{"product_id":"transolecranon-fracture-dislocation-of-the-elbow-monteggia-variant-pull-out-technique","title":"Transolecranon Fracture-Dislocation of the Elbow (Monteggia Variant) – \"Pull-out\" Technique","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the surgical treatment of complex elbow fracture-dislocations, such as the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e variant. This training details the reconstruction of the anterior joint capsule using the \"pull-out\" technique and the subsequent reduction and fixation of the ulnar fracture, aiming to restore the stability and articular congruency of the elbow. \u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eFocus of the Training:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eTreatment of \u003c\/span\u003e\u003cspan class=\"cf1\"\u003etransolecranon\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e fracture-dislocation of the elbow (\u003c\/span\u003e\u003cspan class=\"cf1\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e variant).\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eReconstruction of the anterior joint capsule using the \"pull-out\" technique.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eReduction and fixation of \u003c\/span\u003e\u003cspan class=\"cf1\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e fractures of the proximal ulna.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eRestoration of stability and articular congruency of the elbow.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePositioning and Approach: \u003c\/strong\u003ePatient in prone position with the elbow at 90\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e°. Dissection by planes with a single approach, retracting muscles around the ulna.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eCapsular Repair (Pull-out Technique): \u003c\/strong\u003eIdentification of the capsule and the coronoid process through the olecranon fracture. Passage of high-strength sutures and creation of tunnels to pull the capsule to its disinsertion site, aided by elbow flexion.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eReduction of the Ulna:\u003c\/strong\u003e Reduction of the fracture with Kirschner wires. Fixation of a lateral fragment with a mini-fragment plate, enabling the use of a long plate on the olecranon.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eFinalization and Stabilization: \u003c\/strong\u003eTying of the pull-out sutures and definitive fixation with a long locking plate on the metaphyseal ulna, ensuring joint stability.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eClosure and Final Result:\u003c\/strong\u003e Linear opening of the musculature, reconstructed fracture, and congruent joint. Well-distributed screws, with anatomic layer-by-layer closure.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed PDF of the Procedure:\u003c\/strong\u003e A document describing the surgical treatment of a complex elbow fracture-dislocation, including positioning, surgical approach, identification and repair of the anterior joint capsule with the \"pull-out\" technique, reduction and fixation of the ulna fracture, finalization of the \"pull-out,\" plating, and closure.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your skills in elbow surgery. Enroll now and master the advanced techniques for treating complex fracture-dislocations, ensuring joint stability and function for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776986484797,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Transolecranon-Fracture-Dislocation-of-the-Elbow-Monteggia-Variant-Pull-out-Technique.webp?v=1764858388","url":"https:\/\/www.surgie.com\/ar\/products\/transolecranon-fracture-dislocation-of-the-elbow-monteggia-variant-pull-out-technique","provider":"Surgie","version":"1.0","type":"link"}