{"title":"Shoulder","description":null,"products":[{"product_id":"minimally-invasive-osteosynthesis-of-clavicle-fracture-bridge-plating-technique","title":"Minimally Invasive Osteosynthesis of Clavicle Fracture (Bridge Plating Technique)","description":"\u003cp\u003eMaster the treatment of displaced midshaft clavicle fractures. This training offers a technical immersion into bridge plating osteosynthesis via a minimally invasive approach, emphasizing tissue preservation and favorable aesthetic outcomes.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical treatment of displaced midshaft clavicle fractures with skin compromise.\u003c\/li\u003e\n\u003cli\u003eBridge plating fixation technique.\u003c\/li\u003e\n\u003cli\u003eMinimally invasive approach with two portals.\u003c\/li\u003e\n\u003cli\u003eTissue preservation and optimization of aesthetic results.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Surgical Approaches:\u003c\/strong\u003e Creation and utilization of two portals (lateral and medial) for a safe pathway of the bridge plate.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Reduction with Dedicated Clamp: \u003c\/strong\u003eMethodology for identifying and reducing the fracture through a mini-lateral approach with a specific clamp, facilitating manipulation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eImplant Planning and Subcutaneous Tunnel:\u003c\/strong\u003e Procedures for plate measurement and creation of a subcutaneous tunnel between the portals for minimally invasive insertion.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eBiomechanically Effective Fixation:\u003c\/strong\u003e Strategies for interfragmentary screw insertion in oblique fracture patterns and fixation sequence with screws in the lateral and proximal thirds of the clavicle.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Layered Closure:\u003c\/strong\u003e Techniques for deep suturing, connecting the pectoralis muscle to the trapezius, and intradermal suturing for superior aesthetic and functional results.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eLow Invasiveness Results:\u003c\/strong\u003e An approach that favors fracture healing and provides a superior aesthetic outcome.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e The material describes minimally invasive osteosynthesis of displaced midshaft clavicle fractures, using the two-portal bridge plating technique. The procedure details the creation of approaches, plate measurement, subcutaneous tunnel creation, and reduction with a specific clamp. Fixation is performed with a plate and screws, including an interfragmentary one if applicable, followed by a layered closure aiming to optimize healing and aesthetic outcome.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in trauma surgery. Enroll now and master the techniques in minimally invasive osteosynthesis of clavicle fractures.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 4875c5c2-3ed3-478c-8924-ddcf5724cd4f --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776990842941,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Minimally-Invasive-Osteosynthesis-of-Clavicle-Fracture-Bridge-Plating-Technique.webp?v=1764858538"},{"product_id":"clavicle-fracture-and-posterior-acromioclavicular-dislocation","title":"Clavicle Fracture and Posterior Acromioclavicular Dislocation","description":"\u003cp\u003eMaster the treatment of complex shoulder injuries. This training offers a technical immersion in the surgical management of midshaft clavicle fractures and posterior acromioclavicular dislocations. We present a simultaneous approach using a minimally invasive bridging technique, aiming for anatomical restoration and shoulder stability.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical treatment of midshaft clavicle fractures.\u003c\/li\u003e\n\u003cli\u003eApproach to posterior acromioclavicular dislocation.\u003c\/li\u003e\n\u003cli\u003eMinimally invasive bridging technique.\u003c\/li\u003e\n\u003cli\u003eVertical and horizontal stabilization of the acromioclavicular joint.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eOperative Field Preparation:\u003c\/strong\u003e Mastery in infiltrating hemostatic solution for bleeding control.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAccess and Tunnel Creation:\u003c\/strong\u003e Creation of medial and lateral portals in the clavicle for a bridging approach. Use of an osteotome for dissection and subperiosteal tunnel creation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eClavicle Fracture Reduction and Fixation:\u003c\/strong\u003e Methodology for maintaining reduction with digital manipulation. Systematic sequence of screw insertion for primary stability, with verification of segmental alignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCoracoid Process Approach:\u003c\/strong\u003e Access and positioning of retractors for optimized exposure.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eVertical Stabilization with Fast-Fit:\u003c\/strong\u003e Technique for introducing a tissue anchor at the base of the coracoid for effective alignment with the clavicle. Precise positioning of the hole in the clavicle to prevent anterior displacement during tightening. Creation of separate holes in the coracoid and clavicle.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eHorizontal Stabilization and Ligament Reconstruction:\u003c\/strong\u003e Employment of a 5.0mm anchor for fixation and reconstruction of the acromioclavicular ligaments. Complementary horizontal stabilization by linking the distal clavicle fragment to the acromion.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003c!-- notionvc: 7756e9be-83d4-4bc3-85df-2ecf50a1f8b9 --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e This didactic material in PDF format offers a practical and objective summary of the entire surgical procedure. It addresses the injury condition, surgical approaches, field preparation, the steps for clavicle fracture and acromioclavicular dislocation fixation, including the use of Fast-Fit devices and anchors for stabilization, and the expected results, serving as a quick and effective reference guide for technical steps.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in trauma surgery. Enroll now and master the techniques for simultaneous management of clavicle fractures and posterior acromioclavicular dislocations.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 75f3e890-8a73-48c7-9db3-f48836c7d827 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776991006781,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Clavicle-Fracture-and-Posterior-Acromioclavicular-Dislocation.webp?v=1764858548"},{"product_id":"fracture-fixation-of-the-glenoid-combined-procedure-segment","title":"Fracture Fixation of the Glenoid (Combined Procedure Segment)","description":"\u003cp\u003eMaster the surgical approach for glenoid fracture fixation. This training offers a technical immersion in exposure, dissection, and osteosynthesis with compression screws, aiming to restore shoulder stability and function.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eExposure and identification of key anatomical structures.\u003c\/li\u003e\n\u003cli\u003eTechnique for separating the joint capsule from the subscapularis.\u003c\/li\u003e\n\u003cli\u003eArthroplasty and access to the anterior glenoid rim.\u003c\/li\u003e\n\u003cli\u003eOsteosynthesis of glenoid fractures with compression screws.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eIdentification and Protection of Vital Structures:\u003c\/strong\u003e Methodology for recognizing and protecting the long head of the biceps and cephalic vein during surgical exposure.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMeticulous Dissection:\u003c\/strong\u003e Systematic approach to separating the joint capsule from the subscapularis, using Metzenbaum scissors and digital dissection to minimize tissue trauma.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Articular Access:\u003c\/strong\u003e Techniques for arthrotomy and capsular retraction for adequate exposure of the anterior glenoid rim.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStrategic Retractor Positioning:\u003c\/strong\u003e Protocols for positioning retractors on the posterior glenoid rim and between the subscapularis\/capsule to maximize the operative field.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eEffective Osteosynthesis:\u003c\/strong\u003e Demonstration of transverse fragment visualization and fixation technique with compression screws for glenoid fracture stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRepair Suture Management:\u003c\/strong\u003e Use of capsular repair sutures for retraction and closure.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e This didactic PDF material thoroughly covers the surgical approach for glenoid fracture fixation, including initial exposure and identification steps, capsule and rotator cuff separation, arthrotomy and exposure of the anterior glenoid rim, fracture visualization and fixation, and closure. The document also offers a practical summary of the procedure, covering access, dissection, arthrotomy, retraction, visualization, and fixation.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in trauma surgery. Enroll now and master the essential techniques in glenoid fracture fixation.\u003c!-- notionvc: 6194b6ce-d222-4a3e-91ec-98a41a070b38 --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 086cea0f-916e-490f-80ee-3fd83ee18cbb --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776991137853,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Fracture-Fixation-of-the-Glenoid-Combined-Procedure-Segment.webp?v=1764858559"},{"product_id":"segmental-humeral-fracture-associated-with-glenoid-and-coracoid-process-fractures","title":"Segmental Humeral Fracture Associated with Glenoid and Coracoid Process Fractures","description":"\u003cp\u003eMaster the treatment of complex shoulder injuries. This training offers a technical immersion into the approach for segmental humeral fractures associated with glenoid and coracoid process fractures, utilizing a single deltopectoral approach.\u003c\/p\u003e\n\u003cp\u003eT\u003cstrong\u003eraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical management of segmental humeral fracture.\u003c\/li\u003e\n\u003cli\u003eFixation of anterior glenoid rim fracture.\u003c\/li\u003e\n\u003cli\u003eStabilization of coracoid process fracture.\u003c\/li\u003e\n\u003cli\u003eUtilization of a single deltopectoral approach for multiple injuries.\u003c\/li\u003e\n\u003cli\u003eOsteosynthesis with intramedullary nail and cerclage in the humerus.\u003c\/li\u003e\n\u003cli\u003eScrew fixation in the glenoid and coracoid.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Deltopectoral Approach:\u003c\/strong\u003e Methodology for identifying the cephalic vein and deltopectoral dissection, allowing simultaneous approach to complex shoulder injuries with muscle preservation and reduced morbidity.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSegmental Humeral Reconstruction: \u003c\/strong\u003eSystematic approach for identifying fracture apices, reducing the proximal segment, and fixing with an intramedullary nail and proximal screws, complemented by cerclage, for stability and anatomical restoration.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Glenoid Fixation:\u003c\/strong\u003e Incision technique and separation of the subscapularis from the joint capsule for exposure and reduction of the glenoid fragment, with insertion of guide wires and screws to ensure articular congruence and stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCoracoid Stabilization:\u003c\/strong\u003e Demonstration of coracoid process fixation, secured to the conjoined tendon, with a compression screw.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAnatomical Closure and Complication Prevention:\u003c\/strong\u003e Protocols for capsule and subscapularis suture, and deltopectoral approach closure to minimize postoperative bleeding and hematoma, optimizing functional outcome.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e The PDF complements the video training, addressing the practical description of the procedure for segmental humeral, glenoid, and coracoid process fractures. It details the deltopectoral approach, the steps for humeral approach and fixation with nail and cerclage, the technique for glenoid fixation with screws, and coracoid stabilization, in addition to anatomical closure, highlighting key points of each step for an optimized functional result.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in the treatment of complex shoulder fractures. Enroll now and master the essential techniques for the reconstruction of segmental humeral, glenoid, and coracoid fractures.\u003c!-- notionvc: 60908769-db19-4a11-88ae-f6b2520fdb40 --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 6691ccb7-5e80-4b47-9673-05299b6257bf --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776991334461,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Segmental-Humeral-Fracture-Associated-with-Glenoid-and-Coracoid-Process-Fractures.webp?v=1764858569"},{"product_id":"fracture-of-the-greater-tuberosity-of-the-humerus-with-deltopectoral-approach","title":"Fracture of the Greater Tuberosity of the Humerus with Deltopectoral Approach","description":"\u003cp\u003eMaster the treatment of displaced humeral greater tuberosity fractures, even in cases with prolonged evolution and the presence of fibrosis. This training offers a technical immersion in anatomical reconstruction using a deltopectoral approach, locking plate, and high-strength sutures, aiming for superior stabilization and favorable functional and aesthetic results.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical treatment of displaced humeral greater tuberosity fractures.\u003c\/li\u003e\n\u003cli\u003eDirect reduction in cases with prolonged evolution and fibrosis.\u003c\/li\u003e\n\u003cli\u003eDeltopectoral approach for exposure and reconstruction.\u003c\/li\u003e\n\u003cli\u003eOsteosynthesis with an anatomical locking plate.\u003c\/li\u003e\n\u003cli\u003eUse of high-strength sutures for complementary stabilization.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eStrategic Positioning: \u003c\/strong\u003eMethodology for positioning the patient with head elevation and arm abduction to optimize deltoid relaxation and facilitate access.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDeltopectoral Approach Delimitation:\u003c\/strong\u003e Techniques for palpation of the coracoid process and identification of the deltopectoral interval for precise surgical access.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePreserving Dissection:\u003c\/strong\u003e Blunt approach to maintain the integrity of muscle fibers and fascia, minimizing bleeding and tissue aggression.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFibrosis Management:\u003c\/strong\u003e Strategies for efficient removal of fibrosis at the fracture site, allowing identification and mobilization of the fragment for anatomical reduction.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFragment Exposure and Reduction:\u003c\/strong\u003e Techniques for arm rotation and retractor placement for adequate exposure of the greater tuberosity and achievement of reduction.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Provisional and Definitive Fixation:\u003c\/strong\u003e Sequence of provisional fixation with Kirschner wire and application of an anatomical locking plate, including contouring to avoid prominence and techniques for inserting cortical and locking screws.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStabilization with Sutures:\u003c\/strong\u003e Methodology for performing supraspinatus sutures with high-strength wires and tapes through the plate for bone-to-bone stabilization and reinforcement of the osteosynthesis.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSuperior Clinical Results:\u003c\/strong\u003e Demonstration of surgical results with preservation of anatomy, clean access without muscle aggression, and aesthetic suturing.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e This objective document covers everything from patient positioning and the deltopectoral surgical approach, through fibrosis removal, exposure techniques, provisional reduction and fixation, to the placement of a locking plate and high-strength sutures for definitive osteosynthesis of the humeral greater tuberosity fracture. It includes a practical summary of the procedure steps and a description of the expected results.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in shoulder trauma surgery. Enroll now and master advanced techniques in humeral greater tuberosity fracture reconstruction.\u003c!-- notionvc: 27d5dacb-b570-41e8-9414-31b114e7c12b --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: a78f2119-c358-4371-8d72-655cc7cee929 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776991465533,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Fracture-of-the-Greater-Tuberosity-of-the-Humerus-with-Deltopectoral-Approach.webp?v=1764858579"},{"product_id":"multifragmentary-fracture-of-the-lateral-third-of-the-clavicle-with-coracoclavicular-fixation","title":"Multifragmentary Fracture of the Lateral Third of the Clavicle with Coracoclavicular Fixation","description":"\u003cp\u003eMaster the treatment of comminuted fractures of the lateral third of the clavicle with ligamentous instability. This training offers a technical immersion in osteosynthesis with a locking plate and coracoclavicular fixation, emphasizing a precise surgical approach for favorable functional and aesthetic outcomes.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eOsteosynthesis of comminuted fractures of the lateral third of the clavicle.\u003c\/li\u003e\n\u003cli\u003eBone reconstruction and fixation to the coracoid process.\u003c\/li\u003e\n\u003cli\u003eVertical stabilization with a TightRope device.\u003c\/li\u003e\n\u003cli\u003eManagement of formal access and hemostasis.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Access and Hemostasis:\u003c\/strong\u003e Application of diluted epinephrine solution with saline for bleeding control and maintaining a clear surgical field.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Fragment Identification: \u003c\/strong\u003ePeriosteal elevation methodology with an internal scalpel for clear exposure of fragments and the fracture apex.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSecure Provisional Reduction:\u003c\/strong\u003e Temporary reduction technique with forceps and two wires for initial alignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFixation with Specific Locking Plate: \u003c\/strong\u003ePositioning of a \"snake-head\" type locking plate for the lateral third of the clavicle, with multiple holes, without joint invasion.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDirected Coracoclavicular Stability:\u003c\/strong\u003e Use of a TightRope device for connection between the coracoid process and the clavicle, ensuring vertical stability and preventing subluxation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eLayered Closure for Implant Coverage: \u003c\/strong\u003eSystematic approach to suturing the pectoralis to the trapezius, ensuring muscular coverage of the implant and preventing material prominence.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eIntradermal Suture for Aesthetic Result:\u003c\/strong\u003e Performance of skin suture for optimizing the aesthetic appearance in the clavicular region.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eProven Clinical Outcomes:\u003c\/strong\u003e Case analysis with return to high-intensity activities without the need for implant removal.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF: \u003c\/strong\u003eThis document in PDF format concisely and technically addresses the condition of comminuted fractures of the lateral third of the clavicle with ligamentous instability, detailing surgical access, fragment exposure, provisional reduction, the steps of specific locking plate and TightRope fixation, and layered closure, culminating in the practical results of the procedure.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in trauma surgery. Enroll now and master the techniques for treating comminuted fractures of the lateral third of the clavicle with coracoclavicular fixation.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: be44b93b-c020-4e58-af87-1bf521b8c493 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776991596605,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Multifragmentary-Fracture-of-the-Lateral-Third-of-the-Clavicle-with-Coracoclavicular-Fixation.webp?v=1764858588"},{"product_id":"posterior-shoulder-dislocation-with-humeral-head-impaction","title":"Posterior Shoulder Dislocation with Humeral Head Impaction","description":"\u003cp\u003eMaster the treatment of posterior shoulder dislocations with humeral head impaction, a technical challenge requiring precision to prevent fracture line progression. 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Enroll now and master the essential techniques in the treatment of posterior shoulder dislocations.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 506f9970-680e-4e8b-8696-a1a6f67865ad --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776991727677,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Posterior-Shoulder-Dislocation-with-Humeral-Head-Impaction.webp?v=1764858599"},{"product_id":"intramedullary-nailing-for-proximal-humerus-fracture","title":"Intramedullary Nailing for Proximal Humerus Fracture","description":"\u003cp\u003eThe complexity of proximal humerus fractures requires approaches that preserve function and minimize morbidity. 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Register now and master the technique in the treatment of proximal humerus fractures.\u003c!-- notionvc: 38fde546-ed98-4a0e-b4d5-e4e5426c4acf --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 0c3d18cd-c4a1-4677-a2b2-68ae4ff4ad06 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776991924285,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Intramedullary-Nailing-for-Proximal-Humerus-Fracture.webp?v=1764858610"},{"product_id":"intramedullary-nail-for-proximal-humerus-fracture","title":"Intramedullary Nail for Proximal Humerus Fracture","description":"\u003cp\u003eEnhance the treatment of proximal humerus fractures. This training offers a technical immersion in osteosynthesis with intramedullary nail, presented in 4K video from the surgeon's perspective, emphasizing fragment management and minimally invasive approaches.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eOsteosynthesis of proximal humerus fractures with intramedullary nail.\u003c\/li\u003e\n\u003cli\u003eProximal fragment manipulation technique with \"joystick\" wire.\u003c\/li\u003e\n\u003cli\u003eProximal and distal percutaneous locking.\u003c\/li\u003e\n\u003cli\u003eMinimally invasive approach.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eStrategic Patient Positioning: \u003c\/strong\u003ePositioning optimization for facilitated access and fluoroscopic visualization.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Guidewire Management: \u003c\/strong\u003eMethodology to valgus the varus proximal fragment and optimize the angle of attack of the intramedullary nail guidewire.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eEnhanced Radiographic Control:\u003c\/strong\u003e Orientation techniques in anteroposterior and profile views for precise wire and nail insertion.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eNon-Cannulated Nail Insertion Technique:\u003c\/strong\u003e Step-by-step approach for medullary canal opening and manual nail introduction under fluoroscopic control.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSystematic Percutaneous Locking:\u003c\/strong\u003e Protocols for safe and effective insertion of proximal and distal locking screws.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eComplication Prevention at Completion: \u003c\/strong\u003eStrategies for guide removal and end cap screw introduction, minimizing complications and the need for access extension.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e The PDF summarizes the essential procedure steps, including patient positioning, proximal fragment manipulation with the \"joystick\" wire, radiographic control, medullary canal opening, intramedullary nail insertion, proximal and distal percutaneous locking, and completion, highlighting critical points and expected results for proximal humerus fractures with intact humeral head.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your trauma surgery skills. Enroll now and master advanced techniques in proximal humerus fracture treatment.\u003c!-- notionvc: 31b964c0-d66f-4a1c-ad19-69c41a2b2579 --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: dbfae990-fa07-46ac-9fe9-0f458d80c616 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776992186429,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Intramedullary-Nail-for-Proximal-Humerus-Fracture.webp?v=1764858622"},{"product_id":"four-part-proximal-humerus-fracture-deltopectoral-approach","title":"Four-Part Proximal Humerus Fracture (Deltopectoral Approach)","description":"\u003cp\u003eMaster the treatment of complex proximal humerus fractures. This training offers a technical immersion into the osteosynthesis of four-part fractures with valgus-impacted head, presented via a deltopectoral approach and plate and screw fixation.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eOsteosynthesis of four-part proximal humerus fractures.\u003c\/li\u003e\n\u003cli\u003eDeltopectoral approach in shoulder surgery.\u003c\/li\u003e\n\u003cli\u003eAnatomical reduction of humeral fragments.\u003c\/li\u003e\n\u003cli\u003eManagement of avulsed tuberosities.\u003c\/li\u003e\n\u003cli\u003ePlate and screw fixation techniques.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Surgical Exposure:\u003c\/strong\u003e Methodology for safe and efficient deltopectoral access, with digital scanning techniques and arm positioning for ideal surgical field exposure.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Tendon Management:\u003c\/strong\u003e Techniques for identifying and managing the subscapularis and infraspinatus tendons, including specific lassoing and rotations for access and reduction.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eHigh-Precision Anatomical Reduction: \u003c\/strong\u003eSystematic approach to identifying fracture vertices and fitting the triangular fragment, with specific maneuvers for correcting valgus and achieving anatomical position.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStable Plate Fixation:\u003c\/strong\u003e Protocols for positioning the plate lateral to the bicipital groove and screw insertion sequence (oval, calcar, superior), ensuring primary and secondary stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eIntraoperative Radiographic Control:\u003c\/strong\u003e Critical analysis of radiographs to verify plate height, fracture reduction, and screw placement in different views.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eComplication Prevention Techniques: \u003c\/strong\u003eUse of a high-speed burr with low force to avoid articular cartilage perforation and strategies to prevent subacromial impingement.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eTenodesis and Tissue Preservation:\u003c\/strong\u003e Approach for performing long head of biceps tenodesis and techniques for preserving anatomy, including the cephalic vein and musculature.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e A concise technical document summarizing the key points of the surgical procedure, covering everything from the deltopectoral approach and exposure, tendon management and fragment reduction, to plate and screw fixation technique, biceps tenodesis, and incision closure, with a focus on anatomical preservation and practical outcomes.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in trauma surgery. Enroll now and master the essential techniques for treating complex proximal humerus fractures.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: ebe8bd69-c289-4ee1-b0af-9a7fb40266c3 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776992317501,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Four-Part-Proximal-Humerus-Fracture-Deltopectoral-Approach.webp?v=1764858632"},{"product_id":"proximal-humerus-fracture-with-plate-deltopectoral-approach","title":"Proximal Humerus Fracture with Plate (Deltopectoral Approach)","description":"\u003cp\u003eMaster the treatment of proximal humerus fractures. This training offers a technical immersion in plate osteosynthesis via the deltopectoral approach, presented in 4K video from the surgeon's perspective, addressing management in elderly patients with asymptomatic glenohumeral osteoarthritis.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003ePlate osteosynthesis for proximal humerus fractures.\u003c\/li\u003e\n\u003cli\u003eDeltopectoral approach: demarcation and dissection technique.\u003c\/li\u003e\n\u003cli\u003eManagement of the long head of the biceps and rotator cuff tendons (supraspinatus, subscapularis).\u003c\/li\u003e\n\u003cli\u003eFracture reduction strategies and intraoperative evaluation.\u003c\/li\u003e\n\u003cli\u003ePlate fixation and screw placement.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eStrategic Patient Positioning: \u003c\/strong\u003eOptimizing patient positioning for arm access and manipulation, including specific positions for access to key structures.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Deltopectoral Dissection:\u003c\/strong\u003e Methodology for demarcation and blunt dissection, identifying muscle fibers and retracting the cephalic vein, minimizing tissue damage.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAdvanced Tendinous Structure Management:\u003c\/strong\u003e Techniques for identifying and tenotomizing the long head of the biceps and pectoralis major, and lassoing with high-strength suture (Mason-Allen) in the supraspinatus and subscapularis for tuberosity control.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eGuided Fracture Reduction:\u003c\/strong\u003e Systematic approach to fracture reduction using arm manipulation and lassoing, with anatomical landmarks such as the bicipital groove and fracture apices for alignment and rotation control.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eEffective Provisional Fixation:\u003c\/strong\u003e Use of Kirschner wire for provisional stabilization outside the plate implantation area.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Plating Technique:\u003c\/strong\u003e Protocols for plate positioning and sequential screw insertion, including the calcar screw as a fundamental guide for alignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSafe Drilling:\u003c\/strong\u003e Drilling methodology with a high-speed, low-force drill bit to prevent transfixion of the articular cartilage.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFixation Augmentation:\u003c\/strong\u003e Performance of long head of biceps tenodesis and use of synthetic bone graft as augmentation for biomechanical support.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed Intraoperative Evaluation:\u003c\/strong\u003e Radiographic analysis for verification of plate height, fracture reduction, and plate centralization, ensuring adequate screw distribution.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eMaterial Included:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e This PDF addresses the surgical treatment of proximal humerus fractures in elderly patients with asymptomatic glenohumeral osteoarthritis, detailing positioning, deltopectoral approach, long head of biceps management, tenotomies, exposure of tuberosities and rotator cuff, fracture reduction, plate and screw fixation, tenodesis, and bone graft.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in trauma surgery. Enroll now and master the techniques in proximal humerus fracture osteosynthesis.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 4abd73de-9f50-4c34-a78c-31d1857bd736 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776992579645,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Proximal-Humerus-Fracture-with-Plate-Deltopectoral-Approach.webp?v=1764858642"},{"product_id":"fracture-of-the-proximal-humerus-in-2-parts-deltopectoral-approach","title":"Fracture of the Proximal Humerus in 2 Parts (Deltopectoral Approach)","description":"\u003cp\u003eMaster the treatment of 2-part proximal humerus fractures. This training offers a technical immersion into the deltopectoral approach for osteosynthesis, presented in 4K video from the surgeon's perspective, detailing each step of the procedure to optimize results.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical dissection and hemostasis in the deltopectoral approach.\u003c\/li\u003e\n\u003cli\u003eIdentification of the deltopectoral interval and neurovascular structures.\u003c\/li\u003e\n\u003cli\u003eBone exposure techniques and retractor positioning.\u003c\/li\u003e\n\u003cli\u003ePectoralis and long head of the biceps tenotomy.\u003c\/li\u003e\n\u003cli\u003eAnatomical reduction of proximal humerus fractures and provisional fixation.\u003c\/li\u003e\n\u003cli\u003eManeuvers for valgus impaction of the humeral head.\u003c\/li\u003e\n\u003cli\u003eDrilling technique and screw measurement for definitive subchondral fixation.\u003c\/li\u003e\n\u003cli\u003eRotator cuff repair and layered closure.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Marking and Incision:\u003c\/strong\u003e Methodology for initial delimitation and skin incision that guides surgical access and facilitates wound closure.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRigorous Hemostasis:\u003c\/strong\u003e Detailed approach to bleeding control, maintaining a clean operative field and optimizing anatomical visualization.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStructural Identification: \u003c\/strong\u003eTechniques for recognizing the deltopectoral interval and preserving the cephalic vein.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Exposure:\u003c\/strong\u003e Strategies for bone exposure and the use of selective tenotomies (pectoralis and long head of the biceps) to facilitate humeral manipulation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRefined Anatomical Reduction:\u003c\/strong\u003e Protocols for cleaning fracture vertices, identifying parameters such as the bicipital groove, and efficient provisional fixation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eVarus Correction: \u003c\/strong\u003eSpecific maneuvers (abduction, high-strength wire traction, thumb pressure, and inverted condylar clamp) for valgus impaction of the humeral head.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSecure Subchondral Fixation:\u003c\/strong\u003e Drilling methodology with sensitivity for precise screw positioning in the subchondral bone, without perforating the cartilage, with initial insertion of calcar screws.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePostoperative Stability:\u003c\/strong\u003e Demonstration of rotator cuff repair to the plate for additional stabilization, especially in osteoporotic bone, and management of the long head of the biceps.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e The attached PDF offers a practical and objective summary of the surgical procedure covered in the training, encompassing preparation, access, exposure, reduction, provisional fixation, valgus impaction, definitive fixation, repair, and closure, highlighting key points of each step for quick review and reference.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in shoulder trauma surgery. Enroll now and master the essential techniques in the approach to proximal humerus fractures.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 484bf568-6bbe-420b-b2cf-1aff6e55d23d --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776992710717,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Fracture-of-the-Proximal-Humerus-in-2-Parts-Deltopectoral-Approach.webp?v=1764858654"},{"product_id":"acromioclavicular-dislocation-with-tightrope-device","title":"Acromioclavicular Dislocation with TightRope Device","description":"\u003cp\u003eMaster the surgical treatment of acromioclavicular dislocation. This training offers a technical immersion in osteosynthesis with the TightRope device, emphasizing precision in demarcation, dissection, and creation of bone tunnels, aiming for a favorable functional and aesthetic outcome.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical treatment of acromioclavicular dislocation.\u003c\/li\u003e\n\u003cli\u003eUtilization of the TightRope device.\u003c\/li\u003e\n\u003cli\u003eTechnique for creating bone tunnels in the clavicle and coracoid process.\u003c\/li\u003e\n\u003cli\u003eReduction and stabilization of the acromioclavicular joint.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cp\u003e\u003cstrong\u003ePrecise Radiographic Evaluation:\u003c\/strong\u003e Methodology for identifying the base of the coracoid process using anteroposterior (AP) and apical (axillary) images for device insertion planning.\u003c\/p\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Demarcation and Surgical Access: \u003c\/strong\u003ePlanning of the longitudinal incision from the coracoid process to the lateral third of the clavicle, with the use of a diluted adrenaline solution to minimize subcutaneous bleeding and ensure a clear field.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eControlled Dissection and Tissue Preservation: \u003c\/strong\u003eExecution of single longitudinal incisions, maintaining the same direction to avoid soft tissue injuries and bleeding, with slow progression for optimized results.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eExposure and Palpation of Key Structures:\u003c\/strong\u003e Technique for palpating the anterior end of the clavicle and the coracoid process with digital exploration and adequate retraction for safe exposure.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCreation of Strategic Bone Tunnels:\u003c\/strong\u003e Positioning of the clavicular tunnel in the anterior middle third, close to the base of the coracoid, and the coracoid tunnel as close as possible to its base, to prevent anterior deviation of the clavicle and postoperative failure.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eInsertion and Adjustment of the TightRope Device:\u003c\/strong\u003e Sequential procedure of passing the TightRope through the clavicle and coracoid holes, with alternate traction of the sutures for reduction and fixation of the dislocation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eLayered Closure and Superior Aesthetic Result:\u003c\/strong\u003e Surgical closure performed in layers, with intradermal suture for an imperceptible aesthetic result.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e This PDF offers a practical summary of the procedure, addressing the condition of acromioclavicular dislocation, radiographic evaluation, steps for surgical access and preparation, dissection technique, creation and positioning of bone tunnels in the clavicle and coracoid, insertion and adjustment of the TightRope device for dislocation reduction, layered closure, and expected outcomes.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your trauma surgery skills. Enroll now and master the techniques for reduction and stabilization of acromioclavicular dislocations.\u003c!-- notionvc: fcb29d60-edde-4ba0-abb1-86ba945ebc33 --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: bbd2ae42-854d-45c6-bf0a-e7c59b0bc9f4 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776992841789,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/LUXACAOACROMIOCLAVICULARCOMDISPOSITIVOTIGHTROPE_141be283-5062-4bdf-b22b-fb45f922c821.webp?v=1783445702"},{"product_id":"acromioclavicular-dislocation-with-tightrope-device-1","title":"Acromioclavicular Dislocation with TightRope Device 02","description":"\u003cp\u003eEnhance acromioclavicular dislocation stabilization. This training offers a technical immersion in reconstruction with a TightRope device via open approach, presented in 4K video from the surgeon's perspective, addressing visualization and technique precision.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical treatment of acromioclavicular dislocation with a TightRope device.\u003c\/li\u003e\n\u003cli\u003ePreoperative planning and precise demarcation.\u003c\/li\u003e\n\u003cli\u003eCareful dissection and surgical field management.\u003c\/li\u003e\n\u003cli\u003eStrategic creation of bone tunnels in the clavicle and coracoid process.\u003c\/li\u003e\n\u003cli\u003eInsertion and locking of the TightRope device.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Preoperative Planning:\u003c\/strong\u003e Methodology for marking on Zanca and Apical radiographic views for precise identification of the target point on the coracoid process, with the use of a diluted adrenaline solution for hemostasis.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSurgical Access and Controlled Dissection: \u003c\/strong\u003eIncision and dissection technique by planes with border hemostasis for clear visibility, identification of the superior third of the clavicle and digital access to the coracoid process, including lateral detachment of the clavicle.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRefined Anatomical Exposure:\u003c\/strong\u003e Use of Hohmann retractors for precise coracoid exposure, distinguishing soft tissue from bone, and alignment of the coracoid hole with the clavicle tunnel.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStrategic Bone Tunnel Creation: \u003c\/strong\u003eDetailed procedures for drilling the coracoid (base of the process, with electrocautery and guidewire\/cannulated drill) and the clavicle (anterior middle third, aligned with the coracoid tunnel, avoiding the posterior middle third to prevent anteriorization of the clavicle).\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSecure TightRope Insertion:\u003c\/strong\u003e Technique for passing the malleable wire to transport the TightRope sutures, introducing the device through the clavicle and coracoid holes, with repetitive piston maneuvers to ensure \"flipping\" and proper locking, and digital cleaning of interposed tissues.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAnatomical Reduction and Stabilization:\u003c\/strong\u003e Procedures for alternately tightening the sutures until dislocation reduction is confirmed radiographically on AP and apical views, and layered closure with intradermal suture for excellent aesthetics.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e An objective document summarizing the surgical treatment procedure for acromioclavicular dislocation with a TightRope device, covering planning, access, exposure, bone tunnel creation, implant insertion, reduction, and closure.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in trauma surgery. Enroll now and master stabilization techniques for acromioclavicular dislocations.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 8164ecc3-95e9-4953-8b9b-fe638756d880 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776993071165,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/LuxacaoAcromioclavicularcomDispositivoTightRope_result_1984af6a-b487-470b-b036-dec26b965ec7.webp?v=1783445886"},{"product_id":"proximal-humerus-osteosynthesis-medial-plate","title":"Proximal Humerus Osteosynthesis – Medial Plate","description":"\u003cp\u003ePartial consolidation in proximal humerus fractures with medial shear represents a frequent challenge in orthopedic practice, hindering anatomical reduction and adequate stabilization.\u003c\/p\u003e\n\u003cp\u003eThis training presents, in high definition and from the surgeon's perspective, the application of the medial anti-shear plate in association with the low-profile lateral plate, demonstrating a step-by-step approach to indirect reduction, preservation of anatomical structures, and biomechanical stabilization of the fracture.\u003c\/p\u003e\n\u003cp\u003eTraining Focus:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eIndirect reduction of proximal humerus fracture with medial shear.\u003c\/li\u003e\n\u003cli\u003eCombined fixation: medial anti-shear plate + low-profile lateral plate.\u003c\/li\u003e\n\u003cli\u003eDeltopectoral approach with selective tenotomies for exposure.\u003c\/li\u003e\n\u003cli\u003eTissue and vascular preservation (subscapularis, deltoid, cephalic vein).\u003c\/li\u003e\n\u003cli\u003eClosing techniques with high-strength sutures for anterior stability.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eDetailed Content:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eIndirect Reduction with Plate:\u003c\/strong\u003e Use of the plate itself as a lever to overcome partial consolidation and restore the humeral head height.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAdvanced Biomechanical Stability:\u003c\/strong\u003e Combination of medial anti-shear plate with lateral plate → resistance against shear and rotation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSmart Surgical Planning:\u003c\/strong\u003e Positioning strategy that allows multiple rotations and expands access without muscle cuts.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eTissue Preservation:\u003c\/strong\u003e Technique that reduces bleeding, preserves muscle mass and anatomical structures (deltoid and cephalic vein).\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFunctional Closure:\u003c\/strong\u003e Reinforcement of the subscapularis with high-strength suture, preventing postoperative anterior instability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eImmersive 4K Visualization:\u003c\/strong\u003e Anatomical details, instruments, and technical decisions presented from the surgeon's perspective.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eIncluded Material:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Practical guide with surgical planning, deltopectoral approach technique, indirect reduction sequence, fixation with medial and lateral plates, and closure care. Includes step-by-step guidelines for direct application in orthopedic practice.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eElevate your technical level in proximal humerus surgery. Enroll now and master the biomechanical fixation strategies with medial and lateral plates in complex fractures.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: cef373b6-e51f-43a3-b86e-c9655d08443a --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776994709565,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Placa_medial_-_Umero_proximal_2b1b34e4-ecaa-4f91-8cf6-516e7fb44c92.webp?v=1769537369"},{"product_id":"intramedullary-nail-for-proximal-humerus","title":"Intramedullary Nail for Proximal Humerus","description":"\u003cp\u003eProximal humerus fractures in elderly patients require effective stabilization with minimal tissue aggression. This training presents a surgical approach using a long intramedullary nail, guided by fluoroscopy, which preserves the rotator cuff and ensures secure fixation. The technique is demonstrated step by step from a surgical perspective, focusing on anatomical and biomechanical precision.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical positioning for exposure of the proximal humerus.\u003c\/li\u003e\n\u003cli\u003eAnatomical marking and insertion of the guide wire with radiographic control.\u003c\/li\u003e\n\u003cli\u003eMuscle dissection and preservation of the rotator cuff.\u003c\/li\u003e\n\u003cli\u003eManipulation with Kirschner wire used as a joystick.\u003c\/li\u003e\n\u003cli\u003eInsertion of a long intramedullary nail with proximal and distal locking.\u003c\/li\u003e\n\u003cli\u003eAnatomical repair of the rotator cuff with absorbable sutures.\u003c\/li\u003e\n\u003cli\u003eFluoroscopic control in multiple projections.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Exposure of the Proximal Humerus:\u003c\/strong\u003e Positioning technique with elevated headboard for efficient anatomical access.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Radiographic Marking:\u003c\/strong\u003e Use of Kirschner wire and dermography for sagittal alignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMuscular and Tendinous Preservation:\u003c\/strong\u003e Respectful dissection of deltoid fibers and controlled tenotomy of the cuff.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eJoystick for Humeral Head Alignment:\u003c\/strong\u003e Safe manipulation for correction of angulation and centralization of the entry point.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStable Intramedullary Fixation:\u003c\/strong\u003e Insertion of a long nail with multiple locking screws, including metaphyseal.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRigorous Fluoroscopic Control:\u003c\/strong\u003e Anteroposterior and lateral images to ensure parallelism and implant precision.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAnatomical Repair of the Cuff:\u003c\/strong\u003e Absorbable sutures previously positioned for functional closure.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSystematized Surgical Sequence:\u003c\/strong\u003e Practical step-by-step for direct application in the operating room.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eThe complementary material presents the complete surgical protocol, including radiographic images, detailed operative sequence, rotator cuff care, strategic positioning of the image intensifier, and techniques for distal locking. Recommended for quick consultation and preoperative review.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 68241cb5-61b3-41f4-8290-66fa954fbbef --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776996773949,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/HASTEINTRAMEDULARPARAUMEROPROXIMAL_939ee2a5-153e-4a1a-81e6-5ec8c2dd3f45.webp?v=1764858780"},{"product_id":"proximal-humerus-four-part-fracture","title":"Proximal Humerus – Four-Part Fracture (05)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp\u003eComplex proximal humeral fractures, especially four-part fractures with valgus impaction, require technical mastery to restore anatomy and function.\u003c\/p\u003e\n\u003cp\u003eThis training presents, step by step, the reconstruction of the proximal humerus via the deltopectoral approach, with emphasis on the anatomic reduction of the tuberosities and stable fixation using a locking plate, demonstrated from a detailed surgical perspective.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eDeltopectoral approach and identification of anatomical landmarks;\u003c\/li\u003e\n\u003cli\u003eReduction of the valgus-impacted humeral head;\u003c\/li\u003e\n\u003cli\u003eAnatomic reduction of the tuberosities with controlled traction;\u003c\/li\u003e\n\u003cli\u003eFixation with locking plate and calcar screws;\u003c\/li\u003e\n\u003cli\u003eReinforcement with FiberTape cerclage and bone graft (augmentation).\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eSafe Anatomical Exposure:\u003c\/strong\u003e Strategic positioning and careful dissection preserving critical structures.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Release and Reduction:\u003c\/strong\u003e Techniques to reposition the valgus-impacted head and realign tuberosities.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eBiomechanical Stability:\u003c\/strong\u003e Fixation with calcar screws and reinforcement using high-strength sutures.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eBone Augmentation:\u003c\/strong\u003e Paste-like graft between head screws, optimizing structural support.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRadiographic Control and Final Adjustments:\u003c\/strong\u003e Correction of shear and symmetry through screw repositioning.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSubscapularis Fixation to Plate:\u003c\/strong\u003e Enhances rotational stability and facilitates safe postoperative recovery.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e The supplementary material presents the complete protocol for proximal humerus reconstruction, focusing on the technique via the deltopectoral approach, anatomic reduction, valgus maneuvers, FiberTape reinforcement, and bone graft use.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your technical mastery in proximal humerus reconstruction.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eAccess the full training now and elevate your precision in trauma surgery.\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320157175869,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/umeroproximal-fraturaem4partes-angela.webp?v=1783098763"},{"product_id":"intramedullary-nail-for-proximal-humerus-03","title":"Intramedullary Nail for Proximal Humerus (03)","description":"\u003cp\u003eProximal humerus fractures in elderly patients require effective stabilization with minimal tissue aggression. This training presents a surgical approach using a long intramedullary nail, guided by fluoroscopy, which preserves the rotator cuff and ensures secure fixation. The technique is demonstrated step by step from a surgical perspective, focusing on anatomical and biomechanical precision.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical positioning for exposure of the proximal humerus.\u003c\/li\u003e\n\u003cli\u003eAnatomical marking and insertion of the guide wire with radiographic control.\u003c\/li\u003e\n\u003cli\u003eMuscle dissection and preservation of the rotator cuff.\u003c\/li\u003e\n\u003cli\u003eManipulation with Kirschner wire used as a joystick.\u003c\/li\u003e\n\u003cli\u003eInsertion of a long intramedullary nail with proximal and distal locking.\u003c\/li\u003e\n\u003cli\u003eAnatomical repair of the rotator cuff with absorbable sutures.\u003c\/li\u003e\n\u003cli\u003eFluoroscopic control in multiple projections.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Exposure of the Proximal Humerus:\u003c\/strong\u003e Positioning technique with elevated headboard for efficient anatomical access.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Radiographic Marking:\u003c\/strong\u003e Use of Kirschner wire and dermography for sagittal alignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMuscular and Tendinous Preservation:\u003c\/strong\u003e Respectful dissection of deltoid fibers and controlled tenotomy of the cuff.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eJoystick for Humeral Head Alignment:\u003c\/strong\u003e Safe manipulation for correction of angulation and centralization of the entry point.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStable Intramedullary Fixation:\u003c\/strong\u003e Insertion of a long nail with multiple locking screws, including metaphyseal.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRigorous Fluoroscopic Control:\u003c\/strong\u003e Anteroposterior and lateral images to ensure parallelism and implant precision.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAnatomical Repair of the Cuff:\u003c\/strong\u003e Absorbable sutures previously positioned for functional closure.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSystematized Surgical Sequence:\u003c\/strong\u003e Practical step-by-step for direct application in the operating room.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed PDF: \u003c\/strong\u003eThe complementary material presents the complete surgical protocol, including radiographic images, detailed operative sequence, rotator cuff care, strategic positioning of the image intensifier, and techniques for distal locking. Recommended for quick consultation and preoperative review.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eMaster the intramedullary nail technique for proximal humerus fractures. Enroll now and elevate your surgical practice with anatomical and biomechanical precision.\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 68241cb5-61b3-41f4-8290-66fa954fbbef --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320157274173,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/HASTEINTRAMEDULARPARAUMEROPROXIMAL.webp?v=1783098767"},{"product_id":"clavicle-fracture-02-minimally-invasive-technique","title":"Clavicle Fracture 02 – Minimally Invasive Technique","description":"\u003cp\u003ePrecise reduction of mid‑shaft clavicle fractures with shortening and overlap remains a significant technical challenge. This training presents a minimally invasive approach using an anatomic plate, demonstrated in high definition from a surgical perspective, enabling mastery of the technique from radiographic planning to definitive fixation.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eRadiographic planning (Zanca and superior view) and anatomical marking;\u003c\/li\u003e\n\u003cli\u003eStrategic creation of the lateral and medial portals;\u003c\/li\u003e\n\u003cli\u003eControlled dissection and creation of the tunnel for plate passage;\u003c\/li\u003e\n\u003cli\u003eClosed reduction guided by fluoroscopy;\u003c\/li\u003e\n\u003cli\u003eSelection and adaptation of the anatomic plate;\u003c\/li\u003e\n\u003cli\u003eSequential fixation with cortical and locking screws;\u003c\/li\u003e\n\u003cli\u003eClosure of the muscle layers and intradermal suturing.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003ePrecise Radiographic Planning: Protocols to identify the fracture site, outline the lateral third, and define the ideal implant size;\u003c\/li\u003e\n\u003cli\u003eStrategic Marking of the Access Points: Methods for exact positioning of the portals, ensuring proper plate trajectory;\u003c\/li\u003e\n\u003cli\u003eSafe Creation of the Subperiosteal Tunnel: Dissection techniques using an elevator and digital palpation to preserve tissues and facilitate implant passage;\u003c\/li\u003e\n\u003cli\u003eReliable Closed Reduction: Strategies for external manipulation and fluoroscopic confirmation of alignment;\u003c\/li\u003e\n\u003cli\u003eOptimal Adaptation of the Anatomic Plate: Comparative testing of curvatures and adjustments for improved bone contact;\u003c\/li\u003e\n\u003cli\u003eStable and Progressive Fixation: Sequence of cortical and locking screws to prevent rotation and loss of reduction;\u003c\/li\u003e\n\u003cli\u003eIntraoperative Stability Control: Methods of palpation and verification of the final plate position;\u003c\/li\u003e\n\u003cli\u003eFunctional and Aesthetic Closure: Adequate muscular coverage and intradermal suturing for improved cosmetic outcome.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eDetailed PDF with planning, marking, portal creation, dissection technique, implant selection, fixation sequence, and surgical closure.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your surgical precision in the treatment of clavicle fractures. Enroll now and master the minimally invasive technique with an anatomic plate.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 4abb0dbf-df0c-4e60-a303-619b14204d52 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320157405245,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/FraturadaClavicula02_TecnicaMinimamenteInvasiva.webp?v=1783098775"},{"product_id":"proximal-humerus-case-6-two-part-fracture-plate-and-screws","title":"PROXIMAL HUMERUS [Case 6] · Two-Part Fracture · Plate and Screws","description":"\u003cp\u003eThe treatment of proximal humerus fractures with impacted varus displacement requires precise anatomic restoration, achievement of adequate mechanical stability, and mastery of reduction maneuvers to correct medial collapse.\u003c\/p\u003e\n\u003cp\u003eThis training presents the complete management of a two-part proximal humerus fracture using a deltopectoral approach associated with locking plate osteosynthesis, application of rotator cuff traction reduction techniques, auxiliary wires, and biomechanical strategies for varus correction, demonstrated in detail from a surgical perspective.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTRAINING FOCUS\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eDeltopectoral approach and anatomical landmarks.\u003c\/li\u003e\n\u003cli\u003eSurgical planning in proximal humerus fractures.\u003c\/li\u003e\n\u003cli\u003eManagement of two-part fractures with impacted varus deformity.\u003c\/li\u003e\n\u003cli\u003eAnatomical exposure and preservation of soft tissues.\u003c\/li\u003e\n\u003cli\u003eTenotomy and tenodesis of the long head of the biceps.\u003c\/li\u003e\n\u003cli\u003eAmarrage and marionette reduction techniques.\u003c\/li\u003e\n\u003cli\u003eUse of Kirschner wires and Steinmann wires.\u003c\/li\u003e\n\u003cli\u003ePositioning and adjustment of the proximal locking plate.\u003c\/li\u003e\n\u003cli\u003eMedial calcar fixation and structural support.\u003c\/li\u003e\n\u003cli\u003eComplementary stabilization of the rotator cuff.\u003c\/li\u003e\n\u003cli\u003eUse of bone graft as augmentation.\u003c\/li\u003e\n\u003cli\u003eRadiographic control and final assessment of reduction.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDETAILED CONTENT\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eStructured Surgical Planning:\u003c\/strong\u003e Definition of the operative strategy based on CT scan analysis, identification of deformities, and planning of the reduction sequence.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAnatomic Deltopectoral Approach:\u003c\/strong\u003e Access technique with identification of anatomical intervals, wide bone exposure, and preservation of muscular and vascular structures.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSoft Tissue Preservation:\u003c\/strong\u003e Strategies to maintain an intact deltoid, protect the cephalic vein, and reduce soft tissue trauma.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAnatomy-Guided Reduction:\u003c\/strong\u003e Practical application of anatomical landmarks such as the bicipital groove, fracture apexes, and rotator cuff alignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMarionette Technique and Rotator Cuff Traction:\u003c\/strong\u003e Methods for controlled manipulation of fragments aiming to restore anatomical alignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStrategic Use of Auxiliary Wires:\u003c\/strong\u003e Application of Kirschner and Steinmann wires for temporary stabilization, mechanical leverage, and reduction control.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePlate Positioning and Implant Control:\u003c\/strong\u003e Adjustment of plate height, prevention of subacromial impingement, and maintenance of stability during intraoperative manipulation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMedial Calcar Fixation:\u003c\/strong\u003e Biomechanical application of medial support for varus control and increased osteosynthesis stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eComplementary Rotator Cuff Stabilization:\u003c\/strong\u003e Tuberosity suture techniques to reinforce functional stability of the proximal humerus.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eBone Graft Augmentation:\u003c\/strong\u003e Application of structural support between screws to improve humeral head support.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eINCLUDED MATERIAL\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e The PDF presents a complete fracture analysis, CT-based surgical planning, step-by-step operative sequence, biomechanical principles applied to impacted varus reduction, implant positioning, use of auxiliary wires, and an objective discussion of intraoperative decisions related to mechanical stability and anatomic reconstruction.\u003c\/p\u003e\n\u003cp\u003eEnhance your decision-making in proximal humerus fractures and incorporate reduction and stabilization strategies applicable to daily surgical practice.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: d30cec89-a98e-4d11-af46-697468c2c4d7 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320158322749,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/UMEROPROXIMAL-Caso6_DuasPartes_PlacaeParafusos.webp?v=1783098821"},{"product_id":"acromioclavicular-case-3-tightrope-fixation","title":"ACROMIOCLAVICULAR [CASE 3] TightRope Fixation","description":"\u003cp\u003eThis orthopedic trauma learning module presents a step-by-step educational discussion of acromioclavicular dislocation management using a TightRope-type device. The case emphasizes patient positioning, fluoroscopic planning, skin marking, minimally invasive exposure, identification of the clavicle and coracoid process, preparation of bone tunnels, suture passage, button deployment, and controlled reduction of the acromioclavicular relationship. Special attention is given to radiographic views, coracoid visualization, soft-tissue handling, alignment of clavicular and coracoid tunnels, and technical checks during device passage. The content is intended for procedural education and anatomical understanding, not as a standalone surgical guide.\u003c\/p\u003e\n\u003ch4\u003eINCLUDED CONTENT\u003c\/h4\u003e\n\u003cul\u003e\n\u003cli\u003eCase-based procedural narration\u003c\/li\u003e\n\u003cli\u003eShoulder and acromioclavicular joint anatomy review\u003c\/li\u003e\n\u003cli\u003eFluoroscopic positioning concepts\u003c\/li\u003e\n\u003cli\u003eSkin marking and minimally invasive approach planning\u003c\/li\u003e\n\u003cli\u003eClavicle and coracoid exposure strategy\u003c\/li\u003e\n\u003cli\u003eCoracoid and clavicular drilling sequence\u003c\/li\u003e\n\u003cli\u003eTightRope suture and button passage workflow\u003c\/li\u003e\n\u003cli\u003eFluoroscopic confirmation points\u003c\/li\u003e\n\u003cli\u003eTechnical pearls and potential pitfalls for educational review\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch4\u003eTARGET AUDIENCE\u003c\/h4\u003e\n\u003cul\u003e\n\u003cli\u003eOrthopedic trauma surgeons\u003c\/li\u003e\n\u003cli\u003eShoulder and elbow surgeons\u003c\/li\u003e\n\u003cli\u003eOrthopedic residents and fellows\u003c\/li\u003e\n\u003cli\u003eSports medicine surgeons with interest in acromioclavicular injuries\u003c\/li\u003e\n\u003cli\u003eMedical educators teaching shoulder trauma procedures\u003c\/li\u003e\n\u003cli\u003eOperating room professionals involved in orthopedic procedural education\u003cstrong\u003e\u003cbr\u003e\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch4\u003eEDUCATIONAL NOTICE\u003c\/h4\u003e\n\u003cp\u003eThis content is intended for medical education and procedural review only. It does not replace formal surgical training, institutional protocols, device-specific instructions for use, or supervision by qualified clinicians. All procedural decisions must be made by appropriately trained healthcare professionals after patient-specific assessment and mandatory human review.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: b26258f8-0672-40b5-bf94-50dafb5aeeba --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43339006410813,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/ACROMIOCLAVICULARCase3_TightRopeFixation.webp?v=1783948320"},{"product_id":"clavicle-case-03-minimally-invasive-percutaneous-osteosynthesis","title":"CLAVICLE [CASE 03] Minimally Invasive Percutaneous Osteosynthesis","description":"\u003cp\u003eThis orthopedic trauma learning case presents a minimally invasive approach to osteosynthesis of a midshaft clavicle fracture. The procedure is discussed in the beach-chair position, with emphasis on pre-incision fluoroscopic mapping, identification of clavicular borders, planning of medial and lateral portals, and controlled creation of a tunnel for plate passage. The case highlights procedural reasoning behind implant positioning, fragment mobility during preliminary fixation, reduction maneuvers, restoration of length and alignment, and the use of bridge plating principles when comminution is present. Attention is also given to clavicle anatomy, soft-tissue preservation, avoidance of anterior implant prominence, and layered closure over the implant. The content is intended for procedural education and should be reviewed by qualified medical professionals before any clinical application.\u003c\/p\u003e\n\u003ch2\u003eINCLUDED CONTENT\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eCase-based surgical narration\u003c\/li\u003e\n\u003cli\u003eFluoroscopic planning concepts\u003c\/li\u003e\n\u003cli\u003eBeach-chair positioning discussion\u003c\/li\u003e\n\u003cli\u003eTwo-portal minimally invasive approach\u003c\/li\u003e\n\u003cli\u003eSubmuscular or soft-tissue tunnel creation for plate passage\u003c\/li\u003e\n\u003cli\u003eImplant positioning and screw sequencing considerations\u003c\/li\u003e\n\u003cli\u003eReduction strategy for midshaft clavicle fracture\u003c\/li\u003e\n\u003cli\u003eBridge osteosynthesis principles\u003c\/li\u003e\n\u003cli\u003eSoft-tissue handling and closure considerations\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eTARGET AUDIENCE\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eOrthopedic trauma surgeons\u003c\/li\u003e\n\u003cli\u003eOrthopedic residents and fellows\u003c\/li\u003e\n\u003cli\u003eMedical students with interest in musculoskeletal trauma\u003c\/li\u003e\n\u003cli\u003eOperating room professionals involved in orthopedic trauma education\u003c\/li\u003e\n\u003cli\u003eClinicians reviewing principles of clavicle fracture fixation\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eEDUCATIONAL NOTICE\u003c\/h2\u003e\n\u003cp\u003eThis content is intended for medical and procedural education only. It does not replace formal surgical training, institutional protocols, or clinical judgment. No clinical outcome is guaranteed. All procedural decisions must be made by qualified healthcare professionals after appropriate patient evaluation, imaging review, indication assessment, and safety checks.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 0d6a5c79-75d1-4d9d-bceb-2694e2c2e160 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43391395987517,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/CLAVICULA-OsteossintesePercutaneaMinimamenteInvasiva.webp?v=1784815065"}],"url":"https:\/\/www.surgie.com\/ar\/collections\/custom-sub_especialidade-shoulder\/paid-videos.oembed","provider":"Surgie","version":"1.0","type":"link"}