncluded Material: \u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Practical summary of the procedure, addressing: fracture condition (tibial plateau with central depression and incomplete shear); \"hockey stick\" anterolateral surgical approach; detailed preparation and dissection; meniscus handling and incomplete (elastic) osteotomy; depression elevation and grafting; fixation with cannulated screws and plate; and layered closure for anatomical and tissue restoration, culminating in anatomical reduction and good stabilization.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your skills in the treatment of tibial plateau fractures. Enroll now and master the techniques of elastic osteotomy and anterolateral approach\u003c\/span\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55618728329585,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturadoPlatoTibialcomAfundamentoCentral_AcessoAnterolateraleOsteotomiaIncompleta__result_068e1e15-68e2-4afd-91d5-c4b68e2cbb36.webp?v=1782473357"},{"product_id":"artroplastia-da-cabeca-do-radio-por-fratura-multifragmentar","title":"Radial Head Arthroplasty for Comminuted Fracture","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the radial head arthroplasty, an important procedure for \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e fractures. This training offers a technical immersion in the lateral approach via the Kaplan interval, focusing on uncemented prosthetic replacement, maximum preservation of the radial neck, and restoration of elbow stability and range of motion.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf0\"\u003e\n\u003cspan class=\"cf1\"\u003eRadial head arthroplasty for \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e fractures.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eLateral approach via the Kaplan interval.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf0\"\u003e\n\u003cspan class=\"cf1\"\u003eUncemented prosthetic replacement focusing on the preservation of the radial neck.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf0\"\u003e\n\u003cspan class=\"cf1\"\u003eRestoration of elbow stability and range of motion.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf0\"\u003e\n\u003cspan class=\"cf1\"\u003eLigament reconstruction and anatomical closure.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eSurgical Access and Exposure:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e Lateral approach with Kaplan interval, dermographic markings\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e on the lateral epicondyle. Access through planes with hemostasis. Multifragmanted\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e fracture requiring prosthesis. Opening of the annular ligament and osteotomy with preservation of the radial neck.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003ePreparation of the Medullary Canal:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e Cushion under the elbow for discreet\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e varus.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e Manual milling with close adjustment to the medullary canal for a good fit of the uncemented implant.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eTesting and Regulation of the Osteotomy:\u003c\/span\u003e Testing the diameter of the implant with manual rotation of the arm\/hand. Preference for a smaller diameter in case of doubt.Regularization of the osteotomy and use of a test component according to the measurement of the radial head.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eFinal Implant:\u003c\/strong\u003e The implant must align \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ewith the articular surface of the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eolecranon\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e. Adjustments to the osteotomy, compaction of the component with a hammer. Movement testing without blockages after reduction.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eClosure and Ligaments:\u003c\/strong\u003e Closure in layers. Suture of the annular ligament with extension\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e and \u003c\/span\u003e\u003cspan class=\"cf0\"\u003evalgus\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e for ideal tensioning. Reinsertion of the lateral collateral with an anchor, maintaining extension and \u003c\/span\u003e\u003cspan class=\"cf0\"\u003evalgus\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e when fixing.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eOptimized Results:\u003c\/strong\u003e Closure with preserved musculature. Free elbow movements. X-rays should confirm joint preservation and appropriate size of the radial head. Aligned marks for final aesthetics.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Technical PDF:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e A comprehensive educational document that describes the procedure for radial head arthroplasty due to \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e fracture, covering everything from surgical access and fracture exposure, preparation of the medullary canal, size testing and osteotomy regularization, placement and evaluation of the final implant, to closure and ligament reconstruction.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your elbow surgery skills. Enroll now and master advanced techniques in radial head arthroplasty, ensuring functional restoration and stability for your patients.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55621768315249,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/ArtroplastiadaCabecadoRadioporFraturaMultifragmentar_result.webp?v=1782473362"},{"product_id":"radial-head-arthroplasty-for-multifragmentary-fracture","title":"Radial Head Arthroplasty for Multifragmentary Fracture","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster radial head arthroplasty, an important procedure for \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e fractures. This training offers a technical immersion into the lateral approach via the Kaplan interval, focusing on uncemented prosthetic replacement, maximum preservation of the radial neck, and restoration of elbow stability and range of motion.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eRadial head arthroplasty for \u003c\/span\u003e\u003cspan class=\"cf1\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e fractures.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eLateral approach via the Kaplan interval.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eUncemented prosthetic replacement with a focus on radial neck preservation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eRestoration of elbow stability and range of motion.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eLigament reconstruction and anatomical closure.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eSurgical Approach and Exposure: Lateral approach with Kaplan interval, \u003c\/span\u003e\u003cspan class=\"cf1\"\u003edermographic\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e markings on the lateral epicondyle. Planar access with hemostasis. \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eMultifragmentary\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e fracture requiring prosthesis. Annular ligament opening and osteotomy with radial neck preservation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eMedullary Canal Preparation: Cushion under the elbow for slight varus. Manual reaming with intimate fit to the medullary canal for good seating of the uncemented implant.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eOsteotomy Testing and Regularization: Test implant diameter with manual rotation of the arm\/hand. Preference for a smaller diameter if in doubt. Regularization of the osteotomy and use of a trial component according to radial head measurement.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eFinal Implant: Implant must align with the articular surface of the olecranon. Adjustments to the osteotomy, compaction of the component with a hammer. Movement test without impingement after reduction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eClosure and Ligaments: Planar closure. Annular ligament suture with extension and valgus for ideal tensioning. Reinsertion of the lateral collateral ligament with an anchor, maintaining extension and valgus during fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eOptimized Results: Closure with preserved musculature. Free elbow movements. X-ray should confirm joint preservation and adequate radial head size. Aligned markings for final aesthetics.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eDetailed Technical PDF: A complete didactic document describing the radial head arthroplasty procedure for \u003c\/span\u003e\u003cspan class=\"cf1\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e fractures, covering everything from surgical access and fracture exposure, medullary canal preparation, size testing and osteotomy regularization, placement and evaluation of the final implant, to closure and ligament reconstruction.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your skills in elbow surgery. Enroll now and master advanced radial head arthroplasty techniques, ensuring functional restoration and stability for your patients.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55621789024625,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/ArtroplastiadaCabecadoRadioporFraturaMultifragmentar_result_d1270955-7d31-46cc-bc72-1d9547b1cd0d.webp?v=1782473367"},{"product_id":"reconstrucao-anatomica-do-tendao-distal-do-biceps-tightrope","title":"Anatomic Reconstruction of the Distal Biceps Tendon (TightRope)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in the anatomical reconstruction of the distal biceps brachii tendon, a fundamental surgical technique for muscle restoration after \u003c\/span\u003e\u003cspan class=\"cf0\"\u003edetachment\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e \u003c\/span\u003e\u003cspan class=\"cf0\"\u003etendinous\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e. This training details the procedure with a focus on the reinsertion technique using the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e device and specific materials, highlighting critical points from surgical access to tendon fixation and the expected aesthetic and functional outcomes.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eAnatomical reconstruction of the distal biceps brachii tendon.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eReinsertion technique using the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e device.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eMinimization of tissue trauma.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eOptimization\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e of functional and aesthetic results.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eEvaluation\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e and Planning: \u003c\/strong\u003ePalpation of the limit of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ebrachioradialis\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e and use of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003efluoroscopy\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e to locate the tuberosity of the radius. Planned skin access to avoid muscle injury and precise dissection of the fascia.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDissection\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e and Hemostasis: \u003c\/strong\u003eLigation of a branch of the radial artery, with effective control of bleeding, eliminating the need for a pneumatic cuff.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eExposure\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e of the Reinsertion Site:\u003c\/strong\u003e Visualization of the tuberosity of the radius with full supination of the forearm, exposing the site of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003edetachment\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e of the biceps.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eTendon Preparation and Suturing:\u003c\/strong\u003e Triangular modeling of the tendon \u003c\/span\u003e\u003cspan class=\"cf0\"\u003etip\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e to facilitate insertion. Suturing with Arthrex material, slightly tight for stability.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eBone \u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eOrifice and Fixation: \u003c\/strong\u003eMeasurement of tendon \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ethickness\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e, drilling the cortices with a guide wire and drill, creating a 7 mm hole in the first cortex.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eReinsertion with \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e:\u003c\/strong\u003e Introduction and fixation of the already sutured tendon with the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e device on the opposite side of the radius.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eVerification and Closure:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e X-ray confirms the orifice. Anatomical and delicate access, without muscle injuries, with a favorable aesthetic result.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Technical PDF:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e An educational document that details each step of the anatomical reconstruction of the distal biceps tendon, from pre-operative assessment and planning to tendon fixation with the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e device.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in elbow and shoulder surgery. Enroll now and master the techniques of distal biceps tendon reconstruction, ensuring functional restoration and superior aesthetic results for your patients.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55621822153073,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/ReconstrucaoAnatomicadoTendaoDistaldoBiceps_TightRope_-01_result.webp?v=1782475838"},{"product_id":"anatomical-reconstruction-of-the-distal-biceps-tendon-tightrope","title":"Anatomical Reconstruction of the Distal Biceps Tendon (TightRope)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in the anatomical reconstruction of the distal biceps brachii tendon, a fundamental surgical technique for muscle restoration after tendinous avulsion. This training details the procedure with a focus on the reinsertion technique using the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e device and specific materials, highlighting critical points from surgical access to tendon fixation and the expected aesthetic and functional outcomes.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eAnatomical reconstruction of the distal biceps brachii tendon.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eReinsertion technique using the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e device.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eMinimization of tissue trauma.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eOptimization of functional and aesthetic outcomes.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eEvaluation and Planning: \u003c\/strong\u003ePalpation of the brachioradialis border and use of fluoroscopy to locate the radial tuberosity. Planned skin incision to avoid muscle injury and precise fascial dissection.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDissection and Hemostasis: \u003c\/strong\u003eLigation of a radial artery branch, with effective bleeding control, eliminating the need for a tourniquet.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eExposure of the Reinsertion Site:\u003c\/strong\u003e Visualization of the radial tuberosity with full forearm supination, exposing the biceps avulsion site.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eTendon Preparation and Suture:\u003c\/strong\u003e Triangular shaping of the tendon end to facilitate introduction. Suture with Arthrex material, slightly taut for stability.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eBone Tunnel and Fixation: \u003c\/strong\u003eMeasurement of tendon thickness, drilling of cortices with a guide wire and drill bit, creating a 7 mm hole in the first cortex.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eReinsertion with \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003e:\u003c\/strong\u003e Introduction and fixation of the already sutured tendon with the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e device on the opposite side of the radius.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eVerification and Closure: \u003c\/strong\u003eX-ray confirms the tunnel. Anatomical and delicate access, without muscle injuries, with a favorable aesthetic result.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Technical PDF:\u003c\/strong\u003e A didactic document detailing each step of the anatomical reconstruction of the distal biceps brachii tendon, from preoperative evaluation and planning to tendon fixation with the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e device.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your skills in elbow and shoulder surgery. Enroll now and master distal biceps tendon reconstruction techniques, ensuring functional restoration and superior aesthetic results for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55621839290737,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/ReconstrucaoAnatomicadoTendaoDistaldoBiceps_TightRope_-01_result_3fa0fbb7-1671-41f5-aa23-c0fe404e73b7.webp?v=1782475731"},{"product_id":"reconstrucao-anatomica-do-tendao-distal-do-biceps-com-tightrope","title":"Anatomic Reconstruction of the Distal Biceps Tendon with TightRope","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in the anatomical reconstruction of the distal biceps tendon, a surgical procedure to restore muscle function after \u003c\/span\u003e\u003cspan class=\"cf0\"\u003edetachment\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e \u003c\/span\u003e\u003cspan class=\"cf0\"\u003etendinous\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e. This training details the technique with the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e device, focusing on pre-operative study, identification of critical \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eneurovascular\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e structures, precise preparation of the tendon and bone tunnel, and reinsertion for optimal aesthetic and functional results.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eAnatomical reconstruction of the distal biceps tendon at the radial tuberosity.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eUtilization of the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e device.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e\n\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eMinimally invasive approach and preservation of anatomical structures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eSurgical access planning and identification of neurovascular structures.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e\n\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e\n\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eTendon preparation and creation of the bone tunnel.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e\n\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eSurgical Planning and Access:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e Radiographic identification of the radial tuberosity with image intensifier. Skin marking with dermographic pen.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e A fascia opening without damaging muscle, with strict hemostasis and without cuff.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e\n\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eNeurovascular Dissection and Protection:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e Dissection of the brachioradialis muscle along the direction of the fibers. Ligation of the recurrent radial artery branch. Careful identification and retraction of the deep branch of the radial nerve.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003ePreparation of the Bone and Tendon Site\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e:\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e Identification of the radial tuberosity and the remaining \u003c\/span\u003e\u003cspan class=\"cf0\"\u003etendon\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e. Manual positioning of retractors. Drilling of the cortices with guide wire and drill according to tendon thickness. Remodeling of the distal tendon end and cleaning of the insertion site.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eSuture and Fixation with \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e Suture with \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eFiberloop\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e in a braided pattern. Determination of the drill diameter (7mm). Passage of the endo-button and precautions to avoid compression of soft structures. Progressive introduction of the tendon into the tunnel and tightening of the knot with proper approximation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eVerification and Closure:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e Anatomical evaluation of positioning with X-ray.Attention to the proper construction of the tunnel. Preservation of muscle and neurological structures. Anatomical closure of the fascia and aesthetic intradermal suture of the skin.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Procedure PDF:\u003c\/strong\u003e A comprehensive educational document that details each step of the anatomical reconstruction of the distal biceps brachii tendon with \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e. This includes preoperative planning, surgical access, neurovascular identification and protection, preparation of the bone and tendon site, as well as tendon suturing and fixation, in addition to final verification and closure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in elbow and shoulder surgery. Enroll now and master the techniques of distal biceps tendon reconstruction, ensuring functional restoration and superior aesthetic results for your patients.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55621885821297,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/ReconstrucaoAnatomicadoTendaoDistaldoBicepscomTightRope_result.webp?v=1782475733"},{"product_id":"anatomic-reconstruction-of-the-distal-biceps-tendon-with-tightrope","title":"Anatomic Reconstruction of the Distal Biceps Tendon with TightRope","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in anatomic reconstruction of the distal biceps tendon, a surgical procedure aimed at restoring muscle function after tendon detachment. This training details the technique using the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e device, focusing on preoperative planning, identification of critical neurovascular structures, precise preparation of the tendon and bone tunnel, and reinsertion for optimal aesthetic and functional outcomes.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eAnatomic reconstruction of the distal biceps tendon at the radial tuberosity.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eUse of the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e device.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eMinimally invasive approach and preservation of anatomical structures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eSurgical access planning and identification of neurovascular structures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eTendon preparation and bone tunnel creation.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eSurgical Planning and Access:\u003c\/strong\u003e Radiographic identification of the radial tuberosity using a fluoroscope. Skin marking with a \u003c\/span\u003e\u003cspan class=\"cf1\"\u003edermographic\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e pen. Fascia opening without injuring the musculature, with rigorous hemostasis and without a tourniquet.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eNeurovascular Dissection and Protection: \u003c\/strong\u003eDissection of the brachioradialis muscle following the fiber direction. Ligation of the recurrent radial artery branch. Careful identification and retraction of the deep branch of the radial nerve.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePreparation of Bone and Tendon Site:\u003c\/strong\u003e Identification of the radial tuberosity and tendon remnant. Manual placement of retractors. Cortical drilling with guidewire and bit according to tendon thickness. Remodeling of the distal end of the tendon and cleaning of the insertion site.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eSuturing and Fixation with \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003e:\u003c\/strong\u003e Braided stitch with \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eFiberLoop\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e. Determination of drill diameter (7mm). Careful passage of the endo-button to avoid compression of soft tissues. Progressive introduction of the tendon into the tunnel and knot tightening with proper approximation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eVerification and Closure:\u003c\/strong\u003e Assessment of anatomic positioning with radiograph. Attention to proper tunnel creation. Preservation of musculature and neurological structures. Anatomic fascia closure and aesthetic intradermal skin suturing.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Procedure PDF:\u003c\/strong\u003e A comprehensive didactic document outlining each step of the anatomic reconstruction of the distal biceps tendon using \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e. Includes preoperative planning, surgical access, neurovascular identification and protection, bone and tendon site preparation, tendon suturing and fixation, as well as final verification and closure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your skills in elbow and shoulder surgery. Enroll now and master distal biceps tendon reconstruction techniques to ensure functional restoration and superior aesthetic outcomes for your patients.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55621893652849,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/ReconstrucaoAnatomicadoTendaoDistaldoBicepscomTightRope_result_7305aba1-9c95-4e46-857d-d991fedca043.webp?v=1782475735"},{"product_id":"osteossintese-minimamente-invasiva-de-fratura-de-olecrano","title":"Minimally Invasive Osteosynthesis of Olecranon Fracture","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eminimally invasive osteosynthesis\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e of articular fractures of the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eolecranon\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e, important for preserving long-term joint function in young patients. This training details a surgical approach aimed at minimizing tissue trauma, optimizing aesthetics, and allowing early mobility in the postoperative period, ensuring anatomical reduction and stable fixation.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eTreatment of articular fractures of the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eolecranon\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eMinimally invasive surgical approach.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e\n\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eAnatomical reduction and stable fixation.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e\n\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003ePreservation of joint function and early mobility.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e\n\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eOptimization of postoperative aesthetics.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eAccess and Exposure:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e A small portal on the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eolecranon\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e with a single section and periosteal detachment, allowing for clean dissection and exploration of the entire fracture for reduction reference.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eProvisional Reduction and Planning:\u003c\/strong\u003e Reduction assisted by forceps and fixation with Kirschner wire. Anatomical verification with the \"fracture teeth.\" Planning for a second \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emini-access\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e for distal screws.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eT\u003c\/span\u003e\u003cspan class=\"cf0\"\u003eunnel \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eSubperiosteal\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e and Plate Passage:\u003c\/strong\u003e Dissection between extensor and flexor muscles to create a tunnel and introduce the long plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eFixation of the Plate:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e Start with an eccentric dynamic screw for compression, followed by provisional intramedullary fixation. Replacement with locked screws \u003c\/span\u003e\u003cspan class=\"cf0\"\u003esubchondral\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e for greater strength. The drill system streamlines the procedure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003ePercutaneous Screws:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e Distal insertion through \u003c\/strong\u003emini-access\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e and intermediate screw via palpation-guided percutaneous incision. Finalization with locked screws.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eClosure and Final Result:\u003c\/strong\u003e Anatomical closure of periosteum and skin, guided by \u003c\/span\u003e\u003cspan class=\"cf0\"\u003edermographic\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e marks. The minimally invasive technique preserves muscle and allows early mobility in the postoperative period.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Procedure PDF:\u003c\/strong\u003e A comprehensive educational document that outlines the less invasive surgical approach for the treatment of articular fractures of the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eolecranon\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e, including surgical access and fracture exposure, provisional reduction, plate planning and passage, definitive fixation, as well as the percutaneous insertion of additional screws and closure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your elbow surgery skills. Enroll now and master the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eminimally invasive osteosynthesis\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e of olecranon fractures\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e, ensuring anatomical reduction, stable fixation, and early mobility for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55622130205041,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/OsteossinteseMinimamenteInvasivadeFraturadeOlecrano_result.webp?v=1782475845"},{"product_id":"minimally-invasive-osteosynthesis-of-olecranon-fractures","title":"Minimally Invasive Osteosynthesis of Olecranon Fractures","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster minimally invasive osteosynthesis of articular olecranon fractures, which is important for long-term preservation of joint function in young patients. This training details a surgical approach that aims to minimize tissue trauma, optimize aesthetics, and allow early postoperative mobility, ensuring anatomical reduction and stable fixation.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eTreatment of articular olecranon fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eMinimally invasive surgical approach.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eAnatomical reduction and stable fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003ePreservation of joint function and early mobility.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eOptimization of postoperative aesthetics.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eAccess and Exposure:\u003c\/strong\u003e Small portal over the olecranon with a single incision and periosteal detachment, allowing clean dissection and full fracture exploration for reduction reference.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eProvisional Reduction and Planning: \u003c\/strong\u003eReduction assisted by forceps and fixation with Kirschner wire. Anatomical verification using the \"fracture teeth.\" Planning for a second mini-access for distal screws.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eSubperiosteal Tunnel and Plate Passage:\u003c\/strong\u003e Dissection between extensor and flexor muscles to create a tunnel and introduce the long plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePlate Fixation: \u003c\/strong\u003eBeginning with an eccentric dynamic screw for compression, followed by intramedullary provisional fixation. Replacement with subchondral locking screws for greater strength. A drill system streamlines the procedure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePercutaneous Screws: \u003c\/strong\u003eDistal insertion via mini-access and intermediate screw via percutaneous incision guided by palpation. Finalization with locking screws.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eClosure and Final Result:\u003c\/strong\u003e Anatomical closure of periosteum and skin, guided by \u003c\/span\u003e\u003cspan class=\"cf1\"\u003edermographic\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e markings. Minimally invasive technique preserves musculature and allows early postoperative mobility.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Procedure PDF:\u003c\/strong\u003e A comprehensive didactic document detailing the less invasive surgical approach for treating articular olecranon fractures, including surgical access and fracture exposure, provisional reduction, planning and plate passage, definitive fixation, percutaneous insertion of additional screws, and closure.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your elbow surgery skills.Enroll now and master minimally invasive osteosynthesis of olecranon fractures, ensuring anatomical reduction, stable fixation, and early mobility for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55622141968753,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/OsteossinteseMinimamenteInvasivadeFraturadeOlecrano_result_16745286-4f89-4386-9f5b-7eeb088bd4ff.webp?v=1782475737"},{"product_id":"reconstrucao-de-fratura-multifragmentar-da-cabeca-do-radio-mason-3-com-instabilidade-associada","title":"Reconstruction of Multifragmetary Radial Head Fracture (Mason 3) with Associated Instability","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in the reconstruction of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e radial head fractures, type Mason 3, associated with joint capsule compromise and coronoid process fracture.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e This training focuses on the surgical approach aimed at stabilizing the fracture through \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eosteosynthesis\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e, comprehensive ligament repair, and early postoperative management to restore elbow function.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eReconstruction of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e radial head fractures (Mason 3) with associated instability.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eOsteo\u003c\/span\u003e\u003cspan class=\"cf0\"\u003esynthesis\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e of the radial head with \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emini-fragments\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eComprehensive repair of ligamentous structures and the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003ecoronoid process\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eRestoration of stability and joint function of the elbow.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eEarly postoperative management and progression of mobility.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eInitial Assessment and Planning:\u003c\/span\u003e Interpret radiographs to identify complex fractures (Mason 3) and joint impairments. Always plan for ligament repair and have a prosthesis available as an alternative.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eSurgical Access (Kaplan):\u003c\/span\u003e Use the Kaplan interval with an incision planned from the lateral epicondyle, ensuring adequate exposure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eExploration and Ligament Preparation:\u003c\/span\u003e Fracture hematoma\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e indicates joint invasion.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003ePrepare the annular ligament before the opening to facilitate closure. Good visualization of the anterior capsule.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eEvaluation\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e of the Fracture:\u003c\/strong\u003e Decide between \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eosteosynthesis\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e or arthroplasty based on the periosteum's response to traction of the fragments.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eOsteos\u003c\/span\u003e\u003cspan class=\"cf0\"\u003eynthesis\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e of the Radial Head:\u003c\/strong\u003e Use 1.5mm screws, parallel or divergent, without crossing, for stable \u003c\/span\u003e\u003cspan class=\"cf0\"\u003esubchondral\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e fixation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eRepair of the \u003c\/span\u003eCoronoid\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e Process and C\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eapsule: \u003c\/strong\u003eUse a 5.0mm metal anchor and high-strength wires for firm suturing of the anterior joint capsule.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eLateral Ligament Repair:\u003c\/strong\u003e Reinsert the ligament with \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eanchor and adjust with \u003c\/span\u003e\u003cspan class=\"cf0\"\u003evalgus\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e to ensure adequate tension.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eClosure and Testing: Close in layers and check the intraoperative range of motion\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e, ensuring no blockages.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eP\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eost-operative:\u003c\/strong\u003e Initiate early mobility, except for extension (limited to 45° for three weeks). Stability depends on anatomical reduction, not just fixation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Technical PDF of the Procedure:\u003c\/span\u003e A comprehensive educational document that details each step of the multifragmentary fracture reconstruction \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eof the radial head (Mason 3) with associated instability.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003eThis includes everything from the initial assessment and planning, surgical access, joint exploration, \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eosteosynthesis\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e, repair of the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ecoronoid\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e process and joint capsule, closure of the annular ligament and lateral ligament repair, to closure in layers and intraoperative testing.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in elbow surgery. Enroll now and master advanced techniques for complex radial head reconstructions, ensuring superior functional outcomes and early rehabilitation for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55622170182001,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/ReconstrucaodeFraturaMultifragmentardaCabecadoRadio_Mason3_comInstabilidadeAssociada_result.webp?v=1782475849"},{"product_id":"multifragmentary-radial-head-fracture-mason-3-with-associated-instability","title":"Multifragmentary Radial Head Fracture (Mason 3) with Associated Instability","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in the reconstruction of Mason 3 \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e radial head fractures associated with articular capsule involvement and coronoid process fracture. This training focuses on the surgical approach aimed at fracture stabilization through osteosynthesis, comprehensive ligamentous repair, and early postoperative management to restore elbow function.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eReconstruction of \u003c\/span\u003e\u003cspan class=\"cf1\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e radial head fractures (Mason 3) with associated instability.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eOsteosynthesis of the radial head with mini-fragments.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eComprehensive repair of ligamentous structures and the coronoid process.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eRestoration of elbow joint stability and function.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eEarly postoperative management and mobility progression.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eInitial Assessment and Planning:\u003c\/strong\u003e Interpret radiographs to identify complex fractures (Mason 3) and joint involvement. Always plan for ligament repair and have a prosthesis available as an alternative.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eSurgical Approach (Kaplan):\u003c\/strong\u003e Use the Kaplan interval with an incision planned from the lateral epicondyle, ensuring adequate exposure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eExploration and Ligamentous Preparation:\u003c\/strong\u003e Fracture hematoma indicates joint invasion. Prepare the annular ligament before opening to facilitate closure. Good visualization of the anterior capsule.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eFracture Assessment:\u003c\/strong\u003e Decide between osteosynthesis or arthroplasty based on the periosteum's response to fragment traction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eRadial Head Osteosynthesis:\u003c\/strong\u003e Use 1.5mm screws, parallel or divergent, without crossing, for stable subchondral fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eCoronoid Process and Capsule Repair:\u003c\/strong\u003e Use a 5.0mm metallic anchor and high-strength sutures for firm suturing of the anterior articular capsule.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eLateral Ligamentous Repair:\u003c\/strong\u003e Reinsert the ligament with an anchor and adjust with valgus to ensure adequate tension.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eClosure and Testing:\u003c\/strong\u003e Close in layers and check intraoperative range of motion, ensuring no impingement.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePostoperative:\u003c\/strong\u003e Begin early mobility, except for extension (limited to 45\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e° for three weeks). Stability depends on anatomical reduction, not just fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Technical Procedure PDF:\u003c\/strong\u003e A comprehensive didactic document detailing each step of \u003c\/span\u003e\u003cspan class=\"cf1\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e radial head fracture (Mason 3) reconstruction with associated instability. This includes initial assessment and planning, surgical access, joint exploration, osteosynthesis, coronoid process and articular capsule repair, annular ligament closure, lateral ligamentous repair, and layered closure with intraoperative testing.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eElevate your elbow surgery skills. Enroll now and master advanced techniques for complex radial head reconstructions, ensuring superior functional outcomes and early rehabilitation for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55622183813489,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/ReconstrucaodeFraturaMultifragmentardaCabecadoRadio_Mason3_comInstabilidadeAssociada_result_55b7ac59-44d2-4c99-b679-ba08ad22057b.webp?v=1782475857"},{"product_id":"fratura-luxacao-transolecraniana-do-cotovelo-variante-de-monteggia-tecnica-de-pull-out","title":"Transolecranon Fracture-Dislocation of the Elbow (Monteggia Variant) – \"Pull-out\" Technique","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the surgical treatment of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ecomplex elbow fractures-dislocations\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e, such as the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e variant. This training details the reconstruction of the anterior joint capsule using the \"pull-out\" technique and the subsequent reduction and fixation of the ulnar fracture, aiming to restore stability and joint congruence of the elbow.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eTreatment of \u003c\/span\u003e\u003cspan class=\"cf1\"\u003etransolecranon\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e fracture-dislocation\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eof the elbow (Monteggia \u003c\/span\u003e\u003cspan class=\"cf0\"\u003evariant\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e).\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eReconstruction\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e of the anterior joint capsule using the \"pull-out\" technique.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eReduction and fixation of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e proximal ulnar fractures.\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eRestoration of stability and joint congruence of the elbow.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePositioning and Access:\u003c\/strong\u003e Patient in prone position with elbow at 90°. Dissection through planes with single access, retracting muscles around the ulna.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eCapsule Repair (Pull-Out Technique):\u003c\/strong\u003e Identification of the capsule and the coronoid process due to the fracture of the olecranon. Passage of high-strength wires and creation of tunnels to pull the capsule to the site of detachment, assisted by elbow flexion.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eReduction of the Ulna:\u003c\/span\u003e Fracture reduction with Kirschner wires.Lateral fragment fixation with a \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emini-fragment\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e plate, enabling the use of a long plate on the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eolecranon\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eFinalization and Stabilization:\u003c\/span\u003e Pull-out tying and definitive fixation with a long locked plate on the ulna \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emetaphysis\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e, ensuring joint stability.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eClosure and Final Result: \u003c\/strong\u003eLinear opening of the musculature, reconstructed fracture, and congruent joint. Well-distributed screws, with anatomical closure by layers.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Procedure PDF:\u003c\/strong\u003e A document that describes the surgical treatment of a \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ecomplex fracture-dislocation\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e of the elbow, including positioning, surgical access, identification and repair of the anterior joint capsule using the \"pull-out\" technique, reduction and fixation of the ulnar fracture, completion of the \"pull-out\", plating, and closure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in elbow surgery. Enroll now and master advanced techniques for the treatment of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ecomplex fracture-dislocations\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e, ensuring joint stability and function for your patients.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55622208684401,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/Fratura-LuxacaoTransolecranianadoCotovelo_VariantedeMonteggia_Tecnicade_Pull-out__result.webp?v=1782473413"},{"product_id":"transolecranon-fracture-dislocation-of-the-elbow-monteggia-variant-pull-out-technique","title":"Transolecranon Fracture-Dislocation of the Elbow (Monteggia Variant) – \"Pull-out\" Technique","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the surgical treatment of complex elbow fracture-dislocations, such as the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e variant. This training details the reconstruction of the anterior joint capsule using the \"pull-out\" technique and the subsequent reduction and fixation of the ulnar fracture, aiming to restore the stability and articular congruency of the elbow. \u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eFocus of the Training:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eTreatment of \u003c\/span\u003e\u003cspan class=\"cf1\"\u003etransolecranon\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e fracture-dislocation of the elbow (\u003c\/span\u003e\u003cspan class=\"cf1\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e variant).\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eReconstruction of the anterior joint capsule using the \"pull-out\" technique.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eReduction and fixation of \u003c\/span\u003e\u003cspan class=\"cf1\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e fractures of the proximal ulna.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eRestoration of stability and articular congruency of the elbow.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePositioning and Approach: \u003c\/strong\u003ePatient in prone position with the elbow at 90\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e°. Dissection by planes with a single approach, retracting muscles around the ulna.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eCapsular Repair (Pull-out Technique): \u003c\/strong\u003eIdentification of the capsule and the coronoid process through the olecranon fracture. Passage of high-strength sutures and creation of tunnels to pull the capsule to its disinsertion site, aided by elbow flexion.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eReduction of the Ulna:\u003c\/strong\u003e Reduction of the fracture with Kirschner wires. Fixation of a lateral fragment with a mini-fragment plate, enabling the use of a long plate on the olecranon.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eFinalization and Stabilization: \u003c\/strong\u003eTying of the pull-out sutures and definitive fixation with a long locking plate on the metaphyseal ulna, ensuring joint stability.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eClosure and Final Result:\u003c\/strong\u003e Linear opening of the musculature, reconstructed fracture, and congruent joint. Well-distributed screws, with anatomic layer-by-layer closure.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed PDF of the Procedure:\u003c\/strong\u003e A document describing the surgical treatment of a complex elbow fracture-dislocation, including positioning, surgical approach, identification and repair of the anterior joint capsule with the \"pull-out\" technique, reduction and fixation of the ulna fracture, finalization of the \"pull-out,\" plating, and closure.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your skills in elbow surgery.Enroll now and master the advanced techniques for treating complex fracture-dislocations, ensuring joint stability and function for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55622232375665,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/Fratura-LuxacaoTransolecranianadoCotovelo_VariantedeMonteggia_Tecnicade_Pull-out__result_5859b427-af55-4a3f-b23b-1a870711b09d.webp?v=1782473420"},{"product_id":"fratura-metafisaria-da-ulna-proximal-com-luxacao-e-fratura-da-cabeca-do-radio-variante-de-monteggia","title":"Proximal Ulna Metaphyseal Fracture with Dislocation and Radial Head Fracture (Monteggia Variant)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in the treatment of one of the most challenging elbow injuries: the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emetaphyseal\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e fracture of the proximal ulna associated with posterior dislocation and fracture of the radial head, known as the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e variant. This training covers the anatomical reduction of the ulna and radial head, fixation with plates and screws, and the reinsertion of ligamentous structures, aiming to restore joint stability and allow early elbow mobility, minimizing tissue trauma and optimizing aesthetic outcomes.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eSurgical treatment of the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emetaphyseal\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e fracture of the proximal ulna with posterior dislocation and fracture of the radial head (Monteggia \u003c\/span\u003e\u003cspan class=\"cf0\"\u003evariant\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e).\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eAnatomical \u003c\/span\u003e\u003cspan class=\"cf0\"\u003ereduction of the ulna and the head of the radius.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eStable\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e fixation with plates and screws.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eReinsertion\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e of ligamentous structures.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eRestoration\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e of joint stability and early mobility of the elbow.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eSurgical Positioning and Access:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e Patient in prone position, arm at 90°, with single posterior access, preserving the musculature and optimizing exposure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eReduction of the Ulna:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003e \u003c\/strong\u003e \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eCareful\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e detachment of the periosteum and anatomical reduction based on the \"fracture teeth.\"\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eAccess \u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eto the Radial Head:\u003c\/strong\u003e Lateral \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eposterolateral\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e approach via the anconeus, avoiding multiple planes. Enlargement with \u003c\/span\u003e\u003cspan class=\"cf0\"\u003edisinsertion\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e of the lateral collateral ligament and controlled dislocation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eFix\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eation of the Radial Head: \u003c\/strong\u003eManual reduction with \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emini-fragment\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e screws using a tripod technique with \u003c\/span\u003e\u003cspan class=\"cf0\"\u003esubchondral\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e stability.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eReinser\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003etion of Ligaments:\u003c\/strong\u003e 5.0mm metal anchor for precise reinsertion of lateral structures, ensuring joint stability.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eFix\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eation of the Ulna:\u003c\/strong\u003e Anatomical reduction of the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emetaphyseal\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e component and preparation of the bed for plate placement with minimal muscle damage.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePlating and Closure:\u003c\/strong\u003e Fixed\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e progressive fixation with dynamic and locked screws. Anatomical closure of the fascia and aponeurosis, guided by skin markings.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eP\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eost-operative:\u003c\/strong\u003e Immediate mobility with release of flexion and pronation\/supination. Extension limited to 45° in the first weeks to preserve stability.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed PDF of the Procedure:\u003c\/strong\u003e A comprehensive educational document that details each step of the surgical treatment of the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e variant, from patient positioning, surgical accesses and exposure of the ulna and radial head, to the reduction and fixation of fragments, ligament reattachment, and closure.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in elbow surgery. Enroll now and master the techniques for the complex treatment of the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e variant, ensuring the restoration of stability and early mobility for your patients.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55622233260401,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaMetafisariadaUlnaProximalcomLuxacaoeFraturadaCabecadoRadio_VariantedeMonteggia__result.webp?v=1782475755"},{"product_id":"proximal-ulna-metaphyseal-fracture-with-dislocation-and-radial-head-fracture-monteggia-variant","title":"Fracture of the Proximal Ulna Metaphysis with Radial Head Dislocation and Fracture (Monteggia Variant)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in treating one of the most challenging elbow injuries: proximal ulna metaphyseal fracture associated with posterior dislocation and radial head fracture, known as the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e variant. This training addresses anatomical reduction of the ulna and radial head, fixation with plates and screws, and reinsertion of ligamentous structures, aiming to restore joint stability and enable early elbow mobility, minimizing tissue trauma and optimizing the aesthetic outcome.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eSurgical treatment of proximal ulna metaphyseal fracture with posterior dislocation and radial head fracture (\u003c\/span\u003e\u003cspan class=\"cf1\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e variant).\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eAnatomical reduction of the ulna and radial head.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eStable fixation with plates and screws.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eReinsertion of ligamentous structures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eRestoration of joint stability and early elbow mobility.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePositioning and Surgical Approach:\u003c\/strong\u003e Patient in prone position, arm at 90\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e°, with a single posterior approach, preserving musculature and optimizing exposure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eUlna Reduction:\u003c\/strong\u003e Careful periosteal \u003c\/span\u003e\u003cspan class=\"cf1\"\u003edesinsertion\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e and anatomical reduction based on \"fracture teeth.\"\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eRadial Head Access:\u003c\/strong\u003e Posterolateral portal through the anconeus, avoiding multiple planes. Enlargement with lateral collateral ligament \u003c\/span\u003e\u003cspan class=\"cf1\"\u003edesinsertion\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e and controlled dislocation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eRadial Head Fixation:\u003c\/strong\u003e Manual reduction with mini-fragment screws in a tripod technique with subchondral stability.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eLigamentous Reinsertion:\u003c\/strong\u003e 5.0mm metallic anchor for precise reinsertion of lateral structures, ensuring joint stability.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eUlna Fixation: \u003c\/strong\u003eAnatomical reduction of the metaphyseal component and preparation of the bed for plate placement with minimal muscle injury.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePlating and Closure:\u003c\/strong\u003e Progressive fixation with dynamic and locking screws. Anatomical fascia and aponeurosis closure, guided by skin markings.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePostoperative Care:\u003c\/strong\u003e Immediate mobility with unrestricted flexion and pronation\/supination. Extension limited to 45\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e° in the first weeks to preserve stability.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Procedure PDF:\u003c\/strong\u003e A comprehensive didactic document detailing each step of the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e variant surgical treatment, from patient positioning, surgical approaches, and exposure of the ulna and radial head, to reduction and fixation of fragments, ligamentous reinsertion, and closure.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your elbow surgery skills. Enroll now and master the techniques for the complex treatment of the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e variant, ensuring restoration of stability and early mobility for your patients.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":55622241091953,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/FraturaMetafisariadaUlnaProximalcomLuxacaoeFraturadaCabecadoRadio_VariantedeMonteggia__result_1d29dc51-2055-4340-bdc5-0ae8c8cb361c.webp?v=1782475870"}],"url":"https:\/\/reconstrucaoossea.com\/en\/collections\/ver-todos.oembed?page=4","provider":"reconstrucaoossea","version":"1.0","type":"link"}