Intramedullary Nail For Proximal Femur 03 - Seesaw Maneuver

Reducing transtrochanteric proximal femur fractures without a traction table is a frequent technical challenge. This training demonstrates intramedullary nailing osteosynthesis and the seesaw maneuver, via a minimally invasive approach, in 4K video from a surgical perspective.

Training Focus

• Osteosynthesis of transtrochanteric proximal femur fractures
• Technique without the use of a traction table
• Surgical positioning and fluoroscopy optimization
• Introduction of the intramedullary nail via a minimally invasive approach
• Seesaw maneuver for femoral calcar reduction
• Strategies for controlling cephalic screw placement

Detailed Content

• Surgical Setup without Traction Table:

Patient positioning and C-arm adjustment for stable anteroposterior and lateral images.

• Proximal Access and Entry Point: Precise anatomical definition to optimize the nail insertion angle.
• Guide Wire Introduction and Control: Centering in the medullary canal with dynamic fluoroscopic verification.
• Nail Insertion via Minimally Invasive Technique: Canal opening and implant progression with soft tissue preservation.
• Seesaw Maneuver for Calcar Reduction: Effective technique for correcting valgus and achieving anatomical reduction.
• Cephalic Screw Placement: Technical adjustments and biomechanical implications of the entry point.
• Prevention of Frequent Technical Errors: Strategies to avoid articular penetration, misalignment, and loss of stability.
• Final Result Evaluation: Correlation between anatomical reduction, bone contact, and biomechanical strength.

Included Material

Detailed PDF: Supplementary material with a technical summary of the procedure, patient positioning criteria, surgical sequence, biomechanical fundamentals of the seesaw maneuver, critical points of proximal access, frequent technical pitfalls, and objective criteria for evaluating the final result.

Improve your intraoperative decision-making and expand your technical repertoire in the treatment of proximal femur fractures. Enroll and master the practical application of the seesaw maneuver with an intramedullary nail.