RADIUS SHAFT [Case 2] · Thompson approach

Achieving anatomical reduction and rotational stability in diaphyseal radius fractures requires precise technical mastery of the surgical approach and osteosynthesis biomechanics. This training presents, directly, the technique with the Thompson approach and fixation with a 3.5 mm DCP plate, in 4K video from a surgical perspective.

TRAINING FOCUS

• Osteosynthesis of diaphyseal radius fracture with 3.5 mm DCP plate.
• Thompson dorsal approach with identification of anatomical landmarks.
• Dissection through fascial planes with muscle preservation.
• Anatomical reduction with rotation and length control.
• Interfragmentary compression technique with plate.

DETAILED CONTENT

• Structured Dorsal Approach: Execution of the Thompson approach based on reliable anatomical references and protection of noble structures.
• Precise Focus Localization: Use of image intensifier for exact definition of fracture level and incision planning.
• Atraumatic Dissection: Progression through fascial planes, avoiding muscle injury and maintaining tissue integrity.
• Directed Radius Exposure: Controlled approach to the diaphysis with safe retraction of adjacent structures.
• Reduction with Biomechanical Control: Correction of rotational and angular deviations with strategic use of clamps and assisted traction.
• Fracture Site Management: Organization of fragments and selective removal of devitalized bone tissue.
• Application on Tension Side: Plate positioning on the radial aspect respecting the anatomical curvature of the bone.
• Plate Pre-tensioning: Curvature adjustment to promote compression at the focus opposite to the implant.
• Progressive Interfragmentary Compression: Eccentric drilling for effective axial compression generation.
• Technical Fixation Sequence: Strategic screw insertion for interfragmentary compression.
• Immediate Functional Check: Intraoperative evaluation of pronation and supination without mechanical blockade.

INCLUDED MATERIAL

Detailed PDF: Technical material with sequential description of the Thompson approach, planning the approach with image guidance, principles of dissection through fascial planes, reduction and rotational control techniques, application of the plate on the tension side, interfragmentary compression strategy, and intraoperative functional evaluation protocol.

Apply biomechanical control and technical precision in radius osteosynthesis. Enroll and elevate the predictability of your surgical results.