High Diaphyseal Tibia Fracture with Deformity

Fracture treatments diaphyseal tibial shaft fractures with pre-existing bone deformity represent a technical challenge due to the instability of the shear line and the presence of osteopenic bone.

This 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.

Training Focus:

• Preoperative planning with image intensifier.
• Anti-shear fixation with anatomical medial plate.
• Lateral approach with molded bridge plate.
• Minimally invasive technique with tissue preservation.
• Strategies for osteopenic bones and postoperative early mobility.

Detailed Content:

• Image-Guided Skin Marking: Precise positioning of surgical accesses.
• Anti-Shear Fixation Medial: Anatomical fibula plate with multiple proximal screws for alignment and indirect reduction.
• Anatomical Reduction with Tissue Preservation: Complete skin access without "funnel" formation and minimally invasive manipulation.
• Lateral Bridge Plate Implantation: Submuscular tunnel technique using dissector and digital palpation to avoid intramuscular insertion.
• Tibial Curvature Plate Modeling: Custom adaptation with a table modeler to avoid protrusions.
• Stable Fixation with Cortical and Locked Screws: Strategic combination for torque, stability, and load distribution.
• Minimally Invasive Surgery with Dual Column Fixation: Anatomical reduction and biomechanical stability for low-density bones.

Included Material:

• Detailed PDF: 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.

Enhance 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.