Transtrochanteric Fracture with Intramedullary Nail (Without Traction Table)

Overcome the challenges in the treatment of intertrochanteric fractures. This training offers a technical immersion in intramedullary nail osteosynthesis, detailing the methodology of this procedure without the use of a traction table, presented from a high-resolution surgical perspective.

Training Focus:

• Treatment of intertrochanteric fractures with intramedullary nail.
• Osteosynthesis technique without the use of a traction table.
• Minimally invasive approach for reduction and fixation.
• Intraoperative management for optimization of fixation.

Detailed Content:

• Strategic Patient Positioning: Methodology for safe positioning without a traction table, optimizing limb manipulation.
• Minimally Invasive Surgical Access: Protocol for a 3-5 cm incision and controlled dissection, minimizing tissue trauma and bleeding.
• Precise Insertion of the Guide Wire: Adduction and angulation technique for centralized positioning of the guide wire in the medullary canal, confirmed by fluoroscopy in AP and lateral views.
• Controlled Opening of the Medullary Canal: Strategies for using the soft tissue protector and initial drill, preserving the lateral cortex and adjacent structures.
• Fracture Reduction Assisted by the Rod: Methodology for utilizing the curvature of the rod and traction/manipulation maneuvers to achieve anatomical reduction without a traction table.
• Technique for Insertion of the Sliding Screw: Approach for creating a safe pathway with Metzenbaum scissors, avoiding muscle injury, and details for positioning the guide wire and screw.
• Failure Prevention in Distal Locking: Guidelines for the correct drilling and insertion of the distal locking screw, ensuring rotational and axial stability.
• Optimized Functional and Aesthetic Results: Demonstration of satisfactory reduction, alignment, and positioning of components, allowing for immediate full load and minimizing aesthetic impact.

Included Material:

• Detailed PDF: A guide complements the training, consolidating the technical and practical principles of osteosynthesis for intertrochanteric fractures with intramedullary nails, without the use of a traction table. The material covers everything from preoperative planning to the management of crucial surgical steps and strategies for accelerated functional recovery, serving as an immediate reference guide for surgical practice.

Enhance your skills in trauma surgery. Enroll now and master the procedures for the treatment of intertrochanteric fractures with intramedullary nails without the use of a traction table.