{"title":"Elbow","description":null,"products":[{"product_id":"radial-head-arthroplasty-for-multifragmentary-fracture","title":"Radial Head Arthroplasty for Multifragmentary Fracture","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster radial head arthroplasty, an important procedure for \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e fractures. This training offers a technical immersion into the lateral approach via the Kaplan interval, focusing on uncemented prosthetic replacement, maximum preservation of the radial neck, and restoration of elbow stability and range of motion.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eRadial head arthroplasty for \u003c\/span\u003e\u003cspan class=\"cf1\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e fractures.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eLateral approach via the Kaplan interval.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eUncemented prosthetic replacement with a focus on radial neck preservation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eRestoration of elbow stability and range of motion.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eLigament reconstruction and anatomical closure.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eSurgical Approach and Exposure: Lateral approach with Kaplan interval, \u003c\/span\u003e\u003cspan class=\"cf1\"\u003edermographic\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e markings on the lateral epicondyle. Planar access with hemostasis. \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eMultifragmentary\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e fracture requiring prosthesis. Annular ligament opening and osteotomy with radial neck preservation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eMedullary Canal Preparation: Cushion under the elbow for slight varus. Manual reaming with intimate fit to the medullary canal for good seating of the uncemented implant.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eOsteotomy Testing and Regularization: Test implant diameter with manual rotation of the arm\/hand. Preference for a smaller diameter if in doubt. Regularization of the osteotomy and use of a trial component according to radial head measurement.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eFinal Implant: Implant must align with the articular surface of the olecranon. Adjustments to the osteotomy, compaction of the component with a hammer. Movement test without impingement after reduction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eClosure and Ligaments: Planar closure. Annular ligament suture with extension and valgus for ideal tensioning. Reinsertion of the lateral collateral ligament with an anchor, maintaining extension and valgus during fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eOptimized Results: Closure with preserved musculature. Free elbow movements. X-ray should confirm joint preservation and adequate radial head size. Aligned markings for final aesthetics.\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\n\u003cspan class=\"cf1\"\u003eDetailed Technical PDF: A complete didactic document describing the radial head arthroplasty procedure for \u003c\/span\u003e\u003cspan class=\"cf1\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e fractures, covering everything from surgical access and fracture exposure, medullary canal preparation, size testing and osteotomy regularization, placement and evaluation of the final implant, to closure and ligament reconstruction.\u003c\/span\u003e\n\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 advanced radial head arthroplasty techniques, ensuring functional restoration and stability for your patients.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776985665597,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Radial-Head-Arthroplasty-for-Multifragmentary-Fracture.webp?v=1764858335"},{"product_id":"anatomical-reconstruction-of-the-distal-biceps-tendon-tightrope","title":"Anatomical Reconstruction of the Distal Biceps Tendon (TightRope)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in the anatomical reconstruction of the distal biceps brachii tendon, a fundamental surgical technique for muscle restoration after tendinous avulsion. This training details the procedure with a focus on the reinsertion technique using the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e device and specific materials, highlighting critical points from surgical access to tendon fixation and the expected aesthetic and functional outcomes.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eAnatomical reconstruction of the distal biceps brachii tendon.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eReinsertion technique using the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e device.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eMinimization of tissue trauma.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eOptimization of functional and aesthetic outcomes.\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\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eEvaluation and Planning: \u003c\/strong\u003ePalpation of the brachioradialis border and use of fluoroscopy to locate the radial tuberosity. Planned skin incision to avoid muscle injury and precise fascial dissection.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDissection and Hemostasis: \u003c\/strong\u003eLigation of a radial artery branch, with effective bleeding control, eliminating the need for a tourniquet.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eExposure of the Reinsertion Site:\u003c\/strong\u003e Visualization of the radial tuberosity with full forearm supination, exposing the biceps avulsion site.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eTendon Preparation and Suture:\u003c\/strong\u003e Triangular shaping of the tendon end to facilitate introduction. Suture with Arthrex material, slightly taut for stability.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eBone Tunnel and Fixation: \u003c\/strong\u003eMeasurement of tendon thickness, drilling of cortices with a guide wire and drill bit, creating a 7 mm hole in the first cortex.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eReinsertion with \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003e:\u003c\/strong\u003e Introduction and fixation of the already sutured tendon with the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e device on the opposite side of the radius.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eVerification and Closure: \u003c\/strong\u003eRadiograph confirms the tunnel. Anatomical and delicate access, without muscle injuries, with a favorable aesthetic result.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Technical PDF:\u003c\/strong\u003e A didactic document detailing each step of the anatomical reconstruction of the distal biceps brachii tendon, from preoperative evaluation and planning to tendon fixation with the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e device.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your skills in elbow and shoulder surgery. Enroll now and master distal biceps tendon reconstruction techniques, ensuring functional restoration and superior aesthetic results for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776985862205,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Anatomical-Reconstruction-of-the-Distal-Biceps-Tendon-TightRope.webp?v=1764858345"},{"product_id":"anatomic-reconstruction-of-the-distal-biceps-tendon-with-tightrope","title":"Anatomic Reconstruction of the Distal Biceps Tendon with TightRope","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in anatomic reconstruction of the distal biceps tendon, a surgical procedure aimed at restoring muscle function after tendon detachment. This training details the technique using the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e device, focusing on preoperative planning, identification of critical neurovascular structures, precise preparation of the tendon and bone tunnel, and reinsertion for optimal aesthetic and functional outcomes.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eAnatomic reconstruction of the distal biceps tendon at the radial tuberosity.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eUse of the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e device.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eMinimally invasive approach and preservation of anatomical structures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eSurgical access planning and identification of neurovascular structures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eTendon preparation and bone tunnel creation.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eSurgical Planning and Access:\u003c\/strong\u003e Radiographic identification of the radial tuberosity using a fluoroscope. Skin marking with a \u003c\/span\u003e\u003cspan class=\"cf1\"\u003edermographic\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e pen. Fascia opening without injuring the musculature, with rigorous hemostasis and without a tourniquet.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eNeurovascular Dissection and Protection: \u003c\/strong\u003eDissection of the brachioradialis muscle following the fiber direction. Ligation of the recurrent radial artery branch. Careful identification and retraction of the deep branch of the radial nerve.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePreparation of Bone and Tendon Site:\u003c\/strong\u003e Identification of the radial tuberosity and tendon remnant. Manual placement of retractors. Cortical drilling with guidewire and bit according to tendon thickness. Remodeling of the distal end of the tendon and cleaning of the insertion site.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eSuturing and Fixation with \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003e:\u003c\/strong\u003e Braided stitch with \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eFiberLoop\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e. Determination of drill diameter (7mm). Passage of the endo-button with care to avoid compression of soft tissues. Progressive introduction of the tendon into the tunnel and knot tightening with proper approximation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eVerification and Closure:\u003c\/strong\u003e Anatomic positioning assessment with radiograph. Attention to proper tunnel creation. Preservation of musculature and neurological structures. Anatomic fascia closure and aesthetic intradermal skin suturing.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Procedure PDF:\u003c\/strong\u003e A comprehensive didactic document outlining each step of the anatomic reconstruction of the distal biceps tendon using \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e. Includes preoperative planning, surgical access, neurovascular identification and protection, bone and tendon site preparation, tendon suturing and fixation, as well as final verification and closure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your skills in elbow and shoulder surgery. Enroll now and master distal biceps tendon reconstruction techniques to ensure functional restoration and superior aesthetic outcomes for your patients.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776986026045,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Anatomic-Reconstruction-of-the-Distal-Biceps-Tendon-with-TightRope.webp?v=1764858356"},{"product_id":"minimally-invasive-osteosynthesis-of-olecranon-fractures","title":"Minimally Invasive Osteosynthesis of Olecranon Fractures","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster minimally invasive osteosynthesis of articular olecranon fractures, which is important for long-term preservation of joint function in young patients. This training details a surgical approach that aims to minimize tissue trauma, optimize aesthetics, and allow early postoperative mobility, ensuring anatomical reduction and stable fixation.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eTreatment of articular olecranon fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eMinimally invasive surgical approach.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eAnatomical reduction and stable fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003ePreservation of joint function and early mobility.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eOptimization of postoperative aesthetics.\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\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eAccess and Exposure:\u003c\/strong\u003e Small portal over the olecranon with a single incision and periosteal detachment, allowing clean dissection and full fracture exploration for reduction reference.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eProvisional Reduction and Planning: \u003c\/strong\u003eReduction assisted by forceps and fixation with Kirschner wire. Anatomical verification using the \"fracture teeth.\" Planning for a second mini-access for distal screws.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eSubperiosteal Tunnel and Plate Passage:\u003c\/strong\u003e Dissection between extensor and flexor muscles to create a tunnel and introduce the long plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePlate Fixation: \u003c\/strong\u003eBeginning with an eccentric dynamic screw for compression, followed by intramedullary provisional fixation. Replacement with subchondral locking screws for greater strength. A drill system streamlines the procedure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePercutaneous Screws: \u003c\/strong\u003eDistal insertion via mini-access and intermediate screw via percutaneous incision guided by palpation. Finalization with locking screws.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eClosure and Final Result:\u003c\/strong\u003e Anatomical closure of periosteum and skin, guided by \u003c\/span\u003e\u003cspan class=\"cf1\"\u003edermographic\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e markings. Minimally invasive technique preserves musculature and allows early postoperative mobility.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Procedure PDF:\u003c\/strong\u003e A comprehensive didactic document detailing the less invasive surgical approach for treating articular olecranon fractures, including surgical access and fracture exposure, provisional reduction, planning and plate passage, definitive fixation, percutaneous insertion of additional screws, and closure.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your elbow surgery skills. Enroll now and master minimally invasive osteosynthesis of olecranon fractures, ensuring anatomical reduction, stable fixation, and early mobility for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776986157117,"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-Olecranon-Fractures.webp?v=1764858366"},{"product_id":"multifragmentary-radial-head-fracture-mason-3-with-associated-instability","title":"Multifragmentary Radial Head Fracture (Mason 3) with Associated Instability","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in the reconstruction of Mason 3 \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e radial head fractures associated with articular capsule involvement and coronoid process fracture. This training focuses on the surgical approach aimed at fracture stabilization through osteosynthesis, comprehensive ligamentous repair, and early postoperative management to restore elbow function.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eReconstruction of \u003c\/span\u003e\u003cspan class=\"cf1\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e radial head fractures (Mason 3) with associated instability.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eOsteosynthesis of the radial head with mini-fragments.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eComprehensive repair of ligamentous structures and the coronoid process.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eRestoration of elbow joint stability and function.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eEarly postoperative management and mobility progression.\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\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eInitial Assessment and Planning:\u003c\/strong\u003e Interpret radiographs to identify complex fractures (Mason 3) and joint involvement. Always plan for ligament repair and have a prosthesis available as an alternative.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eSurgical Approach (Kaplan):\u003c\/strong\u003e Use the Kaplan interval with an incision planned from the lateral epicondyle, ensuring adequate exposure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eExploration and Ligamentous Preparation:\u003c\/strong\u003e Fracture hematoma indicates joint invasion. Prepare the annular ligament before opening to facilitate closure. Good visualization of the anterior capsule.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eFracture Assessment:\u003c\/strong\u003e Decide between osteosynthesis or arthroplasty based on the periosteum's response to fragment traction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eRadial Head Osteosynthesis:\u003c\/strong\u003e Use 1.5mm screws, parallel or divergent, without crossing, for stable subchondral fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eCoronoid Process and Capsule Repair:\u003c\/strong\u003e Use a 5.0mm metallic anchor and high-strength sutures for firm suturing of the anterior articular capsule.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eLateral Ligamentous Repair:\u003c\/strong\u003e Reinsert the ligament with an anchor and adjust with valgus to ensure adequate tension.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eClosure and Testing:\u003c\/strong\u003e Close in layers and check intraoperative range of motion, ensuring no impingement.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePostoperative:\u003c\/strong\u003e Begin early mobility, except for extension (limited to 45\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e° for three weeks). Stability depends on anatomical reduction, not just fixation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Technical Procedure PDF:\u003c\/strong\u003e A comprehensive didactic document detailing each step of \u003c\/span\u003e\u003cspan class=\"cf1\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e radial head fracture (Mason 3) reconstruction with associated instability. This includes initial assessment and planning, surgical access, joint exploration, osteosynthesis, coronoid process and articular capsule repair, annular ligament closure, lateral ligamentous repair, and layered closure with intraoperative testing.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eElevate your elbow surgery skills. Enroll now and master advanced techniques for complex radial head reconstructions, ensuring superior functional outcomes and early rehabilitation for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776986288189,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Multifragmentary-Radial-Head-Fracture-Mason-3-with-Associated-Instability.webp?v=1764858377"},{"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"},{"product_id":"proximal-ulna-metaphyseal-fracture-with-dislocation-and-radial-head-fracture-monteggia-variant","title":"Fracture of the Proximal Ulna Metaphysis with Radial Head Dislocation and Fracture (Monteggia Variant)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in treating one of the most challenging elbow injuries: proximal ulna metaphyseal fracture associated with posterior dislocation and radial head fracture, known as the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e variant. This training addresses anatomical reduction of the ulna and radial head, fixation with plates and screws, and reinsertion of ligamentous structures, aiming to restore joint stability and enable early elbow mobility, minimizing tissue trauma and optimizing the aesthetic outcome.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eSurgical treatment of proximal ulna metaphyseal fracture with posterior dislocation and radial head fracture (\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\"\u003eAnatomical reduction of the ulna and radial head.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eStable fixation with plates and screws.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eReinsertion of ligamentous structures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eRestoration of joint stability and early elbow mobility.\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 Surgical Approach:\u003c\/strong\u003e Patient in prone position, arm at 90\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e°, with a single posterior approach, preserving musculature and optimizing exposure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eUlna Reduction:\u003c\/strong\u003e Careful periosteal \u003c\/span\u003e\u003cspan class=\"cf1\"\u003edesinsertion\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e and anatomical reduction based on \"fracture teeth.\"\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eRadial Head Access:\u003c\/strong\u003e Posterolateral portal through the anconeus, avoiding multiple planes. Enlargement with lateral collateral ligament \u003c\/span\u003e\u003cspan class=\"cf1\"\u003edesinsertion\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e and controlled dislocation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eRadial Head Fixation:\u003c\/strong\u003e Manual reduction with mini-fragment screws in a tripod technique with subchondral stability.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eLigamentous Reinsertion:\u003c\/strong\u003e 5.0mm metallic anchor for precise reinsertion of lateral structures, ensuring joint stability.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eUlna Fixation: \u003c\/strong\u003eAnatomical reduction of the metaphyseal component and preparation of the bed for plate placement with minimal muscle injury.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePlating and Closure:\u003c\/strong\u003e Progressive fixation with dynamic and locking screws. Anatomical fascia and aponeurosis closure, guided by skin markings.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePostoperative Care:\u003c\/strong\u003e Immediate mobility with unrestricted flexion and pronation\/supination. Extension limited to 45\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e° in the first weeks to preserve stability.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Procedure PDF:\u003c\/strong\u003e A comprehensive didactic document detailing each step of the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e variant surgical treatment, from patient positioning, surgical approaches, and exposure of the ulna and radial head, to reduction and fixation of fragments, ligamentous reinsertion, and closure.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your elbow surgery skills. Enroll now and master the techniques for the complex treatment of the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e variant, ensuring restoration of stability and early mobility for your patients.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776986615869,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Proximal-Ulna-Metaphyseal-Fracture-with-Dislocation-and-Radial-Head-Fracture-Monteggia-Variant.webp?v=1764858398"},{"product_id":"terrible-triad-of-the-elbow","title":"Terrible Triad of the Elbow","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in treating the terrible triad of the elbow, a complex injury involving a comminuted radial head fracture, avulsion of the coronoid process with anterior joint capsule involvement, and lateral collateral ligament injury. This training focuses on radial head reconstruction, anterior joint capsule repair, and lateral collateral ligament reinsertion, three fundamental steps to restore elbow stability and function, allowing for early postoperative mobility.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eReconstruction of comminuted radial head fractures (Mason 3).\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eRepair of the anterior joint capsule and avulsed coronoid process.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eReinsertion of the lateral collateral ligament.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eRestoration of elbow stability and function.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003ePostoperative management with early mobility.\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\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eKaplan Approach:\u003c\/strong\u003e Incision based on the lateral epicondyle and dissection through the Kaplan interval to the radial head, separating the annular ligament.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eExposure and Ligamentous\/Capsular Repair:\u003c\/strong\u003e Early repair of the annular ligament. Disinsertion and repair of the lateral collateral ligament. Identification of the coronoid process fragment in the anterior capsule.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eRadial Head Osteosynthesis:\u003c\/strong\u003e Four-part fracture with central impaction; anatomical reduction with a spatula and fixation with 2.0 mm screws using a tripod technique within the safe zone.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eAnterior Capsule Reinsertion:\u003c\/strong\u003e Suture of the coronoid fragment with an anchor placed. Traction of the capsule with high-strength suture, ensuring joint stability.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eFinal Ligament Repair:\u003c\/strong\u003e Anatomical closure of the annular and lateral collateral ligaments with the aid of valgus stress for ideal tension and prevention of instability.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eSurgical Closure:\u003c\/strong\u003e Layered closure of the Kaplan approach, preserving anatomy and allowing early mobility.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePostoperative Care:\u003c\/strong\u003e Immediate range of motion allowed, with the exception of extension (limited to 45\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e°). Stability depends on anatomical reduction, not just fixation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Procedure PDF:\u003c\/strong\u003e A didactic document detailing the steps of surgical treatment for the terrible triad of the elbow, from demarcation and surgical approach, ligamentous and capsular repair and exposure, radial head reduction and osteosynthesis, anterior joint capsule repair, annular ligament and lateral collateral ligament closure, to layered closure and final evaluation.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your elbow surgery skills. Enroll now and master the techniques for complex terrible triad of the elbow treatment, ensuring functional stability and early mobility for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776986746941,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Terrible-Triad-of-the-Elbow.webp?v=1764858409"},{"product_id":"comminuted-articular-fracture-of-the-distal-humerus","title":"Comminuted Articular Fracture of the Distal Humerus","description":"\u003cp data-start=\"160\" data-end=\"373\"\u003eMultifragmentary articular fractures of the distal humerus represent one of the greatest challenges in trauma surgery, requiring precision in articular reduction and stability that allows for early mobilization.\u003c\/p\u003e\n\u003cp data-start=\"375\" data-end=\"570\"\u003eThis training offers a detailed view of rigid fixation with variable-angle plates, presented in 4K video from the surgical perspective, with technical commentary and complementary PDF material.\u003c\/p\u003e\n\u003cp data-start=\"572\" data-end=\"593\"\u003e\u003cstrong data-start=\"572\" data-end=\"591\"\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul data-start=\"594\" data-end=\"1077\"\u003e\n\u003cli data-start=\"594\" data-end=\"667\"\u003e\n\u003cp data-start=\"596\" data-end=\"667\"\u003ePositioning in prone decubitus and wide access to the distal humerus.\u003c\/p\u003e\n\u003c\/li\u003e\n\u003cli data-start=\"668\" data-end=\"730\"\u003e\n\u003cp data-start=\"670\" data-end=\"730\"\u003eIdentification and proximal protection of the ulnar nerve.\u003c\/p\u003e\n\u003c\/li\u003e\n\u003cli data-start=\"731\" data-end=\"798\"\u003e\n\u003cp data-start=\"733\" data-end=\"798\"\u003eChevron osteotomy of the olecranon for wide articular exposure.\u003c\/p\u003e\n\u003c\/li\u003e\n\u003cli data-start=\"799\" data-end=\"875\"\u003e\n\u003cp data-start=\"801\" data-end=\"875\"\u003eReduction of articular fragments with Kirschner wires used as joysticks.\u003c\/p\u003e\n\u003c\/li\u003e\n\u003cli data-start=\"876\" data-end=\"935\"\u003e\n\u003cp data-start=\"878\" data-end=\"935\"\u003eDefinitive fixation with variable-angle locking plates.\u003c\/p\u003e\n\u003c\/li\u003e\n\u003cli data-start=\"936\" data-end=\"1003\"\u003e\n\u003cp data-start=\"938\" data-end=\"1003\"\u003eAnatomic reconstruction of soft tissues and implant protection.\u003c\/p\u003e\n\u003c\/li\u003e\n\u003cli data-start=\"1004\" data-end=\"1077\"\u003e\n\u003cp data-start=\"1006\" data-end=\"1077\"\u003eStability that allows for early mobilization and functional recovery.\u003c\/p\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp data-start=\"1079\" data-end=\"1102\"\u003e\u003cstrong data-start=\"1079\" data-end=\"1100\"\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul data-start=\"1103\" data-end=\"1756\"\u003e\n\u003cli data-start=\"1103\" data-end=\"1184\"\u003e\n\u003cp data-start=\"1105\" data-end=\"1184\"\u003eOptimized Access: Positioning and incision techniques that increase exposure.\u003c\/p\u003e\n\u003c\/li\u003e\n\u003cli data-start=\"1185\" data-end=\"1292\"\u003e\n\u003cp data-start=\"1187\" data-end=\"1292\"\u003eNeurological Safety: Strategies for release and protection of the ulnar nerve throughout the procedure.\u003c\/p\u003e\n\u003c\/li\u003e\n\u003cli data-start=\"1293\" data-end=\"1426\"\u003e\n\u003cp data-start=\"1295\" data-end=\"1426\"\u003ePrecise Osteotomy: Olecranon Chevron with cartilage preservation, ensuring stability and anatomic preservation in reconstruction.\u003c\/p\u003e\n\u003c\/li\u003e\n\u003cli data-start=\"1427\" data-end=\"1552\"\u003e\n\u003cp data-start=\"1429\" data-end=\"1552\"\u003eControlled Reduction: Use of K-wires as joysticks for manipulation of articular fragments and restoration of the columns.\u003c\/p\u003e\n\u003c\/li\u003e\n\u003cli data-start=\"1553\" data-end=\"1669\"\u003e\n\u003cp data-start=\"1555\" data-end=\"1669\"\u003eStable Fixation: Application of variable-angle locking plates for secure alignment and biomechanical resistance.\u003c\/p\u003e\n\u003c\/li\u003e\n\u003cli data-start=\"1670\" data-end=\"1756\"\u003e\n\u003cp data-start=\"1672\" data-end=\"1756\"\u003ePrevention of Stiffness: Rigid stability allowing early mobilization of the elbow.\u003c\/p\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp data-start=\"1758\" data-end=\"1954\"\u003e\u003cstrong data-start=\"1758\" data-end=\"1780\"\u003eIncluded Material:\u003c\/strong\u003e\u003cbr data-start=\"1780\" data-end=\"1783\"\u003eDetailed PDF: step-by-step of the technique, from access and ulnar nerve protection to osteotomy, reduction with K-wires, fixation with locking plates, and closure care.\u003c\/p\u003e\n\u003cp data-start=\"1956\" data-end=\"2102\"\u003eEnhance your trauma surgery practice. Enroll now and master rigid fixation of distal humeral supracondylar fractures with variable-angle plates.\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776994414653,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/57_7b91beea-0b19-42e3-b667-29615414ca1e.webp?v=1764858721"},{"product_id":"tripod-technique-radial-head-fixation","title":"Tripod Technique: Radial Head Fixation","description":"\u003cp class=\"p\"\u003e\u003cspan\u003e\u003c\/span\u003e\u003cspan\u003eElbow instability following radial head fractures with coronoid avulsion represents a frequent challenge. \u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"p\"\u003e\u003cspan\u003eThis training presents the tripod technique using double-compression screws and capsular reinsertion with a metallic anchor, in a 4K video from a surgical perspective—allowing every technical detail to be understood and applied safely in practice.\u003c\/span\u003e\u003cspan\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"p\"\u003e\u003cb\u003e\u003cspan class=\"15\"\u003eTraining Focus:\u003c\/span\u003e\u003c\/b\u003e\u003cspan\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"MsoNormal\"\u003e\n\u003cb\u003e\u003cspan class=\"15\"\u003eOsteosynthesis of the radial head\u003c\/span\u003e\u003c\/b\u003e\u003cspan\u003e while preserving vascularity\u003c\/span\u003e\u003cspan\u003e\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\n\u003cb\u003e\u003cspan class=\"15\"\u003eTripod technique\u003c\/span\u003e\u003c\/b\u003e\u003cspan\u003e with double-compression screws (2.4 mm)\u003c\/span\u003e\u003cspan\u003e\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\n\u003cb\u003e\u003cspan class=\"15\"\u003eReinsertion of the anterior joint capsule\u003c\/span\u003e\u003c\/b\u003e\u003cspan\u003e with a metallic anchor\u003c\/span\u003e\u003cspan\u003e\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\n\u003cb\u003e\u003cspan class=\"15\"\u003eLateral ligament reconstruction\u003c\/span\u003e\u003c\/b\u003e\u003cspan\u003e and anatomical closure\u003c\/span\u003e\u003cspan\u003e\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\n\u003cb\u003e\u003cspan class=\"15\"\u003eIntraoperative stability tests\u003c\/span\u003e\u003c\/b\u003e\u003cspan\u003e and early mobilization\u003c\/span\u003e\u003cspan\u003e\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"p\"\u003e\u003cb\u003e\u003cspan class=\"15\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/b\u003e\u003cspan\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"MsoNormal\"\u003e\n\u003cb\u003e\u003cspan class=\"15\"\u003ePrecise Reduction:\u003c\/span\u003e\u003c\/b\u003e\u003cspan\u003e Periosteum preservation to maintain vascularity\u003c\/span\u003e\u003cspan\u003e\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\n\u003cb\u003e\u003cspan class=\"15\"\u003eSecure Fixation:\u003c\/span\u003e\u003c\/b\u003e\u003cspan\u003e Buried screws at a 45° biomechanical angle\u003c\/span\u003e\u003cspan\u003e\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\n\u003cb\u003e\u003cspan class=\"15\"\u003eJoint Stability:\u003c\/span\u003e\u003c\/b\u003e\u003cspan\u003e Capsular reinsertion with a 5 mm metallic anchor\u003c\/span\u003e\u003cspan\u003e\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\n\u003cb\u003e\u003cspan class=\"15\"\u003eTissue Preservation:\u003c\/span\u003e\u003c\/b\u003e\u003cspan\u003e Optimized lateral approach through the Kaplan interval\u003c\/span\u003e\u003cspan\u003e\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\n\u003cb\u003e\u003cspan class=\"15\"\u003ePostoperative Mobility:\u003c\/span\u003e\u003c\/b\u003e\u003cspan\u003e Planning for early motion without risk of instability\u003c\/span\u003e\u003cspan\u003e\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\n\u003cb\u003e\u003cspan class=\"15\"\u003eComplication Control:\u003c\/span\u003e\u003c\/b\u003e\u003cspan\u003e Techniques to prevent loss of alignment and biomechanical failure\u003c\/span\u003e\u003cspan\u003e\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\n\u003cb\u003e\u003cspan class=\"15\"\u003e4K Visualization:\u003c\/span\u003e\u003c\/b\u003e\u003cspan\u003e Surgical steps recorded in high definition\u003c\/span\u003e\u003cspan\u003e\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\n\u003cb\u003e\u003cspan class=\"15\"\u003eCritical Commentary:\u003c\/span\u003e\u003c\/b\u003e\u003cspan\u003e Analysis of intraoperative decisions by the surgeon\u003c\/span\u003e\u003cspan\u003e\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"p\"\u003e\u003cb\u003e\u003cspan class=\"15\"\u003eMaterial Included:\u003c\/span\u003e\u003c\/b\u003e\u003cspan\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"p\"\u003e\u003cb\u003e\u003cspan class=\"15\"\u003eDetailed PDF:\u003c\/span\u003e\u003c\/b\u003e\u003cspan\u003e\u003cbr\u003e\u003c\/span\u003e\u003cspan\u003eAddresses surgical planning, the tripod technique, capsular reinsertion with an anchor, meticulous closure, and the sequence of intraoperative tests—serving as a practical reference guide for the intra- and postoperative periods.\u003c\/span\u003e\u003cspan\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"p\"\u003e\u003cspan\u003eEnhance your approach to complex elbow fractures. Enroll now and master the Tripod technique for safe and precise radial head treatment.\u003c\/span\u003e\u003cspan\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 6af7ac3a-d6cb-4f5a-b810-c1a10b0842e6 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776994873405,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/TripodTechnique_1ce6d989-69d5-44f8-a82b-4a42e749fe8f.webp?v=1764858739"},{"product_id":"distal-humerus-osteotomy-cubitus-varus-deformity","title":"Distal Humerus Osteotomy – Cubitus Varus Deformity","description":"\u003cdiv data-craft=\"[{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"none\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[],\"decorations\":{},\"indentationLevel\":0}","content":"Correction of cubitus varus after supracondylar fracture represents a technical challenge in orthopedics. This training offers a practical and scientific approach to mastering distal humerus osteotomy, using three-dimensional planning with printed models, surgical guide, and fixation with locking plates, presented in an objective and highly visual format.","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"5665c43d-d65a-4840-9967-82b6d7f9f90f\"","tempId":"D65CFBDC-822F-4812-82C5-2190605009F3"},{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"none\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[{\"isBold\":true,\"range\":[0,15]}],\"decorations\":{},\"indentationLevel\":0}","content":"Training Focus:","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"894b269b-9bbc-45a2-914b-00d9426ee78c\"","tempId":"F57FC43A-7920-42A6-B847-52512AA965D9"},{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"bullet\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[],\"decorations\":{},\"indentationLevel\":0}","content":"Preoperative planning with 3D printing and surgical guide;","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"f7103785-bb0b-47db-8ced-e87a4b06f8b6\"","tempId":"693CF60D-3089-4659-B96A-79CC2C8FDFF7"},{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"bullet\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[],\"decorations\":{},\"indentationLevel\":0}","content":"Strategic positioning for distal humerus exposure;","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"8efd49ae-6b35-4e39-8084-7b69023f6633\"","tempId":"19354248-C563-4568-85FC-7FF29EAEF35C"},{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"bullet\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[],\"decorations\":{},\"indentationLevel\":0}","content":"Identification, release, and anterior transposition of the ulnar nerve;","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"cc6a8877-e68b-4c62-8d02-73552df18e2d\"","tempId":"C4AD7395-5D47-40E6-A6B9-A403621C9D54"},{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"bullet\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[],\"decorations\":{},\"indentationLevel\":0}","content":"Guided osteotomy and fixation with locking plates;","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"97ada4b7-95b6-4563-aebc-563ad1065c5b\"","tempId":"8D960A8A-F303-487E-B5BF-97A130B5DD70"},{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"bullet\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[],\"decorations\":{},\"indentationLevel\":0}","content":"Postoperative evaluation focusing on stability and alignment.","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"ad836274-239e-459e-9e9f-72acc8ca9f67\"","tempId":"3796506B-3852-4185-9E65-D5F36BBFD589"},{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"none\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[{\"isBold\":true,\"range\":[0,17]}],\"decorations\":{},\"indentationLevel\":0}","content":"Detailed Content:","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"16496748-454e-4af8-aa35-5b87126dd987\"","tempId":"FE6DB78D-8A70-4A1D-9F74-4523BD8C8201"},{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"bullet\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[{\"isBold\":true,\"range\":[0,35]}],\"decorations\":{},\"indentationLevel\":0}","content":"Precise Three-Dimensional Planning: reduction of intraoperative risks and anatomical fidelity;","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"644e28c6-692b-4d66-bf48-dc640902321e\"","tempId":"749813C2-3C12-4202-9F85-13E1A76371BB"},{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"bullet\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[{\"isBold\":true,\"range\":[0,29]}],\"decorations\":{},\"indentationLevel\":0}","content":"Safe Distal Humerus Exposure: muscle preservation and optimization of surgical access;","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"d5614bd9-a76b-45a0-bd7e-e3fc6df39611\"","tempId":"354EF8C9-577E-4B17-AD0E-0F5423DBE46C"},{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"bullet\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[{\"isBold\":true,\"range\":[0,33]}],\"decorations\":{},\"indentationLevel\":0}","content":"Advanced Neurological Protection: release and anterior transposition of the ulnar nerve to prevent complications;","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"7ba3486e-3c0e-4c65-ba67-22cf2533c853\"","tempId":"FE06DDFD-FDF7-4257-B9E3-8486A1FE399B"},{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"bullet\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[{\"isBold\":true,\"range\":[0,17]}],\"decorations\":{},\"indentationLevel\":0}","content":"Guided Osteotomy: angular correction with axial alignment and biomechanical stability;","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"c455ae88-b400-4521-ae3d-b231290ac964\"","tempId":"32566EEB-6E3A-4BD7-AC71-74D3CF7A537F"},{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"bullet\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[{\"isBold\":true,\"range\":[0,23]}],\"decorations\":{},\"indentationLevel\":0}","content":"Stable Locked Fixation: systematic sequence of plates and screws for maximum safety;","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"732af2ce-36be-4210-ae09-b7d46792e2b8\"","tempId":"FB6D9C8F-556A-4160-8284-F554B5A9F397"},{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"bullet\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[{\"isBold\":true,\"range\":[0,30]}],\"decorations\":{},\"indentationLevel\":0}","content":"Functional Anatomical Closure: aesthetic preservation and accelerated recovery;","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"fb920d2c-8fb7-4bfc-8810-7ee5b2079a4b\"","tempId":"301C1E5A-BC86-49EC-8842-464347C84146"},{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"bullet\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[{\"isBold\":true,\"range\":[0,35]}],\"decorations\":{},\"indentationLevel\":0}","content":"Objective Postoperative Evaluation: effective correction with minimal morbidity.","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"94cc7e4f-9d0c-4615-b50b-2617ce9cde01\"","tempId":"235F708C-95D4-46C6-BBBD-789014158B53"},{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"none\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[{\"isBold\":true,\"range\":[0,18]}],\"decorations\":{},\"indentationLevel\":0}","content":"Included Material:","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"55cf2c4d-5221-4602-8a5d-43d92eb1c654\"","tempId":"0C575064-66A9-4F73-8BBB-FC0756E03E2C"},{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"none\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[],\"decorations\":{},\"indentationLevel\":0}","content":"Detailed PDF: the complementary material presents preoperative planning protocols with 3D printing, techniques for exposure and ulnar nerve protection, step-by-step guided osteotomy using a surgical guide, strategies for locked fixation, and recommendations for postoperative evaluation.","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"d3796543-d8d0-4bd2-aaa3-17b72b2c7c36\"","tempId":"442C4BB2-724C-4F31-A063-E251F627D295"},{"parentBlock":"f37c27c2-cc2f-46fd-a56e-2bd0582c44eb","type":"text","createdByUserId":"02fcf928-228c-7650-2cb5-016cfb0469fe","properties":"{}","pageStyle":"{\"isMirrored\":true}","pageStyleProps":"{}","styleAttributes":"{\"textStyle\":\"body\",\"listStyle\":\"none\",\"lineStyle\":\"none\",\"urlStyle\":\"default\",\"layoutStyle\":\"regular\",\"imageFillStyle\":\"scaleAspectFill\",\"imageSizeStyle\":\"auto\",\"_runAttributes\":[],\"decorations\":{},\"indentationLevel\":0}","content":"Enhance your practice in orthopedic trauma surgery. Enroll now and master the distal humerus osteotomy technique with 3D planning and locked fixation.","subBlocks":[],"created":1763902116492,"updated":1763902116576,"stamp":"\"757a52dc-217c-4cec-98ad-b490666599e4\"","tempId":"5118C4B3-A834-495F-B3C1-7E41404805B3"}]\" id=\"craft_clipboard\"\u003e\n\u003cp\u003eCorrection of cubitus varus after supracondylar fracture represents a technical challenge in orthopedics. This training offers a practical and scientific approach to mastering distal humerus osteotomy, using three-dimensional planning with printed models, surgical guide, and fixation with locking plates, presented in an objective and highly visual format.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul data-indent-level=\"0\"\u003e\n\u003cli\u003ePreoperative planning with 3D printing and surgical guide;\u003c\/li\u003e\n\u003cli\u003eStrategic positioning for distal humerus exposure;\u003c\/li\u003e\n\u003cli\u003eIdentification, release, and anterior transposition of the ulnar nerve;\u003c\/li\u003e\n\u003cli\u003eGuided osteotomy and fixation with locking plates;\u003c\/li\u003e\n\u003cli\u003ePostoperative evaluation focusing on stability and alignment.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul data-indent-level=\"0\"\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Three-Dimensional Planning:\u003c\/strong\u003e reduction of intraoperative risks and anatomical fidelity;\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSafe Distal Humerus Exposure:\u003c\/strong\u003e muscle preservation and optimization of surgical access;\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAdvanced Neurological Protection:\u003c\/strong\u003e release and anterior transposition of the ulnar nerve to prevent complications;\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eGuided Osteotomy:\u003c\/strong\u003e angular correction with axial alignment and biomechanical stability;\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStable Locked Fixation:\u003c\/strong\u003e systematic sequence of plates and screws for maximum safety;\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFunctional Anatomical Closure:\u003c\/strong\u003e aesthetic preservation and accelerated recovery;\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eObjective Postoperative Evaluation:\u003c\/strong\u003e effective correction with minimal morbidity.\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 complementary material presents preoperative planning protocols with 3D printing, techniques for exposure and ulnar nerve protection, step-by-step guided osteotomy using a surgical guide, strategies for locked fixation, and recommendations for postoperative evaluation.\u003c\/p\u003e\n\u003cp\u003eEnhance your practice in orthopedic trauma surgery. Enroll now and master the distal humerus osteotomy technique with 3D planning and locked fixation.\u003c\/p\u003e\n\u003c\/div\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776996544573,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/cubitovaro_result_e98af6f1-6dd3-48c7-893e-2e128e301987.webp?v=1764858769"}],"url":"https:\/\/www.surgie.com\/collections\/custom-sub_especialidade-elbow.oembed","provider":"Surgie","version":"1.0","type":"link"}