{"title":"Hip","description":null,"products":[{"product_id":"total-hip-arthroplasty-tha-for-femoral-neck-fracture-posterior-approach","title":"Total Hip Arthroplasty (THA) for Femoral Neck Fracture (Posterior Approach)","description":"\u003cp\u003eMaster the treatment of femoral neck fractures in elderly patients. This training offers a technical immersion in Total Hip Arthroplasty (THA) via the posterior approach, covering each surgical step in detail.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eTreatment of femoral neck fractures with Total Hip Arthroplasty.\u003c\/li\u003e\n\u003cli\u003ePosterior approach technique for THA.\u003c\/li\u003e\n\u003cli\u003eIntraoperative management for optimizing exposure and implantation.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eStrategic Positioning: \u003c\/strong\u003eUnderstanding the importance of lateral decubitus positioning and hip flexion to optimize the surgical field and exposure.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Anatomical Dissection:\u003c\/strong\u003e Systematic approach to skin incision, management of the iliotibial band, and identification of external rotators, with preservation of structures like the piriformis.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCapsulotomy:\u003c\/strong\u003e Execution of capsulotomy adjacent to the posterior border of the femur, facilitating the excision of the fractured femoral head.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAcetabular Preparation:\u003c\/strong\u003e Methodology for femoral head removal, progressive reaming for ideal press-fit, and insertion of the acetabular component with correct angulation and safety screws directed towards the dome.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eControlled Femoral Preparation:\u003c\/strong\u003e Techniques for leg positioning and utilization of anatomical references (calcar) for antiversion control, with precise removal of residual cortical bone to prevent component varus.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStability Test and Reliable Reduction:\u003c\/strong\u003e Protocols for testing press-fit and prosthesis stability, ensuring soft tissue tensioning and limb length before definitive component insertion.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRestorative Anatomical Closure:\u003c\/strong\u003e Approach to capsule closure and reinsertion of \u003cstrong\u003eexternal rotators, culminating in iliotibial band closure.\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Surgical Outcomes:\u003c\/strong\u003e Evaluation of a clean surgical outcome, with proper component positioning, ideal length and offset, and absence of varus.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e A concise and technical guide that complements the training, addressing crucial points of positioning, incision, dissection, capsulotomy, dislocation, acetabular and femoral preparation, reduction testing, and closure, with a focus on practical tips for procedure optimization.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in Total Hip Arthroplasty. Enroll now and master the techniques of the posterior approach for the treatment of femoral neck fractures.\u003c!-- notionvc: c0aeca17-b487-46f7-8553-fcbab9ec1ad1 --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 35d6095d-a873-4db5-b3b3-0f97b0144189 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776988450877,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Total-Hip-Arthroplasty-THA-for-Femoral-Neck-Fracture-Posterior-Approach.webp?v=1764858469"},{"product_id":"total-hip-arthroplasty-tha-with-emphasis-on-technical-details","title":"Total Hip Arthroplasty (THA) with Emphasis on Technical Details","description":"\u003cp\u003eMastering total hip arthroplasty in complex cases of osteoarthritis with deformity and shortening demands technical precision. This training offers a detailed immersion into the THA procedure, from patient positioning to stability assessment and anatomical closure, focusing on functional restoration and bleeding control.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eFemoral neck osteotomy and medullary canal preparation.\u003c\/li\u003e\n\u003cli\u003ePatient positioning and posterior approach delimitation.\u003c\/li\u003e\n\u003cli\u003eDissection, exposure, and capsulotomy.\u003c\/li\u003e\n\u003cli\u003eAcetabular preparation for uncemented components.\u003c\/li\u003e\n\u003cli\u003eStability testing and definitive component insertion.\u003c\/li\u003e\n\u003cli\u003eAnatomical closure and bleeding control.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eStrategic Positioning:\u003c\/strong\u003e Methodology for lateral decubitus patient positioning and precise delimitation of the posterior approach, optimizing exposure and alignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSafe Dissection and Exposure:\u003c\/strong\u003e Approach to blunt dissection of the gluteus maximus and controlled exposure of the external rotators, minimizing the risk of injury.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCapsulotomy and Guided Dislocation:\u003c\/strong\u003e Technique for capsulotomy through the external rotators and controlled hip dislocation, facilitating femoral head exposure.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Femoral Osteotomy: \u003c\/strong\u003eIdentification of the femoral shoulder and marking for osteotomy, ensuring adequate resection of the femoral head.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Acetabular Preparation: \u003c\/strong\u003eProtocols for cleaning fibrotic tissue and osteophytes, identification of the teardrop, and initial vertical reaming, preventing \"high hip\" and ensuring correct implant angulation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAnti-Varus Femoral Preparation: \u003c\/strong\u003eTechniques for removing residual cortical bone and opening the medullary canal with a box osteotome, ensuring valgus insertion of the femoral component and preventing varus.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eComprehensive Stability Test:\u003c\/strong\u003e Methodology for testing with different prosthetic head sizes, evaluating coverage, flexion greater than 90 degrees, and internal rotation without dislocation, for optimal implant selection.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDefinitive Insertion and Controlled Reduction:\u003c\/strong\u003e Approach for impaction of the definitive head and reduction with good soft tissue tensioning and limb length, prioritizing posterior stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAnatomical and Aesthetic Closure:\u003c\/strong\u003e Closure of the capsule and external rotators with transosseous suture, and closure of the iliotibial band with high-strength suture, promoting stability and incision aesthetics.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e A comprehensive guide to the procedure, from preoperative planning to postoperative management, including practical tips to optimize each step of total hip arthroplasty in complex cases. This material complements the visual training, reinforcing technical concepts and strategies for excellent surgical outcomes.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your hip surgery skills. Enroll now and master the detailed technique for total hip arthroplasty, directly impacting your surgical results.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 98e7fa80-15bc-41fe-a9f7-ea47da0dd1fa --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776988581949,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Total-Hip-Arthroplasty-THA-with-Emphasis-on-Technical-Details.webp?v=1764858479"},{"product_id":"total-hip-arthroplasty-tha-via-posterior-approach-for-coxarthrosis","title":"Total Hip Arthroplasty (THA) via Posterior Approach for Coxarthrosis","description":"\u003cp\u003eThe treatment of hip osteoarthritis demands surgical precision and technical mastery for functional hip restoration. This training offers an immersion into total hip arthroplasty via the posterior approach, detailing each step of the procedure, from skin marking to anatomical closure, and providing strategies for optimized outcomes.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eTotal hip arthroplasty via the posterior approach.\u003c\/li\u003e\n\u003cli\u003eAcetabular and femoral preparation techniques.\u003c\/li\u003e\n\u003cli\u003eSoft tissue and external rotator management.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eStrategic Patient Positioning and Skin Marking: \u003c\/strong\u003eMethodology for positioning the patient in a lateral decubitus position with 45 degrees of hip flexion and precise identification of anatomical landmarks (posterior superior iliac spine, femoral diaphysis, apex of the greater trochanter) for surgical field optimization.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eControlled Exposure and Anatomical Preservation: \u003c\/strong\u003eTechniques for approaching the external rotators and capsulotomy, including the management of a shortened piriformis in arthrosis cases and the use of the 45-degree Hohmann retractor for lifting the gluteus medius and minimus.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSafe Dislocation and Precise Osteotomy:\u003c\/strong\u003e Systematic approach for hip dislocation with a retractor positioned on the lesser trochanter and osteotomy marking.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Acetabular Preparation: \u003c\/strong\u003eProtocols for complete labral and soft tissue debridement, subchondral bone exposure, and reaming technique starting from the acetabular floor to prevent \"high hip,\" ensuring the mold for the implant.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAcetabular Reaming with Angle Control: \u003c\/strong\u003eStrategies for establishing the correct angle, protection of the roof and posterior region, and continuous reaming for uniformity and prevention of an oval shape.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFemoral Preparation for Stability:\u003c\/strong\u003e Sequence for initiating femoral broaching from the lateral side to prevent varus, maintaining alignment for femoral anteversion control.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStability Testing and Prosthesis Evaluation:\u003c\/strong\u003e Methodology for stability testing with a trial head (start with a zero head) and confirmation of appropriate component size.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDefinitive Insertion and Anatomical Closure: \u003c\/strong\u003eSystematic approach for definitive component insertion, direct visualization joint reduction, and anatomical closure of the external rotators (including the piriformis).\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eLayered Closure for Aesthetics and Functionality:\u003c\/strong\u003e Techniques for complete closure, fascia (iliotibial tract), subcutaneous tissue, and skin, following dermographic marks for a favorable aesthetic result.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e A comprehensive guide covering each step of Total Hip Arthroplasty via the posterior approach, from initial patient positioning and skin marking, through soft tissue and external rotator dissection techniques, to the intricacies of acetabular and femoral preparation, and strategies for anatomical and functional closure. The material includes practical summaries of key steps and insights for optimizing surgical outcomes.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your hip surgery skills. Enroll now and master the techniques in total hip arthroplasty via the posterior approach for hip osteoarthritis.\u003c!-- notionvc: 755f3055-64ae-4cca-85e7-6b40bfb6fa7d --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 8e5b5a68-5db9-4975-80ad-24e4a5b698a9 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776989302845,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Total-Hip-Arthroplasty-THA-via-Posterior-Approach-for-Coxarthrosis.webp?v=1764858490"},{"product_id":"transtrochanteric-fracture-with-intramedullary-nail-without-traction-table","title":"Transtrochanteric Fracture with Intramedullary Nail (Without Traction Table) 02","description":"\u003cp\u003eOvercome the challenges in treating transtrochanteric fractures. This training offers a technical immersion in intramedullary nailing osteosynthesis, detailing the methodology of this procedure without the use of a traction table, presented from a high-resolution surgical perspective.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eTreatment of transtrochanteric fractures with intramedullary nail.\u003c\/li\u003e\n\u003cli\u003eOsteosynthesis technique without the use of a traction table.\u003c\/li\u003e\n\u003cli\u003eMinimally invasive approach for reduction and fixation.\u003c\/li\u003e\n\u003cli\u003eIntraoperative management for fixation optimization.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eStrategic Patient Positioning:\u003c\/strong\u003e Methodology for safe positioning without a traction table, optimizing limb manipulation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMinimally Invasive Surgical Access:\u003c\/strong\u003e Protocol for a 3-5 cm incision and controlled dissection, minimizing tissue trauma and bleeding.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Guide Wire Insertion: \u003c\/strong\u003eAdduction and angulation technique for central guide wire positioning in the medullary canal, confirmed by fluoroscopy in AP and lateral views.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eControlled Medullary Canal Opening:\u003c\/strong\u003e Strategies for using the soft tissue protector and initial reamer, preserving the lateral cortex and adjacent structures.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFracture Reduction Assisted by the Nail:\u003c\/strong\u003e Methodology for utilizing the nail's curvature and traction\/manipulation maneuvers to achieve anatomical reduction without a traction table.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSliding Screw Insertion Technique:\u003c\/strong\u003e Approach for creating a safe path with Metzenbaum scissors, avoiding muscle injury, and details for guide wire and screw positioning.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrevention of Distal Locking Failures:\u003c\/strong\u003e Guidelines for correct drilling and insertion of the distal locking screw, ensuring rotational and axial stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Functional and Aesthetic Results: \u003c\/strong\u003eDemonstration of satisfactory reduction, alignment, and component positioning, allowing immediate full weight-bearing and minimizing aesthetic impact.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e A guide complements the training, consolidating the technical and practical principles of intramedullary nailing osteosynthesis for transtrochanteric fractures, without the use of a traction table. The material covers everything from preoperative planning to the management of crucial surgical steps and strategies for accelerated functional recovery, serving as an immediate reference guide for surgical practice.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in trauma surgery. Enroll now and master the procedures for treating transtrochanteric fractures with an intramedullary nail without the use of a traction table.\u003c!-- notionvc: 772d73ec-fde1-4320-9315-ee40cfc3e0b2 --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 460a9762-64e4-4541-97cd-f4debde1fb4b --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776989433917,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Transtrochanteric-Fracture-with-Intramedullary-Nail-Without-Traction-Table_8b04bb64-e2eb-4010-8bea-bbe127176530.webp?v=1764858499"},{"product_id":"treatment-of-proximal-femur-fracture-with-intramedullary-nail-and-see-saw-maneuver","title":"Treatment of Proximal Femur Fracture with Intramedullary Nail and See-Saw Maneuver","description":"\u003cp\u003eThe treatment of unstable proximal femur fractures in elderly patients presents a significant technical challenge, often complicating the proper execution of the surgical procedure. This training offers a practical immersion in proximal femur osteosynthesis with an intramedullary nail, presenting an optimized approach that includes positioning without a traction table and the \"seesaw\" maneuver, all detailed in a high-resolution video from a surgical perspective to facilitate replication.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eOsteosynthesis of unstable proximal femur fractures with an intramedullary nail.\u003c\/li\u003e\n\u003cli\u003ePatient positioning technique without a traction table.\u003c\/li\u003e\n\u003cli\u003e\"Seesaw\" reduction maneuver for impacted and valgus fractures.\u003c\/li\u003e\n\u003cli\u003eManagement of guidewire insertion and intramedullary canal opening.\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\u003ePositioning Without Traction: \u003c\/strong\u003eMethodology for patient positioning, including the use of a gynecological leg holder for the contralateral limb, optimizing the surgical field and radioscopic visualization.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Guidewire Insertion:\u003c\/strong\u003e Protocols for creating the entry portal aligned with the anterior superior iliac spine, shaping the guidewire for a better angle of attack, and radiological verification for centralization and prevention of obliquity.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSafe Intramedullary Canal Opening:\u003c\/strong\u003e Technique for using the soft tissue guide\/protector, directing it medially to protect the lateral femoral cortex during reaming.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eShort Intramedullary Nail:\u003c\/strong\u003e Systematic approach to nail insertion and guidewire removal, considering the challenges of impaction and valgus deviation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e\"Seesaw\" Reduction Maneuver:\u003c\/strong\u003e Demonstration of the reduction technique for valgus or impacted proximal fragments, including the creation of a safe mini-portal and the application of leverage to obtain and maintain anatomical reduction with minimal manipulation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDefinitive Fixation:\u003c\/strong\u003e Sequence for guidewire and sliding screw introduction, strategic positioning of the locking screw (with adjustment for piston effect), and insertion of the distal locking screw, ensuring stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMinimization of Access and Tissue Trauma:\u003c\/strong\u003e Strategies for performing the procedure with reduced entry portals, promoting a minimally invasive character and favoring early patient mobility.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF: \u003c\/strong\u003eA guide summarizing the principles of osteosynthesis of unstable proximal femur fractures with an intramedullary nail, the methodology of positioning without a traction table, the steps for precise guidewire insertion, and a detailed description of the \"seesaw\" reduction maneuver, as well as a practical guide for definitive fixation.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in orthopedic trauma surgery. Enroll now and master the techniques of proximal femur osteosynthesis with an intramedullary nail and the seesaw maneuver, optimizing your surgical outcomes and patient recovery.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: d42db38b-d313-49a9-8030-895c872481e3 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776989564989,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Treatment-of-Proximal-Femur-Fracture-with-Intramedullary-Nail-and-See-Saw-Maneuver.webp?v=1764858509"},{"product_id":"proximal-femur-fractures-without-a-traction-table","title":"Proximal Femur Fractures Without a Traction Table","description":"\u003cp\u003eMaster proximal femur fracture surgery, a procedure that can now be optimized without a traction table. 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Position the contralateral limb in a gynecological stirrup (90° hip flexion and external rotation) and the operative limb free and extended.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eImage Intensifier (C-Arm) Optimization: \u003c\/strong\u003eEnsure clear space under the table for C-Arm movement. Position the base near the contralateral leg for quality lateral images, ensuring visualization of the femoral head, neck, and shaft for alignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOperational Advantages:\u003c\/strong\u003e This positioning is simple, fast, and reproducible anywhere. It facilitates adduction of the limb for guidewire insertion and allows the surgeon to use minimally invasive clamps and maneuvers to maintain fragment alignment, with the assistance of an assistant.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e A complete didactic document describing the practical and reproducible method for operating on proximal femur fractures without the use of a traction table.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eTransform your practice in proximal femur surgery. Enroll now and master the procedures for operating on fractures without a traction table, optimizing your procedures and results.\u003c!-- notionvc: 86126b80-c726-4861-928b-97932a662444 --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: b68508db-a4b0-4a3e-ba24-9be3112a04a5 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776989696061,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Proximal-Femur-Fractures-Without-a-Traction-Table.webp?v=1764858518"},{"product_id":"transtrochanteric-fracture-with-intramedullary-nail-without-traction-table-1","title":"Transtrochanteric Fracture with Intramedullary Nail (Without Traction Table) 01","description":"\u003cp\u003eMaster the surgical treatment of transtrochanteric femur fractures with an intramedullary nail, now without the need for a traction table. This training offers a practical immersion in the precision of guidewire entry point localization, optimization of lateral view positioning with a parallelism guide, and the technique for fixing sliding and locking screws. The objective is to provide a less invasive approach that allows for early weight-bearing and a favorable prognosis for the elderly patient.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eTreatment of transtrochanteric femur fractures without a traction table.\u003c\/li\u003e\n\u003cli\u003ePrecision in guidewire entry point localization.\u003c\/li\u003e\n\u003cli\u003eOptimization of lateral view positioning with a parallelism guide.\u003c\/li\u003e\n\u003cli\u003eTechnique for fixing sliding and locking screws.\u003c\/li\u003e\n\u003cli\u003eMinimally invasive approach for early weight-bearing.\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\u003ePositioning and Guidewire: \u003c\/strong\u003eLearn to position the patient without a traction table and identify the guidewire entry point using an image intensifier, adjusting for the patient's BMI. Insert the guidewire under AP view guidance and confirm in the medullary canal with leg rotation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eLateral Optimization and Nail: \u003c\/strong\u003eTo correct the lateral positioning of the wire, use a parallelism guide that centralizes the wire in the medullary canal and femoral neck, avoiding obliquity of the sliding screw. Open the medullary canal with a drill and soft tissue protector, and introduce the short intramedullary nail.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eScrew Insertion:\u003c\/strong\u003e Make a minimally invasive lateral opening for the sliding screw guidewire, confirming its direction towards the center of the femoral head in both views. Measure and insert the sliding screw, using a second guidewire to prevent its return. Distal locking is guided by the nail introducer, with a 1.5 cm incision. Ensure the sliding screw allows for controlled pistoning.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eResults:\u003c\/strong\u003e The fracture is anatomically reduced, with the implant well-positioned. Minimally invasive surgery allows for early weight-bearing for the elderly patient.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF: \u003c\/strong\u003eCovers everything from positioning and guidewire entry point, optimization of lateral view positioning, medullary canal opening, nail and sliding screw insertion, to distal locking and finalization. It also includes a practical summary with the key points of the technique.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eTransform your practice in proximal femur surgery. Enroll now and master the technique to operate transtrochanteric fractures without a traction table, optimizing your procedures and results.\u003c!-- notionvc: 4372c53a-383b-4e37-a7f8-6d1dae72d652 --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: b44858ee-f508-4d9d-a165-f54332f8a1d8 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776990613565,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Transtrochanteric-Fracture-with-Intramedullary-Nail-Without-Traction-Table_49ace24f.webp?v=1764858528"},{"product_id":"total-hip-arthroplasty-posterior-approach","title":"Total Hip Arthroplasty – Posterior Approach (04)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003cstrong\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eMaster the Technique That Reduces Dislocation and Instability Rates Through Robust Posterior Repair and Precise Component Positioning\u003c\/p\u003e\n\u003cp\u003ePost-THA dislocation and instability remain significant complications when posterior repair or component alignment fails. This training covers the posterior approach technique with piriformis preservation, uncemented implants, press-fit acetabular fixation, stability testing, and capsular repair — all captured in 4K from the surgeon’s perspective.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e• Anatomical posterior approach with piriformis preservation\u003cbr\u003e• Controlled osteotomy and optimized acetabular exposure\u003cbr\u003e• Acetabular preparation with press-fit cup and posterosuperior screw fixation\u003cbr\u003e• Liner positioning with 10° lip orientation\u003cbr\u003e• Femoral preparation with uncemented stem and acoustically guided broaching\u003cbr\u003e• Dynamic stability tests and soft tissue assessment\u003cbr\u003e• Transosseous capsular repair and functional closure of the iliotibial tract\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003ePiriformis preservation and robust transosseous repair of capsule\/rotators to reduce dislocation risk and reinforce the posterior envelope\u003c\/li\u003e\n\u003cli\u003eReliable press-fit acetabular fixation with circumferential reaming, ceiling-directed screws, and posterosuperior 10° lip liner for enhanced stability\u003c\/li\u003e\n\u003cli\u003eReproducible femoral sequence using “cortical grip” acoustic criteria to standardize broach progression and stem implantation\u003c\/li\u003e\n\u003cli\u003eDynamic validation protocol with \u0026gt;90° flexion and internal rotation tests, tissue tension adjustment, and length verification before final reduction\u003c\/li\u003e\n\u003cli\u003eEfficient exposure system (Hohmann + posts) that accelerates access and minimizes soft tissue trauma, with iliotibial tract closure in abduction\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eComplete Technical PDF: includes X-rays, patient positioning, anatomical landmarks, instruments, stability criteria, decision algorithms, and postoperative care guidelines.\u003c\/p\u003e\n\u003cp\u003eEnhance the safety and outcomes of your posterior approach total hip arthroplasties. Enroll now and master a complete protocol from access to closure — with dynamic stability validation documented in 4K.\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320157110333,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/58.webp?v=1783098759"},{"product_id":"intramedullary-nail-for-proximal-femur-03-rocker-seesaw-maneuver","title":"Intramedullary Nail For Proximal Femur 03 - Rocker (Seesaw) Maneuver","description":"\u003cp\u003eReduction of transtrochanteric fractures of the proximal femur without a traction table is a frequent technical challenge. This training demonstrates osteosynthesis with an intramedullary nail and the rocking maneuver, using a minimally invasive approach, in 4K video under a surgical perspective.\u003c\/p\u003e\n\u003ch2\u003e\u003cstrong\u003eTraining Focus\u003c\/strong\u003e\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eOsteosynthesis of transtrochanteric fracture of the proximal femur\u003c\/li\u003e\n\u003cli\u003eTechnique without the use of a traction table\u003c\/li\u003e\n\u003cli\u003eSurgical positioning and optimization of fluoroscopy\u003c\/li\u003e\n\u003cli\u003eIntroduction of the intramedullary nail through a minimally invasive approach\u003c\/li\u003e\n\u003cli\u003eRocking maneuver for reduction of the femoral calcar\u003c\/li\u003e\n\u003cli\u003eStrategies for controlling the positioning of the cephalic screw\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003e\u003cstrong\u003eDetailed Content\u003c\/strong\u003e\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eSurgical Setup without a Traction Table:\u003c\/strong\u003e Patient positioning and adjustment of the “C-arm” to obtain stable anteroposterior and lateral images.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eProximal Access and Entry Point:\u003c\/strong\u003e Precise anatomical definition to optimize the nail insertion angle.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eGuidewire Introduction and Control:\u003c\/strong\u003e Centralization within the medullary canal with dynamic verification under fluoroscopy.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eNail Insertion Using a Minimally Invasive Technique:\u003c\/strong\u003e Canal opening and implant advancement with preservation of soft tissues.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRocking Maneuver for Calcar Reduction:\u003c\/strong\u003e Effective technique for correction of valgus and achievement of anatomic reduction.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCephalic Screw Positioning:\u003c\/strong\u003e Technical adjustments and biomechanical implications of the entry point.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrevention of Frequent Technical Errors:\u003c\/strong\u003e Strategies to avoid joint penetration, malalignment, and loss of stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFinal Outcome Assessment:\u003c\/strong\u003e Correlation between anatomic reduction, bone contact, and biomechanical strength.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003e\u003cstrong\u003eIncluded Material\u003c\/strong\u003e\u003c\/h2\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Supplementary material with a technical summary of the procedure, patient positioning criteria, surgical sequence, biomechanical principles of the rocking maneuver, critical points of the proximal access, frequent technical pitfalls, and objective criteria for evaluating the final outcome.\u003c\/p\u003e\n\u003cp\u003eImprove your intraoperative decision-making and expand your technical repertoire in the treatment of proximal femoral fractures. Enroll and master the practical application of the rocking maneuver with an intramedullary nail.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: ede21136-6ad1-49cf-b9d1-5b10207c6d17 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320157569085,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/HasteIntramedularParaoFemurProximal03-ManobraDaGangorra_8a54ee42-99b4-4ead-8fbd-84cc2815ada5.webp?v=1783098779"},{"product_id":"subtrochanteric-fracture-case-1-minimally-invasive-intramedullary-nail","title":"SUBTROCHANTERIC FRACTURE [Case 1] · Minimally Invasive Intramedullary Nail","description":"\u003cp\u003eThe treatment of subtrochanteric fractures is challenging due to the tendency toward varus, flexion deformity, and external rotation of the proximal fragment. This training presents, in a direct manner, the surgical management using an\u0026amp;nbsp;intramedullary nail with a minimally invasive technique, demonstrated in 4K video under a surgical perspective, with a focus on percutaneous reduction, biomechanical control, and adequate stability.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eMinimally invasive reduction of subtrochanteric fracture\u003c\/li\u003e\n\u003cli\u003eControl of flexion and rotation of the proximal fragment\u003c\/li\u003e\n\u003cli\u003eEntry point and guidewire parallelism\u003c\/li\u003e\n\u003cli\u003eUse of joystick, clamps, and percutaneous maneuvers\u003c\/li\u003e\n\u003cli\u003eVarus control during nail insertion\u003c\/li\u003e\n\u003cli\u003eApplication of the poller screw\u003c\/li\u003e\n\u003cli\u003eProximal fixation and distal locking\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003c!-- notionvc: c4eecd02-6456-4e32-949b-13b61384dea6 --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eControlled Percutaneous Reduction: \u003c\/strong\u003eApplication of the seesaw maneuver with a Mixter clamp, use of a percutaneous joystick, and association with limb positioning to correct flexion and external rotation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSpatial Planning and Strategic Portals:\u003c\/strong\u003e Marking of the fracture site, longitudinal axis, and precise definition of mini-portals for safe manipulation of the proximal fragment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Entry Point for the Intramedullary Nail:\u003c\/strong\u003e Definition of the point slightly medial to the apex of the greater trochanter, with continuous correction in anteroposterior and lateral views.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eGuidewire Parallelism to the Medullary Canal:\u003c\/strong\u003e Practical demonstration of the use of the parallelism guide to avoid oblique entry and prevent residual malalignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eVarus Control in Subtrochanteric Fractures:\u003c\/strong\u003e Intraoperative strategies for correction of residual varus, including selective enlargement of the entry point and application of the medial poller screw.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRational Use of the Poller Screw:\u003c\/strong\u003e Indication, percutaneous positioning, and biomechanical effect of the poller in neutralizing deforming forces.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eProximal Fixation and Distal Stability:\u003c\/strong\u003e Insertion of the sliding screw and use of two distal locking screws to reduce the windshield-wiper effect and increase stability within the medullary canal.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMinimally Invasive Technique and Functional Recovery:\u003c\/strong\u003e Procedure with small portals, less tissue aggression, reduction of postoperative pain, and early release for gait training.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eThe PDF objectively accompanies the complete surgical sequence of the training, including principles of percutaneous reduction, choice of the entry point, control of parallelism, management of varus, indication of the poller screw, and strategies for proximal and distal stability, with a focus on practical application in subtrochanteric fractures.\u003c\/p\u003e\n\u003cp\u003eImprove your decision-making and technical execution in the treatment of subtrochanteric fractures. Enroll and master minimally invasive reduction with precise biomechanical control.\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320157700157,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/FRATURASUBTROCANTERIANACase1_HasteIntramedularMinimamenteInvasiva.webp?v=1783098788"},{"product_id":"proximal-femur-case-4-double-seesaw-technique","title":"PROXIMAL FEMUR [Case 4] · Double See-saw Technique","description":"\u003cp\u003eUnstable, multifragmentary transtrochanteric fractures in osteoporotic bone represent a major reduction challenge in orthopedic trauma.\u003c\/p\u003e\n\u003cp\u003eThis training demonstrates, in an objective manner, the application of the \u003cstrong\u003edouble seesaw technique\u003c\/strong\u003e for percutaneous reduction and control of the femoral calcar and femoral shaft, associated with fixation using an intramedullary nail, without the use of a traction table; in 4K video from the surgeon’s perspective.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTRAINING FOCUS\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003ePercutaneous reduction using the seesaw technique (lever mechanics utilizing muscle mass)\u003c\/li\u003e\n\u003cli\u003eComfortable reduction of the inferiorly displaced femoral shaft\u003c\/li\u003e\n\u003cli\u003eCorrection of femoral calcar displacement (positive)\u003c\/li\u003e\n\u003cli\u003eTwo simultaneous seesaw maneuvers\u003c\/li\u003e\n\u003cli\u003ePrecise guide wire positioning (AP and lateral)\u003c\/li\u003e\n\u003cli\u003eOsteosynthesis with intramedullary nail in unstable fracture\u003c\/li\u003e\n\u003cli\u003eTechnique without the use of a traction table\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\u003eControlled Percutaneous Reduction:\u003c\/strong\u003e Practical application of levers with clamps and instruments for direct manipulation of fragments\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMastery of the Seesaw Technique:\u003c\/strong\u003e Use of muscle mass as a fulcrum for multiplanar fracture correction\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCorrection of Inferior Displacement of the Shaft:\u003c\/strong\u003e Mechanical strategy to restore alignment in the lateral view\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFine Adjustment of the Femoral Calcar:\u003c\/strong\u003e Reduction of valgus deformity through direct manipulation with percutaneous instruments\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStable Maintenance of Reduction:\u003c\/strong\u003e Team coordination for continuous stabilization during the procedure\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Guide Wire Positioning:\u003c\/strong\u003e Centralization in the femoral neck and head, avoiding an oblique sliding screw\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eExecution without a Traction Table:\u003c\/strong\u003e Increased intraoperative mobility for dynamic reduction adjustments\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eIntramedullary Nail Technical Sequence:\u003c\/strong\u003e Entry point, reaming, positioning, and locking with precision\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrevention of Technical Errors:\u003c\/strong\u003e Real-time intraoperative corrections based on fluoroscopy\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: Structured summary of the seesaw technique applied to the proximal femur, including biomechanical principles, instrument positioning, reduction strategies for the shaft and femoral calcar, intramedullary nail sequence, and critical points to avoid malalignment and implant failure.\u003c\/p\u003e\n\u003cp\u003eMaster percutaneous reduction in complex proximal femur fractures without the use of a traction table and expand your intraoperative control. Access the training and elevate your surgical precision.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 30be5fd7-96be-4992-a5de-2f23eb491851 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320157962301,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/FEMURPROXIMALCase4_DuplaTecnicadaGangorra.webp?v=1783098802"},{"product_id":"periprosthetic-hip-fracture-case-1-trochanteric-plate-cerclage","title":"PERIPROSTHETIC HIP FRACTURE [Case 1] · Trochanteric Plate + Cerclage","description":"\u003cp\u003eThe treatment of periprosthetic hip fractures in stable cemented prostheses requires individualized planning, mastery of re-approach surgery in a fibrotic field, and the technical ability to perform secure hybrid fixation without implant revision.\u003c\/p\u003e\n\u003cp\u003eThis training presents the complete management of a periprosthetic hip fracture with a stable cemented prosthesis using a posterolateral approach associated with osteosynthesis using a trochanteric plate, application of perifemoral cables, and cortical screws, including strategies for proximal anchorage, torque control in osteoporotic bone, and immediate postoperative full weight-bearing, demonstrated in detail from a surgical perspective.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTRAINING FOCUS\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003ePosterolateral approach and anatomical landmarks in re-approach surgery.\u003c\/li\u003e\n\u003cli\u003eSurgical planning for periprosthetic hip fractures.\u003c\/li\u003e\n\u003cli\u003eAssessment of prosthetic stability and decision-making for fixation without revision.\u003c\/li\u003e\n\u003cli\u003eAnatomical exposure in a fibrotic field and identification of tissue planes.\u003c\/li\u003e\n\u003cli\u003eProximal plate anchorage through transtendinous portals.\u003c\/li\u003e\n\u003cli\u003ePerifemoral cable passage technique and cable passer selection.\u003c\/li\u003e\n\u003cli\u003eCable torque control in osteoporotic bone.\u003c\/li\u003e\n\u003cli\u003eFixation with a cortical screw in an oval hole while avoiding the prosthesis.\u003c\/li\u003e\n\u003cli\u003eStabilization of the femoral calcar with a cable proximal to the lesser trochanter.\u003c\/li\u003e\n\u003cli\u003eFluoroscopic control and assessment of implant positioning.\u003c\/li\u003e\n\u003cli\u003ePercutaneous fixation of the distal screw with minimally extended exposure.\u003c\/li\u003e\n\u003cli\u003eFull weight-bearing release and immediate rehabilitation protocol.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDETAILED CONTENT\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eStructured Surgical Planning:\u003c\/strong\u003e Definition of the operative strategy based on preoperative fluoroscopic images, assessment of cemented component stability, and planning of the fixation sequence without prosthetic revision.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRe-approach Through the Posterolateral Approach:\u003c\/strong\u003e Technique for re-identification of anatomical planes in a fibrotic field using the posterior superior iliac spine as a continuous reference, with the limb positioned at 45° of flexion for safe diaphyseal alignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAnatomical Exposure in a Fibrotic Field:\u003c\/strong\u003e Strategies for dissection in anatomy altered by previous surgery, including identification of the iliotibial tract, fascia lata, and residual sutures of the external rotators, preserving muscular and vascular structures.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eProximal Anchorage Through Transtendinous Portals:\u003c\/strong\u003e Creation of portals in the gluteus medius and gluteus minimus tendons to position the proximal end of the trochanteric plate directly against the bone, preventing soft-tissue interposition.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSelection and Passage of Perifemoral Cables:\u003c\/strong\u003e Practical criteria for choosing the cable passer curvature radius according to the diameter of the femoral diaphysis, minimizing muscle trauma and ensuring a bone-hugging trajectory for effective tensioning.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eTorque Control in Osteoporotic Bone:\u003c\/strong\u003e Progressive tactile approach to cable tensioning in bone with low mineral density, preventing cortical fracture due to overload while ensuring firm fixation under continuous fluoroscopic control.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFixation with a Screw in an Oval Hole:\u003c\/strong\u003e Use of a directional cortical screw in the plate’s oval hole to precisely bypass the cemented femoral component, adding significant stability to the final construct.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStabilization of the Femoral Calcar:\u003c\/strong\u003e Placement of a cable proximal to the lesser trochanter for fixation of the femoral calcar, with an alternative strategy through the superior region of the plate when direct access to the intended level is anatomically limited.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePercutaneous Fixation of the Distal Screw:\u003c\/strong\u003e Placement of the distal screw with minimal extension of the exposure, using digital palpation as a guide for precise positioning and reduction of additional surgical trauma.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFluoroscopic Assessment and Final Result:\u003c\/strong\u003e Intraoperative confirmation of ideal implant positioning with three cables superior to the fracture, a trochanteric screw, and hook anchorage, validating mechanical stability for immediate full weight-bearing.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eINCLUDED MATERIAL\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e The PDF provides a complete analysis of the periprosthetic hip fracture, classification criteria and decision-making for fixation without prosthetic revision, sequence of operative steps, biomechanical principles of hybrid fixation with a trochanteric plate, cables, and screws, re-approach strategies in a fibrotic field, torque control in osteoporotic bone, and a rehabilitation protocol with immediate postoperative full weight-bearing.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 0baf064b-bc79-47fa-9a7a-90cce6a412a8 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default 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