{"title":"Foot","description":null,"products":[{"product_id":"displaced-fracture-of-the-fifth-metatarsal","title":"Displaced Fracture of the Fifth Metatarsal","description":"\u003cdiv\u003e\n\u003c!--StartFragment --\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in the surgical treatment of displaced fifth metatarsal fractures. This procedure demands attention to anatomical reduction to prevent metatarsalgia or gait dysfunction, especially in young patients and athletes. This training details the surgical procedure using a locked plate and screws, with a focus on rapid functional recovery and return to sports activities.\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=\"cf0\"\u003eSurgical treatment of displaced fifth metatarsal fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eAnatomical reduction and stable fixation with a locked plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eSurgical approach and protection of neurovascular structures.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eAssessment and Approach Planning: \u003c\/strong\u003eAnalysis of radiographs to identify fracture angulation and the potential for impaired weight-bearing, metatarsalgia, or gait dysfunction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eNeurovascular Identification and Protection:\u003c\/strong\u003e Recognition and anatomical retraction of sensory nerves, veins, and arteries within the surgical field.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eSurgical Approach and Fracture Exposure:\u003c\/strong\u003e Palpation of the fifth metatarsal head and shaft, a single internal scalpel incision, uniform periosteal elevation, and distal extension of the approach if necessary.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eFracture Reduction and Provisional Stabilization:\u003c\/strong\u003e Identification of fracture vertices, reduction under direct visualization with reduction forceps, and provisional stabilization with Kirschner wires, avoiding the area of the future plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eDefinitive Fixation with Locked Plate:\u003c\/strong\u003e Positioning of a low-profile mini-fragment plate, use of long screws for adequate load distribution, and reduction of the need for future removal.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eClosure and Results:\u003c\/strong\u003e Layered closure, with markings for an aesthetic outcome. Stable fixation allows early weight-bearing with a rigid-soled shoe.\u003c\/span\u003e\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=\"cf0\"\u003e\u003cstrong\u003eComplete Technical PDF:\u003c\/strong\u003e The PDF details the technique of anatomical reduction, provisional stabilization, and definitive fixation using a locked mini-fragment plate and low-profile long screws. Furthermore, the document describes the expected outcomes, such as achieving precise anatomical reduction and stable fixation, which enables early weight-bearing. Layered closure is performed aiming for a superior aesthetic result.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in the surgical treatment of fifth metatarsal fractures. Enroll now and master the techniques of anatomical reduction and stable fixation.\u003c\/span\u003e\u003c\/p\u003e\n\u003c!--EndFragment --\u003e\n\u003c\/div\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776980914237,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Displaced-Fracture-of-the-Fifth-Metatarsal.webp?v=1764858251"},{"product_id":"fifth-metatarsal-case-2-minifragment-plate-and-screws","title":"FIFTH METATARSAL [Case 2] · Mini-fragment Plate and Screws","description":"\u003cp\u003eDisplaced fractures of the fifth metatarsal in young patients and athletes require precise decision-making between conservative treatment and surgical stabilization, especially when there is shortening and risk of altered load distribution in the forefoot.\u003c\/p\u003e\n\u003cp\u003eThis training demonstrates the complete surgical management of anatomical reduction and fixation with a 2.0 mm low-profile locking plate, in full-length video, from the surgeon’s perspective, with emphasis on tissue preservation, biomechanical stability, and implant protection.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical indication in displaced fracture of the 5th metatarsal\u003c\/li\u003e\n\u003cli\u003eAnatomic approach between the abductor of the fifth toe and the sensory plane\u003c\/li\u003e\n\u003cli\u003eExtensive dissection for distal fragment control\u003c\/li\u003e\n\u003cli\u003eAnatomic reduction in a long oblique fracture line\u003c\/li\u003e\n\u003cli\u003eFixation with 2.0 mm titanium locking plate\u003c\/li\u003e\n\u003cli\u003eStrategy of locking and interfragmentary screws\u003c\/li\u003e\n\u003cli\u003ePeriosteal protection 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\u003eCriteria for Surgical Indication:\u003c\/strong\u003e Analysis of the impact of shortening and malalignment on forefoot biomechanics, with rationale for stabilization in a young athlete.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSafe Anatomic Access:\u003c\/strong\u003e Surgical exploration preserving musculature and avoiding injury to the lateral sensory innervation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eControl of the Small Distal Fragment:\u003c\/strong\u003e Strategy of distal extension of the approach to allow fixation with a minimum of two locking screws.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eControlled Reduction in Long Oblique Fracture Line:\u003c\/strong\u003e Combined use of digital maneuvers, reduction forceps, and provisional fixation with a Kirschner wire for temporary stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eManagement of Segmental Cortical Fragment:\u003c\/strong\u003e Conservative handling of the small lateral fragment to preserve vascularity and prevent failure.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRational Fixation Sequence:\u003c\/strong\u003e Initiation with a cortical screw to seat the plate to bone, followed by locking and interfragmentary screws according to the fracture pattern.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eImplant Contouring:\u003c\/strong\u003e Precise adaptation of the low-profile plate to avoid prominence and reduce the future need for hardware removal.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eBiomechanical Load Distribution Strategy:\u003c\/strong\u003e Fixation distributed along the metatarsal for global structural protection.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eImplant Protection:\u003c\/strong\u003e Elevation and suturing of the periosteum over the plate, creating additional biological coverage.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eLayered Closure:\u003c\/strong\u003e Anatomic reconstruction of tissue planes with muscular preservation and adequate coverage of the hardware.\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\u003eDidactic document that objectively presents the surgical indications, approach planning, reduction technique and fixation with a 2.0 mm locking plate, the biomechanical principles applied to the fifth metatarsal, and the closure protocol with periosteal protection, consolidating a stable and technically reproducible approach in forefoot trauma.\u003c\/p\u003e\n\u003cp\u003eRefine your decision-making and perform stable fixations in the fifth metatarsal with technical mastery and applied biomechanical reasoning. Enroll and elevate your surgical standard in foot trauma.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 6ac5cd7b-382f-405e-926a-4f6d099cdbd1 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320157831229,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/QUINTOMETATARSOCase2_PlacaeParafusosdeMinifragmentos.webp?v=1783098792"}],"url":"https:\/\/www.surgie.com\/collections\/custom-sub_especialidade-foot\/orthopedics.oembed","provider":"Surgie","version":"1.0","type":"link"}