PROXIMAL FEMUR [Case 4] · Double Seesaw Technique

Unstable and multifragmentary transtrochanteric fractures in osteoporotic bone represent a major reduction challenge in orthopedic trauma.

This training objectively demonstrates the application of the double seesaw technique for percutaneous reduction and control of the femoral calcar and femoral diaphysis, associated with intramedullary nail fixation, without the use of a traction table; in 4K video from the surgeon's perspective.

TRAINING FOCUS

• Percutaneous reduction with the seesaw technique (levers using muscle mass)
• Comfortable reduction of the inferiorized femoral diaphysis
• Correction of femoral calcar deviation (positive)
• Two simultaneous seesaw maneuvers
• Precise guidewire placement (AP and lateral)
• Intramedullary nailing in unstable fracture
• Technique without the use of a traction table

DETAILED CONTENT

• Controlled Percutaneous Reduction: Practical application of levers with clamps and instruments for direct manipulation of fragments
• Mastery of the Seesaw Technique: Use of muscle mass as a fulcrum for multiplanar fracture correction
• Correction of Diaphyseal Inferiorization: Mechanical strategy for restoring alignment in the lateral view
• Fine Adjustment of the Femoral Calcar: Reduction of valgus deformity by direct manipulation with percutaneous instruments
• Stable Reduction Maintenance: Team coordination for continuous stabilization during the procedure
• Optimized Guidewire Placement: Centering in the femoral neck and head to avoid an oblique sliding screw
• Execution without a Traction Table: Gain of intraoperative mobility for dynamic reduction adjustments
• Intramedullary Nail Technical Sequence: Entry, reaming, positioning, and locking with precision
• Prevention of Technical Errors: Real-time intraoperative corrections based on fluoroscopy

INCLUDED MATERIAL

Detailed PDF: Structured summary of the seesaw technique applied to the proximal femur, including biomechanical principles, instrument positioning, diaphyseal and femoral calcar reduction strategies, intramedullary nail sequence, and critical points to avoid misalignment and implant failure.

Master percutaneous reduction in complex proximal femur fractures without the use of a traction table and expand your intraoperative control. Access the training and elevate your surgical precision.