{"product_id":"femoral-shaft-case-2-retrograde-intramedullary-nail","title":"FEMORAL SHAFT [Case 2] · Retrograde Intramedullary Nail","description":"\u003cp\u003eFemoral shaft fractures associated with a narrow medullary canal and cortical alterations require precise planning of the entry portal, strict rotational control, and proper nail positioning to avoid mechanical complications.\u003c\/p\u003e\n\u003cp\u003eThis training demonstrates the complete execution of \u003cstrong\u003eosteosynthesis with a retrograde intramedullary nail\u003c\/strong\u003e, presented in \u003cstrong\u003efull 4K video from the surgeon’s perspective\u003c\/strong\u003e, with emphasis on medullary canal alignment, progressive reaming strategy, rotational correction based on the lateral cortex, and distal and proximal locking guided by fluoroscopy.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTRAINING FOCUS\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eIndication of retrograde intramedullary nail in femoral shaft fracture\u003c\/li\u003e\n\u003cli\u003ePlanning of the entry portal through the patellar tendon\u003c\/li\u003e\n\u003cli\u003ePatient positioning and operating table setup\u003c\/li\u003e\n\u003cli\u003eGuidewire insertion with fluoroscopic control\u003c\/li\u003e\n\u003cli\u003eFracture reduction and femoral rotational control\u003c\/li\u003e\n\u003cli\u003eProgressive reaming of the medullary canal\u003c\/li\u003e\n\u003cli\u003eIntramedullary nail insertion and proper positioning\u003c\/li\u003e\n\u003cli\u003eDistal and proximal locking guided by fluoroscopy\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\u003eEntry Portal Planning:\u003c\/strong\u003e Definition of the access point through the patellar tendon aligned with the previously marked femoral axis, allowing precise guidewire trajectory within the medullary canal.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOperative Positioning and Table Setup:\u003c\/strong\u003e Patient positioning in the supine position with controlled knee flexion and use of a split table to facilitate image intensifier access.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eGuidewire Insertion and Intramedullary Alignment:\u003c\/strong\u003e Technique for guidewire insertion with confirmation in anteroposterior and lateral views to ensure parallelism with the medullary canal.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFracture Reduction and Rotational Control:\u003c\/strong\u003e Strategies for rotational correction using references from the femoral lateral cortex, allowing reconstruction closer to anatomical alignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eProgressive Reaming of the Medullary Canal:\u003c\/strong\u003e Technical sequence of reaming aimed at accommodating larger diameter implants and improving intramedullary fixation stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSafe Nail Positioning:\u003c\/strong\u003e Criteria for proper positioning of the nail above the lesser trochanter, avoiding stress concentration zones and risk of subtrochanteric fracture.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDistal Locking Technique:\u003c\/strong\u003e Precise alignment of the skin access with the nail holes and fluoroscopy-guided drilling for safe insertion of distal screws.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eProximal Locking and Rotational Stability:\u003c\/strong\u003e Insertion of proximal screws under radiographic control for definitive stabilization of the osteosynthesis.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFinal Implant Assessment:\u003c\/strong\u003e Verification of alignment, fracture reduction, and absence of implant prominence.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eLayered Closure:\u003c\/strong\u003e Anatomical reconstruction of surgical planes with suturing of the paratenon, subcutaneous tissue, and skin.\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 Didactic document that objectively presents the principles of retrograde intramedullary osteosynthesis of the femur, including entry portal planning, patient positioning, guidewire insertion technique, progressive reaming of the medullary canal, criteria for nail positioning above the lesser trochanter, and the technical sequence of distal and proximal locking under fluoroscopy.\u003c\/p\u003e\n\u003cp\u003eImprove your execution in femoral intramedullary fixation and incorporate a systematized technical sequence for reduction and stabilization of shaft fractures. Subscribe and strengthen your practice in trauma surgery.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 657510d5-8df0-4f9f-9b52-e531786e944a --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320157896765,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/CAPA_DIAFISEDOFEMURCase2_HasteIntramedularRetrogradaMinimamenteInvasiva.webp?v=1783098797","url":"https:\/\/www.surgie.com\/ar\/products\/femoral-shaft-case-2-retrograde-intramedullary-nail","provider":"Surgie","version":"1.0","type":"link"}