{"title":"Orthopedics","description":"","products":[{"product_id":"tibial-fracture-locked-plate-technique","title":"Distal Tibia Fracture - Treatment with Locked Plate","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the treatment of tibial shaft fractures. This training offers a technical immersion in \u003cb\u003elocked plate osteosynthesis\u003c\/b\u003e via a \u003cb\u003eminimally invasive approach\u003c\/b\u003e, presented with a focus on \u003cb\u003eanatomic reduction\u003c\/b\u003e and \u003cb\u003estable fixation\u003c\/b\u003e.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eSurgical treatment of tibial shaft fractures with long oblique and spiral patterns.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eUtilization of an \u003cb\u003eanatomic locked plate\u003c\/b\u003e.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003eMinimally invasive approach\u003c\/b\u003e.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePreliminary and final \u003cb\u003epercutaneous reduction\u003c\/b\u003e.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003eOsteosynthesis optimization\u003c\/b\u003e.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Preoperative Planning\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Evaluation of tibial shaft fractures and associated fibular fractures using X-ray and computed tomography for precise planning.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMinimally Invasive Access\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Creation of skin portals guided by a surgical marker and image intensifier for the introduction of percutaneous reduction clamps.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eSafe Percutaneous Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Methodology for achieving preliminary and final \u003cb\u003epercutaneous reduction\u003c\/b\u003e with reduction clamps, including ankle traction and rotational maneuvers, monitored by image intensifier.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTunnel Creation and Plate Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Technique for creating a submuscular tunnel with a long dissector, guided by palpation, for the introduction of the \u003cb\u003eanatomic locked plate\u003c\/b\u003e which already possesses pre-fabricated anatomic curvature.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDefinitive Fixation and Osteosynthesis Optimization\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Procedure for drilling and inserting distal screws into the \u003cb\u003edistal tibia\u003c\/b\u003e, with the plate positioned flush to the bone to avoid medial malleolus irritation. Insertion of an additional screw near the fracture site to optimize energy distribution and balance the osteosynthesis. \u003c\/span\u003eFinalization with proximal screws.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComprehensive Final Assessment\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Confirmation of \u003cb\u003eanatomic reduction\u003c\/b\u003e, sufficient number of screws, adequate positioning of the long plate, relative stability, and maintenance of external rotation similar to the contralateral side.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComplete Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Step-by-step guide to the entire procedure, from patient positioning to surgical closure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eEnhance your skills in trauma surgery. Enroll now and master advanced techniques in the treatment of tibial shaft fractures.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776977571901,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/FraturadoTercoDistaldaTibia-TratamentocomPlacaBloqueada_result.webp?v=1783447982"},{"product_id":"distal-tibial-fracture-training","title":"Distal Tibial Diaphyseal Fracture via Intramedullary Nail with Suprapatellar Approach","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eEnhance your skills in treating distal tibial shaft fractures, especially in elderly patients, aiming for early rehabilitation and ambulation. This training offers a technical immersion in \u003cb\u003eintramedullary nail osteosynthesis\u003c\/b\u003e with a \u003cb\u003esuprapatellar portal\u003c\/b\u003e, optimizing alignment and minimizing invasiveness.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of distal tibial shaft fractures in elderly patients.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFixation with an intramedullary nail.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003eSuprapatellar access technique.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimization of alignment and stability for early rehabilitation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMinimization of invasiveness and protection of soft tissues.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eStrategic Patient Positioning\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Methodology for positioning with the knee in semi-flexion and diaphyseal alignment guided by palpation of the tibial crest, crucial for avoiding soft tissue complications.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise Suprapatellar Portal Creation\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Techniques for skin marking and access with an electrocautery, with positioning in the inferior region, near the trochlea and the apex of the patella, using a protective sleeve to preserve articular cartilage.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Angle of Attack\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Benefits of suprapatellar access for a superior angle of attack, facilitating guidewire passage and reaming with greater comfort and ease.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eReduction and Guidewire Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Methodology for percutaneous reduction with a clamp, with progression of the olive-tipped guidewire and verification of its centralization in AP and lateral views, aiming for the center of the ankle.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eReaming and Intramedullary Nail Introduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Reaming techniques to enlarge the medullary canal and introduction of the largest diameter nail, maintaining the protective sleeve and protecting the articular cartilage.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProximal and Distal Locking\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Execution of proximal locking percutaneously with the patient keeping the leg in a stable position, and \"freehand\" technique for distal locking screws, with precise skin marking to avoid friction with soft tissues.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptional Fibula Fixation\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Indication and technique for fibula fixation with a TEN nail in distal fractures to optimize stability and allow early weight-bearing and ambulation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eClosure and Rehabilitation\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Skin closure and rehabilitation that allows full weight-bearing ambulation and a favorable prognosis.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComplete Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Full step-by-step procedure, from patient positioning to surgical closure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eElevate your level in trauma surgery. Enroll now and master the technique of fixing distal tibial shaft fractures with an intramedullary nail via a suprapatellar approach, optimizing results and rehabilitation.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776979669053,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/FraturaDiafisariaDistaldeTibiaviaHasteIntramedularcomAcessoSuprapatelar_result_462e24ac-0921-430a-9c6d-81ad9678ef35.webp?v=1783447240"},{"product_id":"humeral-shaft-fracture-nail-technique","title":"Humeral Diaphyseal Fracture with Intramedullary Nail","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the treatment of humeral shaft fractures. This training offers a technical immersion in intramedullary nailing, covering everything from planning to advanced reduction and locking maneuvers, to optimize your surgical outcomes.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of humeral shaft fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003eIntramedullary nail fixation technique.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eUse of Kirschner wire as a \"joystick\" for proximal fragment manipulation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise nail measurement and considerations regarding medullary canal tapering.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePerformance of proximal and distal locking, with a focus on the high difficulty of distal locking.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eInitial Assessment and Marking\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to delineate the long axis of the humerus and identify the deformity and the exact fracture site, using a surgical marker for precise surgical planning.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eCreation of an Aligned Access Portal\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the technique of creating an access portal aligned with the diaphysis and rotator cuff, with special attention to incisions along the fibers to avoid injuries and the need for future repair.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProximal Fragment Manipulation with Kirschner Wire (\"Joystick\")\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Understand how to use a 3.0mm or 2.0mm Kirschner wire as a \"joystick\" to assist in adduction and rotation correction of the superior fragment, exposing the entry point and facilitating a precise entry angle at the transition between the greater tuberosity and the humeral head.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Entry Point\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn how to direct guidewire introduction predominantly into the humeral head, avoiding the tubercle-head transition to prevent greater tuberosity fractures during entry point reaming.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise Radiographic Evaluation of the Entry Point\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to perform radiographic evaluation of the entry point directly with the \"joystick\" in anteroposterior and lateral views, ensuring precise visualization of the free proximal fragment.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eIntramedullary Nail Measurement and Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Develop the skill of precisely measuring the intramedullary nail, considering the triangular tapering of the medullary canal to avoid prominences and optimize implant fit.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProximal Locking Techniques\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the performance of proximal locking, using oblique screws directed to the humeral calcar to ensure nail fixation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eHigh-Difficulty Distal Locking\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Delve into the freehand distal locking technique, a challenging procedure due to the triangular anatomy of the distal humerus. Understand the importance of using a sharp-tipped drill bit to prevent slippage and ensure the precision of the one-centimeter incision.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eClosure and Postoperative Outcomes\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Understand the importance of rotator cuff suture (since the incision is along the fibers) to prevent shoulder function problems postoperatively, and subcutaneous and skin closure that allows early mobility.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComplete Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Educational document detailing all steps of the surgical technique for the treatment of humeral shaft fractures with an intramedullary nail.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eElevate your skills in humerus surgery. Enroll now and master advanced techniques for treating diaphyseal fractures with an intramedullary nail, ensuring optimized surgical results for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776979734589,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/FraturaDiafisariadoUmero-TratamentocomHasteIntramedular_result_d0a635e1-739a-419f-9d0a-f7b3f392cd16.webp?v=1783447088"},{"product_id":"humeral-shaft-fracture-bridge-plating","title":"Humeral Diaphyseal Fracture with Bridge Plating","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the treatment of humeral shaft fractures with a minimally invasive approach. This training offers a technical immersion in \u003cb\u003ebridge plating osteosynthesis\u003c\/b\u003e, focusing on tissue preservation, minimizing bleeding, and, crucially, protecting the radial nerve.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMinimally invasive treatment of humeral shaft fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003eUse of bridge plating.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eStrategic incisions for tissue preservation and radial nerve protection.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eCreation of a submuscular tunnel for plate passage.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eSequential fixation and precise fragment alignment.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eStrategic Incisions and Initial Exposure\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to make proximal incisions following the biceps-deltoid interval and distal incisions slightly lateral, allowing for identification and protection of the radial nerve. Master dissection following the orientation of muscle fibers to minimize muscle cutting and bleeding.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eUse of Retractors and Radial Nerve Protection\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Understand the use of medial and lateral retractors, with critical attention to the contraindication of the lateral Hohmann retractor, which significantly increases the risk of radial nerve injury. Ensure visualization and protection of the radial nerve throughout the procedure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePlate Preparation and Tunnel Creation\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Develop the skill of dissecting with a periosteal elevator, following the humeral shaft to prepare a tunnel. Learn to create the tunnel from distal to proximal and then from proximal to distal, with constant palpation to ensure remaining on the bone surface and avoiding instrument deviation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePlate Verification and Positioning\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn how to verify plate size for conformity with implant length and adjust the incision line for a more medial approach if necessary, advancing plane by plane and coagulating to optimize visualization.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePlate Passage with Digital Guidance\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the technique of passing the plate through the tunnel with the aid of a finger as a guide, palpating the end of the plate to direct it flush to the bone and avoid muscle interposition. The assistant maintains slight traction to prevent overlapping of bone fragments.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eSequential Fixation and Precise Alignment\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to fix the plate step-by-step, starting with a distal screw for centralization. Proceed with the insertion of a proximal screw and, with slight traction and fragment alignment, insert additional screws (second distal, second proximal, and third, if space allows) before final tightening to permit adequate manipulation and alignment.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComplete Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Detailed didactic document describing the minimally invasive surgical procedure for the treatment of humeral shaft fractures with bridge plating, from incisions to final fixation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eElevate your skills in humerus surgery. Enroll now and master advanced techniques of \u003cb\u003ebridge plating osteosynthesis\u003c\/b\u003e, ensuring superior results and radial nerve safety in your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776979800125,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/FraturadaDiafiseUmeral-TratamentocomPlacaemPonte_result_1b7abf08-a8cf-4571-bb35-839bfb490091.webp?v=1783447170"},{"product_id":"femoral-shaft-fracture-cephalomedullary-nail","title":"Anterograde Intramedullary Nail - Cephalomedullary","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the treatment of femoral shaft refractures, especially in cases of local bone fragility, focusing on early rehabilitation. This training offers a technical immersion in \u003cb\u003eanterograde cephalomedullary intramedullary nail osteosynthesis\u003c\/b\u003e, emphasizing a minimally invasive approach without the use of a traction table.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of femoral shaft refractures, including in patients with bone fragility.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFixation technique with an \u003cb\u003eanterograde cephalomedullary intramedullary nail\u003c\/b\u003e.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMinimally invasive approach without a traction table, allowing free limb manipulation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePre-surgical and intra-procedural reduction maneuvers.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise and efficient distal locking.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePlanning and Initial Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to perform hip flexion, external rotation, and internal rotation maneuvers to plan reduction before surgical incision, allowing free limb manipulation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eAccess and Precise Guidewire Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the creation of the incision for intramedullary nailing and the introduction of the guidewire with a favorable angulation, allowing controlled curvature and ensuring flexibility and control in the initial direction. \u003c\/span\u003eVerify guidewire introduction in anteroposterior (AP) and lateral views.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMedullary Canal Opening and Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn how to open the medullary canal through a soft tissue protector and introduce the olive-tipped guidewire. \u003c\/span\u003eFracture reduction is performed using previously planned maneuvers.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Medullary Canal Reaming\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Develop the skill of reaming the medullary canal after successful guidewire passage, seeking a reamer size that provides a snug fit for better stability.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProximal Fixation with Cephalomedullary Nail\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Utilize an 11-millimeter diameter \u003cb\u003ecephalomedullary nail\u003c\/b\u003e and create a lateral access for sliding screw fixation. Perform synchronized measurement and positioning of the sliding screw, aiming for the center of the femoral head in AP and lateral views, even in diaphyseal fractures.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eHigh-Precision Distal Locking\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the distal locking technique using a mini skin portal aligned with the bone tunnel to avoid difficulties with soft tissues. Learn to align the drill bit with the image intensifier, using the first drill bit as a guide for the second, ensuring parallelism and avoiding hole loss due to lower limb manipulations. Understand the importance of precision in the first drilling for quick locking and to avoid inadvertent screw insertion into an incorrect hole.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Postoperative Care\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Prepare for a minimally invasive surgery that results in comfortable postoperative recovery, allowing full weight-bearing and immediate rehabilitation the day after surgery.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComplete Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Detailed didactic document describing the surgical technique for treating femoral shaft refractures using an \u003cb\u003eanterograde cephalomedullary intramedullary nail\u003c\/b\u003e. Covers everything from initial planning and patient positioning to reduction steps, instrumentation, and closure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eEnhance your skills in treating femoral shaft fractures. Enroll now and master advanced techniques with an \u003cb\u003eanterograde cephalomedullary intramedullary nail\u003c\/b\u003e to optimize results and rehabilitation for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776979865661,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Anterograde-Intramedullary-Nail-Cephalomedullary.webp?v=1764858211"},{"product_id":"femoral-fracture-retrograde-technique","title":"Retrograde Intramedullary Nailing for Femoral Diaphyseal Fracture","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the treatment of femoral shaft refractures, especially in cases of local bone fragility, focusing on early rehabilitation. This training offers a technical immersion in \u003cb\u003eanterograde cephalomedullary intramedullary nail osteosynthesis\u003c\/b\u003e, emphasizing a minimally invasive approach without the use of a traction table.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of femoral shaft refractures, including in patients with bone fragility.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFixation technique with an \u003cb\u003eanterograde cephalomedullary intramedullary nail\u003c\/b\u003e.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMinimally invasive approach without a traction table, allowing free limb manipulation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePre-surgical and intra-procedural reduction maneuvers.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise and efficient distal locking.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePlanning and Initial Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to perform hip flexion, external rotation, and internal rotation maneuvers to plan reduction before surgical incision, allowing free limb manipulation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eAccess and Precise Guidewire Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the creation of the incision for intramedullary nailing and the introduction of the guidewire with a favorable angulation, allowing controlled curvature and ensuring flexibility and control in the initial direction. \u003c\/span\u003eVerify guidewire introduction in anteroposterior (AP) and lateral views.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMedullary Canal Opening and Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn how to open the medullary canal through a soft tissue protector and introduce the olive-tipped guidewire. \u003c\/span\u003eFracture reduction is performed using previously planned maneuvers.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Medullary Canal Reaming\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Develop the skill of reaming the medullary canal after successful guidewire passage, seeking a reamer size that provides a snug fit for better stability.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProximal Fixation with Cephalomedullary Nail\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Utilize an 11-millimeter diameter \u003cb\u003ecephalomedullary nail\u003c\/b\u003e and create a lateral access for sliding screw fixation. Perform synchronized measurement and positioning of the sliding screw, aiming for the center of the femoral head in AP and lateral views, even in diaphyseal fractures.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eHigh-Precision Distal Locking\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the distal locking technique using a mini skin portal aligned with the bone tunnel to avoid difficulties with soft tissues. Learn to align the drill bit with the image intensifier, using the first drill bit as a guide for the second, guaranteeing parallelism and avoiding hole loss due to lower limb manipulations. Comprehend the importance of precision in the first drilling for quick locking and to avoid inadvertent screw insertion into an incorrect hole.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Postoperative Care\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Prepare for a minimally invasive surgery that results in a comfortable postoperative recovery, allowing full weight-bearing and immediate rehabilitation the day after surgery.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComplete Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Detailed didactic document that describes the surgical technique for the treatment of femoral shaft refractures using an \u003cb\u003eanterograde cephalomedullary intramedullary nail\u003c\/b\u003e. It covers everything from initial planning and patient positioning to reduction steps, instrumentation, and closure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eEnhance your skills in treating femoral shaft fractures. Enroll now and master advanced techniques with an \u003cb\u003eanterograde cephalomedullary intramedullary nail\u003c\/b\u003e to optimize results and rehabilitation for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776980029501,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Retrograde-Intramedullary-Nailing-for-Femoral-Diaphyseal-Fracture.webp?v=1764858216"},{"product_id":"fifth-metacarpal-fracture-double-compression","title":"Fracture of the Neck of the Fifth Metacarpal (Boxer's Fracture)","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the surgical treatment of fifth metacarpal neck fractures, known as \"boxer's fracture,\" especially when angulation exceeds 40 degrees. This training offers a technical immersion in reduction and fixation with a double-compression screw, using a minimally invasive approach to optimize patient recovery.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of fifth metacarpal neck fractures with angulation greater than 40 degrees.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDouble-compression screw fixation technique.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003eMinimally invasive surgical approach.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePreoperative planning based on radiographs.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise guidewire insertion and bone drilling.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eRadiographic Evaluation and Precise Planning\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to interpret radiographs to identify the surgical indication. Master preoperative markings with a surgical marker, aligning them with the fifth metacarpal shaft in anteroposterior (AP) and lateral projections to guide the guidewire direction.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eStrategic and Minimally Invasive Surgical Access\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Develop the skill of performing a transverse skin incision of approximately 1.5 cm, perpendicular to the direction of the fifth finger extensor tendon. Understand the importance of blunt dissection, using Metzenbaum scissors without sharp tips, along the tendon fibers to minimize tissue trauma.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Guidewire Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn how to insert the guidewire based on preoperative markings, ensuring precise alignment in anteroposterior, lateral, and oblique projections.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMeasurement and Directed Drilling\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to perform precise measurement to determine the appropriate screw size after confirming guidewire positioning, and perform drilling directly over the guidewire.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDouble-Compression Screw Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the technique of inserting the double-compression screw through the guidewire, following guidelines established in manuals such as those from the AO.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFinal Confirmation and Accelerated Recovery\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Understand the criteria for final confirmation of the reduced fracture and the extra-articularly positioned screw. The minimally invasive technique ensures very satisfactory recovery, avoiding extensive skin incisions and more aggressive approaches, with skin closure performed with only two stitches.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDetailed Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: A complete didactic document describing the surgical procedure for treating fifth metacarpal neck fractures, from initial radiographic evaluation to surgical closure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eEnhance your hand surgery skills. Enroll now and master advanced techniques in the treatment of boxer's fracture, ensuring precise results and optimized recovery for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776980258877,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Fracture-of-the-Neck-of-the-Fifth-Metacarpal-Boxers-Fracture.webp?v=1764858221"},{"product_id":"radial-ulnar-fracture-surgical-guide","title":"Diaphyseal Fractures of the Radius and Ulna","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the surgical treatment of radial and ulnar shaft fractures with this comprehensive training. Explore surgical approaches that emphasize anatomic preservation and clean technique, from planning and access to reduction and fixation, aiming to optimize patient recovery.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eSurgical treatment of radial and ulnar shaft fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDorsal approach (Thompson) for radial fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTraditional approach for ulnar fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eAnatomic reduction and fracture stabilization.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTissue preservation and minimization of bleeding.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/b\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of Radial Shaft Fracture (Thompson Approach):\u003c\/span\u003e\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePlanning and Marking\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to mark and palpate Lister's tubercle and the lateral epicondyle, drawing a line between them. Utilize muscle palpation to define the exact location of the skin incision and the image intensifier to locate the fracture site.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eIncision and Dissection\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the skin incision with electrocautery and hemostasis. Deepen the dissection to identify muscle intervals, using gauze for blunt dissection and visualizing the fascia for the ideal access plane, preserving the natural planes of the forearm.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFascia Opening and Exposure\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Make a small incision through the fascia, creating the interval between the extensor digitorum communis and extensor carpi radialis brevis muscles, with careful progression to preserve underlying structures and prevent muscle damage.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFracture Identification and Cleaning\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Palpate the proximal radial fragment and define the trajectory towards the bone with the index finger. Make gentle contact with the scalpel on the bone surface to find the apex and the proximal fragment, maintaining dissection along the anatomic planes and exposing the fracture ends. Clean the fracture edges to find a reference point for reduction.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of Ulnar Shaft Fracture (Distal Third):\u003c\/span\u003e\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l3 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePositioning and Access\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Position the patient in supine decubitus with the arm flexed. Perform dissection between the extensor carpi ulnaris and flexor carpi ulnaris muscles, opening the fascia carefully to avoid muscle damage.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l3 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFracture Identification and Periosteum Preservation\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Identify the fracture, even with distorted anatomy. Elevate the periosteum anatomically to minimize soft tissue trauma and facilitate closure over the plate.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l3 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eBone Bed Preparation and Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Create the bone bed precisely on the dorsal (tension) cortex of the ulna. Clean the fracture edges in search of reference points, using a \"bone crest\" as a guide for anatomic reduction and avoiding the creation of a segmental fracture.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l3 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eStabilization and Plating\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Reposition the reduction clamp distally to optimize manipulation. With the radius already stabilized, achieve ulnar reduction for excellent stability and alignment. Perform plate pre-tensioning to avoid a gap in the opposite cortex and use a 3.5 mm locked DCP (Dynamic Compression Plate).\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l3 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eClosure and Recovery\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Close the periosteum over the plate, preserving all muscular structures. Respect anatomic dissection with total muscular preservation and perform layered closure for significantly improved postoperative recovery.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo4; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComplete Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: A detailed didactic document covering surgical techniques for treating radial (Thompson approach) and ulnar (traditional approach) shaft fractures. Includes everything from initial planning and access to reduction and fragment fixation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eEnhance your forearm surgery skills. Enroll now and master advanced osteosynthesis techniques for radial and ulnar shaft fractures, ensuring anatomic reduction and optimized recovery for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776980422717,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Diaphyseal-Fractures-of-the-Radius-and-Ulna.webp?v=1764858225"},{"product_id":"posterior-acetabular-fracture-surgery","title":"Fracture of the Posterior Acetabular Wall with Hip Dislocation","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the treatment of posterior acetabular wall fractures associated with hip dislocation. This training offers a technical immersion in a carefully planned and executed surgical approach, aiming for fragment reduction, fixation to re-establish joint congruence, and hip stability.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eSurgical treatment of posterior acetabular wall fractures with hip dislocation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003eKocher-Langenbeck surgical approach.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eReduction and fixation of fragments to restore joint anatomy and function.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProtection of neurovascular structures, with emphasis on the sciatic nerve and circumflex artery.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eReconstruction of external rotator muscles.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eInitial Assessment and Optimized Surgical Access\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to interpret CT scans to identify hip dislocation and large posterior acetabular wall fragments. Master the Kocher-Langenbeck approach, using landmarks such as the apex of the greater trochanter, the posterior superior iliac spine, and the long axis of the femur.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eStrategic Dissection and Exposure\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Develop the skill of performing an incision in the iliotibial tract and blunt dissection through the gluteus maximus fibers. Identify and elevate the gluteus medius, and perform tenotomy of the gluteus maximus to facilitate exposure. Identify the external rotators, including the piriformis, superior gemellus, obturator internus, and inferior gemellus.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eNeurovascular Protection and Safe Tenotomy\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Execute piriformis tenotomy and identify the superior and inferior gemellus muscles, and the obturator internus. Understand the crucial protection of the quadratus femoris, due to the passage of the circumflex artery that nourishes the femoral head in this region. Use the retracted tendons (piriformis and gemelli) as padding for the sciatic nerve, which passes adjacent to the access.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise Fragment Identification and Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn how to identify the inferior and superior fragments of the acetabular roof. Learn to clean and free the joint for better identification of reduction parameters, and reposition the fragments in their anatomical locations after dislocation reduction.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProvisional Fixation and Plate Contouring\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the technique of introducing the inferior retractor into the lesser sciatic notch after careful detachment. Perform provisional fixation of fragments with Kirschner wires. Use aluminum to contour a plate model, which will be used for the definitive fixation plate.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDefinitive Fixation with Multiple Plates\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to fix the main plate to the ischium, contouring the entire posterior rim, with screws directed towards the acetabular roof. Use a second plate at the apex of the superior fragment for fixation. Understand how the use of these two plates provides satisfactory reduction and stability, eliminating the need for spring plates.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eAnatomical Reconstruction and Closure\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Perform identification and reconstruction of the piriformis, superior gemellus, inferior gemellus, and obturator internus tendons. Learn to reinsert the piriformis in its original position, with slight external rotation of the hip assisting in tendon reinsertion. Restore the anatomical structure with preservation of the quadratus femoris and gluteus medius, without muscle cuts. \u003c\/span\u003eFinalize with suture of the iliotibial tract.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDetailed Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Didactic document describing the surgical procedure for treating posterior acetabular wall fractures associated with hip dislocation, from initial evaluation to reconstruction and closure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eEnhance your hip surgery skills. Enroll now and master advanced techniques for acetabular reconstruction, ensuring restoration of joint congruence and hip stability for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776980521021,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Fracture-of-the-Posterior-Acetabular-Wall-with-Hip-Dislocation.webp?v=1764858229"},{"product_id":"pelvic-open-book-fixation","title":"Open Book Pelvic Ring Injury (Pubic Symphysis Dislocation)","description":"\u003cdiv style=\"mso-element: para-border-div; border: none black 1.0pt; mso-border-alt: none black 0cm; padding: 0cm 0cm 0cm 0cm;\"\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eMaster the surgical treatment of \"open book\" type pelvic ring injury, an opening of the pubic symphysis. This training offers practical immersion in reduction and anterior fixation, covering everything from patient positioning and surgical access, with attention to the bladder, to the use of temporary screws for controlled reduction and the application of plates for definitive fixation, aiming for pelvic ring stability and early rehabilitation. \u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eTreatment of \"open book\" pelvic ring injury (pubic symphysis dislocation). \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eReduction and anterior fixation of the pubic symphysis. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eSurgical access with bladder protection. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eUse of temporary screws for controlled reduction. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eApplication of plates for definitive fixation. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003ePelvic ring stability and early rehabilitation. \u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003ePositioning and Access: \u003c\/strong\u003ePosition the patient in dorsal decubitus for free access of the image intensifier. Perform an incision approximately 2 cm superior to the pubic symphysis, exposing the rectus femoris fascia and the linea alba. Make a longitudinal incision in the linea alba and locate the pubic tubercle. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003eExposure and Preparation:\u003c\/strong\u003e Protect the bladder (previously emptied) with a malleable retractor. Dissect the periosteum of the symphysis to create space for the plate. Identify the symphysis opening and, if necessary, clean any fibrosis. Position a Hohmann retractor in the obturator foramen for exposure. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003eProvisional Reduction:\u003c\/strong\u003e Use temporary screws, one on each side of the symphysis, inserted from anterior to posterior with precise measurement. Employ a specific clamp coupled to these screws for reduction and adjustment, visually controlling shear and opening. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003eDefinitive Fixation:\u003c\/strong\u003e With reduction maintained, use a specific plate for the symphysis with screw insertion at a 30-degree angle. If non-locked screws are not firm, add a second locked plate anteriorly for greater stability. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003eClosure and Verification: \u003c\/strong\u003eDo not approach the sacroiliac joint if the posterior ligaments are intact.\u003cspan style=\"mso-spacerun: yes;\"\u003e  \u003c\/span\u003eReinsert the rectus abdominis tendon and close the linea alba to prevent herniation. Continuously protect the bladder. Close the skin guided by dermographic markings for aesthetics. \u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003eDetailed PDF\u003c\/strong\u003e: Covers patient positioning, surgical access, exposure of the pubic symphysis, provisional reduction with screws and specific clamp, definitive fixation with plates, verification of posterior stability, and closure. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eAlso includes a practical summary of the procedure with key points. \u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eEnhance your skills in pelvic surgery. Enroll now and master the techniques for reduction and anterior fixation of the pubic symphysis, ensuring pelvic ring stability and early rehabilitation for your patients. \u003c\/span\u003e\u003c\/p\u003e\n\u003c\/div\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776980717629,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Open-Book-Pelvic-Ring-Injury-Pubic-Symphysis-Dislocation.webp?v=1764858241"},{"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":"dorsal-bartons-fracture-of-the-radius","title":"Dorsal Barton's Fracture of the Radius","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the surgical treatment of dorsal Barton's fracture of the radius, which presents with articular displacement and requires plate stabilization via a dorsal approach. This training offers a practical immersion in the reduction technique, surgical access, implant selection, and fixation, aiming to restore wrist anatomy and function, allowing for early postoperative mobility, especially in elderly patients.\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 dorsal Barton's fractures of the radius.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eIndirect reduction technique.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eSurgical access and implant selection.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eFixation to restore wrist anatomy and function.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eEarly postoperative mobility.\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 Surgical Access: \u003c\/strong\u003eThe training begins with radiographic assessment for reduction and implant planning. It covers marking the access over Lister's tubercle, identification of muscle compartments, and tendon retraction to expose the fracture.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eImplant Selection and Reduction:\u003c\/strong\u003e Exploration of the styloid region to identify comminution is presented. The course recommends delicate implants to prevent tendon irritation. The indirect reduction technique is demonstrated, using a proximal screw to reduce the fragment through the plate, with traction maneuvers if necessary.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eFixation and Checks:\u003c\/strong\u003e After the main plate, the training teaches how to use a second low-profile plate for detached dorsal fragments, aiming to restore the articular region. Checks are taught to ensure no tendons are under the plate and that the screw holes do not violate the joint.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eClosure and Results: \u003c\/strong\u003eThe plates are positioned flush with the bone, ensuring tendons are free. The training covers assessment of the reduction in terms of radial length, angulation, and inclination, and immediate mobilization in elderly patients postoperatively. Skin closure concludes the procedure.\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\u003eDetailed PDF:\u003c\/strong\u003e Covers initial assessment, surgical access, exploration and implant selection, indirect reduction, fixation of additional fragments, checks, final assessment, and closure. Also includes a practical summary of the procedure with key points.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your wrist surgery skills. Enroll now and master the techniques for dorsal Barton's fracture treatment, ensuring anatomical restoration and early mobility for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776984354877,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Dorsal-Bartons-Fracture-of-the-Radius.webp?v=1764858260"},{"product_id":"distal-radius-fracture-volar-approach","title":"Distal Radius Fracture (Volar Approach)","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 the surgical treatment of distal radius fractures with dorsal and volar comminution and dorsal displacement. This training offers practical immersion in a volar approach, starting with provisional fracture fixation, followed by careful dissection of planes and tendons, up to plate osteosynthesis, aiming for anatomical reduction and stability for the patient's functional recovery.\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 distal radius fractures with comminution and dorsal displacement.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eVolar approach for reduction and fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eProvisional fracture fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eCareful dissection of planes and tendons.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003ePlate osteosynthesis for anatomical restoration.\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\u003eProvisional Fixation and Assessment: \u003c\/strong\u003eThe training begins with a manual reduction maneuver and provisional stabilization with a 2.5 mm Kirschner wire, aiming for good initial fracture positioning.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eVolar Surgical Approach: \u003c\/strong\u003eThe approach is made with an incision over the flexor carpi radialis. It addresses the sectioning of the fascia covering this tendon and the careful progression of dissection, plane by plane, to avoid muscle cuts and bleeding. The radial artery is located, and the flexor pollicis longus and pronator quadratus are identified. A needle is used to identify the exact point of the joint, delimiting the distal limit of the approach. It concludes with an L-shaped incision in the pronator quadratus.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eRadius Exposure and Plate Implantation: \u003c\/strong\u003eThe radius is exposed, and a periosteal elevator is used to prepare the plate bed. With the fracture already reduced by provisional fixation, screw placement must respect the radial inclination to prevent intra-articular positioning. It is recommended to maintain reduction manually or use additional wires to avoid loss of reduction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eClosure and Results:\u003c\/strong\u003e The access through the pronator quadratus is sutured to cover the plate. The final result is satisfactory, with well-positioned screws, maintained radial inclination, and a well-fixed fracture. Closure is performed layer by layer up to the skin.\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\u003eDetailed PDF:\u003c\/strong\u003e Covers provisional fixation, the volar surgical approach, radius exposure and plate implantation, and closure and results. It also includes a practical summary of the procedure with key points.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your wrist surgery skills. Enroll now and master the techniques for treating distal radius fractures, ensuring anatomical reduction and stability for your patients' functional recovery.\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":42776984518717,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Distal-Radius-Fracture-Volar-Approach.webp?v=1764858270"},{"product_id":"multifragmentary-distal-radius-fracture-volar-approach","title":"Multifragmentary Distal Radius Fracture (Volar Approach)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the surgical treatment of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e distal radius fractures with this training focused on the volar approach. The procedure aims to restore radial length and articular congruity, using a combination of manual traction, provisional percutaneous fixation, and a fixation strategy with a volar plate and screws of different lengths to stabilize the multiple fragments, including the dorsal component, without the need for an additional dorsal approach.\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=\"cf0\"\u003eTreatment of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e distal radius fractures.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eVolar approach for reduction and fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eStrategies to restore radial length and articular congruity.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eFixation with a volar plate and screws of different lengths.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eStabilization of the dorsal component without additional access.\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\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eAssessment and Provisional Reduction:\u003c\/strong\u003e The training covers the analysis of images of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e distal radius fractures and reduction by manual traction (ligamentotaxis). It includes provisional percutaneous fixation with K-wires in the radial styloid and Lister's tubercle for fragment stabilization.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eVolar Surgical Approach: \u003c\/strong\u003eDetails of the incision, coagulation, and dissection of tissue planes. It teaches how to retract tendons (flexor pollicis longus and flexor carpi radialis \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eulnarly\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e) and protect the radial artery radially for a wide approach. The fascia is incised linearly.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eExposure of the Pronator Quadratus:\u003c\/strong\u003e The course covers the identification of the pronator quadratus and how to position retractors. A needle delineates the articular margin. Access to the pronator quadratus is made in an L-shape, with subperiosteal elevation to expose the fracture lines, observing the already reduced volar surface.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003ePreparation and Volar Fixation:\u003c\/strong\u003e Retractors are exchanged, fracture vertices are cleaned, and the plate is introduced respecting the articular margin. It begins with a cortical screw in the oval hole for compression. Short screws are used to fix the volar fragment, and with digital maneuvers, long screws stabilize the dorsal surface without the need for another approach. The short screws are exchanged for long ones (18\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e–20 mm), including the styloid, completing the osteosynthesis in the remaining holes.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eClosure and Final Results:\u003c\/strong\u003e The pronator quadratus is sutured in a straight fashion. The reduction is satisfactory, with radial anatomy close to normal. Skin closure is performed for a satisfactory outcome.\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\u003eDetailed PDF:\u003c\/strong\u003e Covers provisional fixation, volar surgical approach, radius exposure and plate implantation, and closure and final results. It also includes a practical summary of the procedure with key points.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your wrist surgery skills. Enroll now and master the techniques for treating \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e distal radius fractures, ensuring functional restoration and stability for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776984715325,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Multifragmentary-Distal-Radius-Fracture-Volar-Approach.webp?v=1764858281"},{"product_id":"multi-fragmentary-patella-fracture","title":"Multi-fragmentary Patella 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\"\u003eThe management of multi-fragmentary patella fractures with extensor mechanism compromise represents a significant technical challenge in orthopedics. This training offers a practical immersion in osteosynthesis that restores articular congruence and extensor function, minimizing implant prominence.\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\"\u003eSurgical treatment of multi-fragmentary patella fractures with extensor mechanism compromise.\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\"\u003eUse of cannulated screws and cerclage.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eManagement of secondary fragments in the lateral retinaculum.\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\u003eOptimized Surgical Approach: \u003c\/strong\u003ePrecise demarcation and a single incision to intraoperatively manipulate fragments and identify fracture \"teeth,\" facilitating reduction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePrecise Reduction Technique: \u003c\/strong\u003eMethodology for using reduction forceps and the hand as a mold, adjusting the anchor for primary stability without translation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eEffective Cerclage Application: \u003c\/strong\u003eCreation of longitudinal incisions in the quadriceps tendon for precise wire positioning close to the bone, with a traction technique and burying of the ends within the muscle mass to prevent complications.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eFixation of Lateral Fragments:\u003c\/strong\u003e Use of double compression screws for fixation of fragments in the lateral retinaculum, with complete burying of the head to prevent implant prominence.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eI\u003cstrong\u003edentification of the Key Fragment: \u003c\/strong\u003eFocus on the importance of the inferior pole inserted into the patellar tendon as a crucial point for reduction and concentration of screws with a washer for stabilization.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003ePrevention of \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eComplicaions\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003e: \u003c\/strong\u003eStrategies to avoid post-fixation instability and considerations regarding implant prominence, especially plates in the patella, which frequently require removal.\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\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed PDF: \u003c\/strong\u003eTechnical document summarizing the surgical treatment of multi-fragmentary patella fractures, addressing: demarcation and surgical approach; reduction and stabilization techniques; preparation and fixation with cannulated screws and cerclage; fixation of lateral fragments; and final considerations, including the management of the key fragment in the inferior pole.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your skills in the treatment of complex patella fractures. Enroll and master osteosynthesis techniques that ensure superior functional restoration.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776985043005,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Multi-fragmentary-Patella-Fracture.webp?v=1764858292"},{"product_id":"diaphyseal-tibia-fracture-with-deformity","title":"Diaphyseal Tibia Fracture with Deformity","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eTreating high diaphyseal tibial fractures with pre-existing bone deformity presents a technical challenge due to the instability of the shear fracture pattern and the presence of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eosteopenic\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e bone.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eThis training offers a direct solution with two-column fixation (medial and lateral) using pre-contoured plates via a minimally invasive technique, displayed in 4K video from a surgical perspective.\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\u003cspan class=\"cf1\"\u003ePre-operative planning with image intensifier.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eAnti-shear fixation with an anatomical medial plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eLateral approach with a pre-contoured bridging plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eMinimally invasive technique with tissue preservation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eStrategies for \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eosteopenic\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e bones and early post-operative mobility.\u003c\/span\u003e\n\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\u003eImage-Guided Skin Marking:\u003c\/strong\u003e Precise positioning of surgical approaches.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eMedial Anti-Shear Fixation:\u003c\/strong\u003e Anatomical fibular plate with multiple proximal screws for alignment and indirect reduction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eAnatomical Reduction with Tissue Preservation:\u003c\/strong\u003e Full skin access without \"funnel\" formation and minimally invasive manipulation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eLateral Bridging Plate Implantation:\u003c\/strong\u003e Submuscular tunnel technique using a dissector and digital palpation to avoid intramuscular insertion.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePlate Contouring for Tibial Curvature: \u003c\/strong\u003eCustomized adaptation with a table bender to avoid prominences.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eStable Fixation with Cortical and Locking Screws:\u003c\/strong\u003e Strategic combination for torque, stability, and load distribution.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eMinimally Invasive Surgery with Two-Column Fixation:\u003c\/strong\u003e Anatomical reduction and biomechanical stability for low-density bones.\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\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed PDF: \u003c\/strong\u003eThe complementary PDF material provides a complete and objective summary of the procedure, including all surgical steps, from pre-operative planning to closure. It describes the landmarks for skin marking, the types of plates and screws used, techniques for indirect reduction and implant contouring, as well as practical guidelines for performing medial and lateral approaches with minimal tissue aggression.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your surgical precision in treating complex tibial fractures. Enroll now and master the technique of two-column fixation with a minimally invasive approach.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776985206845,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Diaphyseal-Tibia-Fracture-with-Deformity.webp?v=1764858306"},{"product_id":"tibial-plateau-fracture-with-central-depression-and-incomplete-osteotomy","title":"Tibial Plateau Fracture with Central Depression and Incomplete Osteotomy","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMastering the treatment of complex tibial plateau fractures is a challenge that demands technical precision and biomechanical understanding. This training offers a technical immersion into the management of tibial plateau fractures with central depression and an incomplete shear fracture line, presented in a video with a focus on the surgical perspective.\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\"\u003eSurgical treatment of tibial plateau fracture with central depression and incomplete shear.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eMeticulous approach to surgical access.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eTechnique of incomplete (elastic) osteotomy for lifting the depressed fragment.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eStrategic use of bone graft.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eFixation with plate and screws for anatomical reduction and stabilization.\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\u003eOptimized Surgical Access:\u003c\/strong\u003e \"Hockey stick\" incision methodology and subperiosteal dissection for wide visualization and minimization of tissue damage, facilitating closure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eEarly Hemarthrosis Drainage:\u003c\/strong\u003e Technique for optimizing visualization of the surgical field, providing a clean environment for the procedure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eIncomplete (Elastic) Osteotomy:\u003c\/strong\u003e Learning a technique that preserves the inferior anterolateral cortex, allowing elastic elevation of the fragment without creating a free segment, which simplifies reduction and stabilization.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eEfficient Meniscal Management: \u003c\/strong\u003eTechniques for detaching the meniscus adhered to the bone and using sutures for adequate exposure and efficient capsular repair.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eExpanded Articular Exposure:\u003c\/strong\u003e Varus maneuvers to open the lateral compartment and obtain direct visualization of the depression.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePrecise Depression Elevation:\u003c\/strong\u003e Methodology for uniformly lifting the impacted bone block, with slight overcorrection for graft accommodation and stability, using bimanual control.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eStable Fixation Strategy: \u003c\/strong\u003eApplication of the plate with a screw at a strategic point for initial compression, followed by the insertion of subchondral locked screws, forming an articular support network.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eAnatomical Closure:\u003c\/strong\u003e Closure techniques that maintain the integrity of the tibialis anterior muscle and follow anatomical planes, contributing to an aesthetic and functional outcome.\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\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Document summarizing the surgical treatment of lateral tibial plateau fracture with central depression and incomplete shear fracture line, addressing access, subperiosteal dissection, elastic osteotomy, meniscal management, exposure and elevation of the depression, techniques of reduction and fixation, and surgical closure for an anatomical and functional result.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your skills in managing complex tibial plateau fractures. Enroll now and master the techniques of elastic osteotomy and stable fixation.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776985370685,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Tibial-Plateau-Fracture-with-Central-Depression-and-Incomplete-Osteotomy_986c55ce-7956-47be-b0f3-f2582638d456.webp?v=1764858313"},{"product_id":"tibial-plateau-fracture-with-central-depression-anterolateral-approach-and-incomplete-osteotomy","title":"Tibial Plateau Fracture with Central Depression (Anterolateral Approach and Incomplete Osteotomy)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the treatment of tibial plateau fractures with central depression. This training offers a technical immersion in osteosynthesis using incomplete osteotomy and a specific anterolateral approach, presented in 4K video from a surgical perspective, to restore anatomy and joint 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\u003cspan class=\"cf1\"\u003eOsteosynthesis of tibial plateau fractures with central depression and incomplete shear.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\"Hockey stick\" anterolateral approach for wide exposure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eIncomplete (elastic) osteotomy technique for lifting depressed fragments.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eUse of structural bone graft and fixation with subchondral cannulated screws and plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eSoft tissue management and prevention of complications.\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\u003eOptimized Surgical Approach:\u003c\/strong\u003e Methodology for \"hockey stick\" marking and incision, facilitating joint exploration and aesthetic skin closure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eControlled Dissection and Tissue Preservation:\u003c\/strong\u003e Dissection techniques to maintain the integrity of the tibialis anterior muscle and fascia, minimizing bleeding and optimizing recovery.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eMeniscus Management and Joint Exposure:\u003c\/strong\u003e Meniscus preparation with \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eVicryl\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e sutures and precise lifting for ample exposure of the depression, ensuring the integrity of structures.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eElastic Osteotomy for Anatomical Reduction:\u003c\/strong\u003e Incomplete osteotomy approach that keeps the anterolateral cortex intact, allowing the depressed fragment to be elevated with natural return to position.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eBone Grafting Strategies:\u003c\/strong\u003e Protocols for filling the depression with granular graft, including overcorrection for accommodation and strength, and use of structural graft for support.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eStable Fixation and Subchondral Network:\u003c\/strong\u003e Positioning of guide wires for subchondral cannulated screws, creating a \"network\" for primary stability, and strategic use of the plate for compression and maintenance of the elevation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eLayered Closure for Restructuring: \u003c\/strong\u003eSystematic approach for soft tissue and bone closure, restructuring anatomy and optimizing functional and aesthetic outcomes.\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\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Practical summary of the procedure, addressing: fracture condition (tibial plateau with central depression and incomplete shear); \"hockey stick\" anterolateral surgical approach; detailed preparation and dissection; meniscus handling and incomplete (elastic) osteotomy; depression elevation and grafting; fixation with cannulated screws and plate; and layered closure for anatomical and tissue restoration, culminating in anatomical reduction and good stabilization.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your skills in the treatment of tibial plateau fractures. Enroll now and master the techniques of elastic osteotomy and anterolateral approach\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776985501757,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Tibial-Plateau-Fracture-with-Central-Depression-Anterolateral-Approach-and-Incomplete-Osteotomy_6781c410-d092-449c-bca1-902b15d174f3.webp?v=1764858323"},{"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":"lateral-malleolus-fracture-with-wagstaffe-fragment","title":"Lateral Malleolus Fracture with Wagstaffe Fragment","description":"\u003cp\u003eThe treatment of lateral malleolus fractures can be complex due to the presence of avulsed fragments that compromise syndesmotic stability. This training offers a technical immersion into the surgical approach for lateral malleolus fracture with a Wagstaffe fragment, presenting a fixation protocol to restore ankle joint integrity and enable functional recovery.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eIdentification and management of the Wagstaffe fragment in lateral malleolus fractures.\u003c\/li\u003e\n\u003cli\u003eWagstaffe fragment fixation technique with double compression screws.\u003c\/li\u003e\n\u003cli\u003eLateral malleolus fracture stabilization with a locked plate.\u003c\/li\u003e\n\u003cli\u003ePrinciples of 360-degree ankle fixation.\u003c\/li\u003e\n\u003cli\u003eManagement of syndesmotic avulsion fragments (e.g., Tillaux-Chaput).\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\u003ePrecise Diagnosis:\u003c\/strong\u003e Methodology to identify the Wagstaffe fragment on radiographs, recognizing its significance in syndesmotic instability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStrategic Fixation of the Wagstaffe Fragment: \u003c\/strong\u003eDetailed approach for fragment fixation with two double compression screws, aiming for anterolateral syndesmosis stabilization.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eComprehensive Malleolus Stabilization:\u003c\/strong\u003e Technique for stabilizing the lateral malleolus fracture with a locked plate, ensuring correction of the fracture and associated ligamentous injury.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrinciple of 360º Fixation:\u003c\/strong\u003e Application of the complete ankle fixation concept, including the approach to avulsion fragments like Tillaux-Chaput, to ensure no syndesmotic injury is overlooked.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimization of Results:\u003c\/strong\u003e Techniques to ensure a reduced and stable joint, with well-positioned implants and no prominence.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Surgical Closure:\u003c\/strong\u003e Layered closure protocol, following dermographic markings for a favorable aesthetic outcome.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eMaterial Included:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Technical summary of the surgical treatment of lateral malleolus fractures with a Wagstaffe fragment. Includes the importance of the fragment in syndesmotic instability, the fixation technique with double compression screws, malleolus stabilization with a locked plate, and the concept of 360-degree ankle fixation, also addressing the Tillaux-Chaput fragment if present.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in ankle fracture treatment. Enroll now and master the management techniques for lateral malleolus fracture with a Wagstaffe fragment.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 8a04fde5-35fb-4fb6-a4d6-bb4288e097ba --\u003e\u003c!-- notionvc: 8a04fde5-35fb-4fb6-a4d6-bb4288e097ba --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776986878013,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Lateral-Malleolus-Fracture-with-Wagstaffe-Fragment.webp?v=1764858419"},{"product_id":"posterior-malleolus-and-lateral-malleolus-fracture-single-posterolateral-approach","title":"Posterior Malleolus and Lateral Malleolus Fracture (Single Posterolateral Approach)","description":"\u003cp\u003eMastering the approach to complex ankle fractures is a technical challenge for orthopedic surgeons. This training offers a technical immersion into the treatment of posterior malleolus fractures associated with high lateral malleolus fractures, using a single curved posterolateral approach and indirect reduction techniques.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical treatment of posterior malleolus fracture and high lateral malleolus of the fibula fracture.\u003c\/li\u003e\n\u003cli\u003eUse of a single curved posterolateral approach.\u003c\/li\u003e\n\u003cli\u003eIndirect reduction technique for the posterior malleolus.\u003c\/li\u003e\n\u003cli\u003eFixation with interfragmentary screws and locking plate.\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\u003eMethodology for oblique lateral decubitus positioning, allowing versatility in the approach and potential medial access.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Fibula Approach: \u003c\/strong\u003eTechnique for retracting the fibular tendons to access the lateral malleolus fracture, maintaining muscle integrity.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Anatomical Reduction:\u003c\/strong\u003e Use of clamps to achieve anatomical reduction of lateral malleolus fractures, with identification of vertices.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStable Lateral Malleolus Fixation:\u003c\/strong\u003e Sequence for provisional and definitive fixation with interfragmentary screws and a locking plate, avoiding articular screws.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDirect Access to the Posterior Malleolus:\u003c\/strong\u003e Method for approaching the posterior malleolus through the same access, incising fascia and retracting tendons for visualization.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eEffective Indirect Reduction of the Posterior Malleolus:\u003c\/strong\u003e Demonstration of the indirect reduction technique for the posterior malleolus through plate accommodation and screw insertion, minimizing exploration.\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 Technical summary of the surgical treatment of posterior malleolus fractures associated with high lateral malleolus fractures, describing patient positioning, the approach via single posterolateral access, the fibula reduction and fixation technique, and the posterior malleolus approach and indirect reduction.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your ankle surgery skills. Enroll now and master advanced techniques in the treatment of posterior and lateral malleolus fractures.\u003c!-- notionvc: de350ff8-3bec-4d97-880c-e1c0aee2cb28 --\u003e\u003c!-- notionvc: de350ff8-3bec-4d97-880c-e1c0aee2cb28 --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: f1260247-234c-4007-a206-62242ec216af --\u003e\u003c!-- notionvc: f1260247-234c-4007-a206-62242ec216af --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776987009085,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Posterior-Malleolus-and-Lateral-Malleolus-Fracture-Single-Posterolateral-Approach.webp?v=1764858428"},{"product_id":"360-degree-reconstruction-for-complex-ankle-injuries-achilles-tendon-posterior-tibial-and-ligamentous-injuries","title":"360-Degree Reconstruction for Complex Ankle Injuries (Achilles Tendon, Posterior Tibial, and Ligamentous Injuries)","description":"\u003cp\u003eMaster the treatment of complex ankle injuries. 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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. 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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. This training offers a practical immersion in a method that allows free manipulation of fragments, avoiding reduction and positioning obstacles, applicable in any hospital with a conventional table.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eTreatment of proximal femur fractures without a traction table.\u003c\/li\u003e\n\u003cli\u003eFree manipulation of fragments during surgery.\u003c\/li\u003e\n\u003cli\u003eOptimization of reduction and positioning.\u003c\/li\u003e\n\u003cli\u003eApplication of the technique in any hospital with a conventional 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\u003ePatient and Table Positioning: \u003c\/strong\u003eLearn how to configure a conventional split table, removing the contralateral side for image intensifier access. 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":"minimally-invasive-osteosynthesis-of-clavicle-fracture-bridge-plating-technique","title":"Minimally Invasive Osteosynthesis of Clavicle Fracture (Bridge Plating Technique)","description":"\u003cp\u003eMaster the treatment of displaced midshaft clavicle fractures. This training offers a technical immersion into bridge plating osteosynthesis via a minimally invasive approach, emphasizing tissue preservation and favorable aesthetic outcomes.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical treatment of displaced midshaft clavicle fractures with skin compromise.\u003c\/li\u003e\n\u003cli\u003eBridge plating fixation technique.\u003c\/li\u003e\n\u003cli\u003eMinimally invasive approach with two portals.\u003c\/li\u003e\n\u003cli\u003eTissue preservation and optimization of aesthetic results.\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\u003eOptimized Surgical Approaches:\u003c\/strong\u003e Creation and utilization of two portals (lateral and medial) for a safe pathway of the bridge plate.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Reduction with Dedicated Clamp: \u003c\/strong\u003eMethodology for identifying and reducing the fracture through a mini-lateral approach with a specific clamp, facilitating manipulation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eImplant Planning and Subcutaneous Tunnel:\u003c\/strong\u003e Procedures for plate measurement and creation of a subcutaneous tunnel between the portals for minimally invasive insertion.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eBiomechanically Effective Fixation:\u003c\/strong\u003e Strategies for interfragmentary screw insertion in oblique fracture patterns and fixation sequence with screws in the lateral and proximal thirds of the clavicle.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Layered Closure:\u003c\/strong\u003e Techniques for deep suturing, connecting the pectoralis muscle to the trapezius, and intradermal suturing for superior aesthetic and functional results.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eLow Invasiveness Results:\u003c\/strong\u003e An approach that favors fracture healing and provides a superior aesthetic outcome.\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 The material describes minimally invasive osteosynthesis of displaced midshaft clavicle fractures, using the two-portal bridge plating technique. The procedure details the creation of approaches, plate measurement, subcutaneous tunnel creation, and reduction with a specific clamp. Fixation is performed with a plate and screws, including an interfragmentary one if applicable, followed by a layered closure aiming to optimize healing and aesthetic outcome.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in trauma surgery. Enroll now and master the techniques in minimally invasive osteosynthesis of clavicle fractures.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 4875c5c2-3ed3-478c-8924-ddcf5724cd4f --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776990842941,"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-Clavicle-Fracture-Bridge-Plating-Technique.webp?v=1764858538"},{"product_id":"clavicle-fracture-and-posterior-acromioclavicular-dislocation","title":"Clavicle Fracture and Posterior Acromioclavicular Dislocation","description":"\u003cp\u003eMaster the treatment of complex shoulder injuries. This training offers a technical immersion in the surgical management of midshaft clavicle fractures and posterior acromioclavicular dislocations. We present a simultaneous approach using a minimally invasive bridging technique, aiming for anatomical restoration and shoulder stability.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical treatment of midshaft clavicle fractures.\u003c\/li\u003e\n\u003cli\u003eApproach to posterior acromioclavicular dislocation.\u003c\/li\u003e\n\u003cli\u003eMinimally invasive bridging technique.\u003c\/li\u003e\n\u003cli\u003eVertical and horizontal stabilization of the acromioclavicular joint.\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\u003eOperative Field Preparation:\u003c\/strong\u003e Mastery in infiltrating hemostatic solution for bleeding control.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAccess and Tunnel Creation:\u003c\/strong\u003e Creation of medial and lateral portals in the clavicle for a bridging approach. Use of an osteotome for dissection and subperiosteal tunnel creation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eClavicle Fracture Reduction and Fixation:\u003c\/strong\u003e Methodology for maintaining reduction with digital manipulation. Systematic sequence of screw insertion for primary stability, with verification of segmental alignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCoracoid Process Approach:\u003c\/strong\u003e Access and positioning of retractors for optimized exposure.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eVertical Stabilization with Fast-Fit:\u003c\/strong\u003e Technique for introducing a tissue anchor at the base of the coracoid for effective alignment with the clavicle. Precise positioning of the hole in the clavicle to prevent anterior displacement during tightening. Creation of separate holes in the coracoid and clavicle.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eHorizontal Stabilization and Ligament Reconstruction:\u003c\/strong\u003e Employment of a 5.0mm anchor for fixation and reconstruction of the acromioclavicular ligaments. Complementary horizontal stabilization by linking the distal clavicle fragment to the acromion.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003c!-- notionvc: 7756e9be-83d4-4bc3-85df-2ecf50a1f8b9 --\u003e\u003c\/p\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 This didactic material in PDF format offers a practical and objective summary of the entire surgical procedure. It addresses the injury condition, surgical approaches, field preparation, the steps for clavicle fracture and acromioclavicular dislocation fixation, including the use of Fast-Fit devices and anchors for stabilization, and the expected results, serving as a quick and effective reference guide for technical steps.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in trauma surgery. Enroll now and master the techniques for simultaneous management of clavicle fractures and posterior acromioclavicular dislocations.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 75f3e890-8a73-48c7-9db3-f48836c7d827 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776991006781,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Clavicle-Fracture-and-Posterior-Acromioclavicular-Dislocation.webp?v=1764858548"},{"product_id":"fracture-fixation-of-the-glenoid-combined-procedure-segment","title":"Fracture Fixation of the Glenoid (Combined Procedure Segment)","description":"\u003cp\u003eMaster the surgical approach for glenoid fracture fixation. 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Enroll now and master the essential techniques in glenoid fracture fixation.\u003c!-- notionvc: 6194b6ce-d222-4a3e-91ec-98a41a070b38 --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 086cea0f-916e-490f-80ee-3fd83ee18cbb --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776991137853,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Fracture-Fixation-of-the-Glenoid-Combined-Procedure-Segment.webp?v=1764858559"},{"product_id":"segmental-humeral-fracture-associated-with-glenoid-and-coracoid-process-fractures","title":"Segmental Humeral Fracture Associated with Glenoid and Coracoid Process Fractures","description":"\u003cp\u003eMaster the treatment of complex shoulder injuries. 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It details the deltopectoral approach, the steps for humeral approach and fixation with nail and cerclage, the technique for glenoid fixation with screws, and coracoid stabilization, in addition to anatomical closure, highlighting key points of each step for an optimized functional result.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in the treatment of complex shoulder fractures. Enroll now and master the essential techniques for the reconstruction of segmental humeral, glenoid, and coracoid fractures.\u003c!-- notionvc: 60908769-db19-4a11-88ae-f6b2520fdb40 --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 6691ccb7-5e80-4b47-9673-05299b6257bf --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776991334461,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Segmental-Humeral-Fracture-Associated-with-Glenoid-and-Coracoid-Process-Fractures.webp?v=1764858569"},{"product_id":"fracture-of-the-greater-tuberosity-of-the-humerus-with-deltopectoral-approach","title":"Fracture of the Greater Tuberosity of the Humerus with Deltopectoral Approach","description":"\u003cp\u003eMaster the treatment of displaced humeral greater tuberosity fractures, even in cases with prolonged evolution and the presence of fibrosis. 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It includes a practical summary of the procedure steps and a description of the expected results.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in shoulder trauma surgery. Enroll now and master advanced techniques in humeral greater tuberosity fracture reconstruction.\u003c!-- notionvc: 27d5dacb-b570-41e8-9414-31b114e7c12b --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: a78f2119-c358-4371-8d72-655cc7cee929 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776991465533,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Fracture-of-the-Greater-Tuberosity-of-the-Humerus-with-Deltopectoral-Approach.webp?v=1764858579"},{"product_id":"multifragmentary-fracture-of-the-lateral-third-of-the-clavicle-with-coracoclavicular-fixation","title":"Multifragmentary Fracture of the Lateral Third of the Clavicle with Coracoclavicular Fixation","description":"\u003cp\u003eMaster the treatment of comminuted fractures of the lateral third of the clavicle with ligamentous instability. 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Enroll now and master the techniques for treating comminuted fractures of the lateral third of the clavicle with coracoclavicular fixation.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: be44b93b-c020-4e58-af87-1bf521b8c493 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776991596605,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Multifragmentary-Fracture-of-the-Lateral-Third-of-the-Clavicle-with-Coracoclavicular-Fixation.webp?v=1764858588"},{"product_id":"posterior-shoulder-dislocation-with-humeral-head-impaction","title":"Posterior Shoulder Dislocation with Humeral Head Impaction","description":"\u003cp\u003eMaster the treatment of posterior shoulder dislocations with humeral head impaction, a technical challenge requiring precision to prevent fracture line progression. 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Enroll now and master the essential techniques in the treatment of posterior shoulder dislocations.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 506f9970-680e-4e8b-8696-a1a6f67865ad --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776991727677,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Posterior-Shoulder-Dislocation-with-Humeral-Head-Impaction.webp?v=1764858599"},{"product_id":"intramedullary-nailing-for-proximal-humerus-fracture","title":"Intramedullary Nailing for Proximal Humerus Fracture","description":"\u003cp\u003eThe complexity of proximal humerus fractures requires approaches that preserve function and minimize morbidity. 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Register now and master the technique in the treatment of proximal humerus fractures.\u003c!-- notionvc: 38fde546-ed98-4a0e-b4d5-e4e5426c4acf --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 0c3d18cd-c4a1-4677-a2b2-68ae4ff4ad06 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776991924285,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Intramedullary-Nailing-for-Proximal-Humerus-Fracture.webp?v=1764858610"},{"product_id":"intramedullary-nail-for-proximal-humerus-fracture","title":"Intramedullary Nail for Proximal Humerus Fracture","description":"\u003cp\u003eEnhance the treatment of proximal humerus fractures. This training offers a technical immersion in osteosynthesis with intramedullary nail, presented in 4K video from the surgeon's perspective, emphasizing fragment management and minimally invasive approaches.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eOsteosynthesis of proximal humerus fractures with intramedullary nail.\u003c\/li\u003e\n\u003cli\u003eProximal fragment manipulation technique with \"joystick\" wire.\u003c\/li\u003e\n\u003cli\u003eProximal and distal percutaneous locking.\u003c\/li\u003e\n\u003cli\u003eMinimally invasive approach.\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\u003ePositioning optimization for facilitated access and fluoroscopic visualization.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Guidewire Management: \u003c\/strong\u003eMethodology to valgus the varus proximal fragment and optimize the angle of attack of the intramedullary nail guidewire.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eEnhanced Radiographic Control:\u003c\/strong\u003e Orientation techniques in anteroposterior and profile views for precise wire and nail insertion.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eNon-Cannulated Nail Insertion Technique:\u003c\/strong\u003e Step-by-step approach for medullary canal opening and manual nail introduction under fluoroscopic control.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSystematic Percutaneous Locking:\u003c\/strong\u003e Protocols for safe and effective insertion of proximal and distal locking screws.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eComplication Prevention at Completion: \u003c\/strong\u003eStrategies for guide removal and end cap screw introduction, minimizing complications and the need for access extension.\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 The PDF summarizes the essential procedure steps, including patient positioning, proximal fragment manipulation with the \"joystick\" wire, radiographic control, medullary canal opening, intramedullary nail insertion, proximal and distal percutaneous locking, and completion, highlighting critical points and expected results for proximal humerus fractures with intact humeral head.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your trauma surgery skills. Enroll now and master advanced techniques in proximal humerus fracture treatment.\u003c!-- notionvc: 31b964c0-d66f-4a1c-ad19-69c41a2b2579 --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: dbfae990-fa07-46ac-9fe9-0f458d80c616 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776992186429,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Intramedullary-Nail-for-Proximal-Humerus-Fracture.webp?v=1764858622"},{"product_id":"four-part-proximal-humerus-fracture-deltopectoral-approach","title":"Four-Part Proximal Humerus Fracture (Deltopectoral Approach)","description":"\u003cp\u003eMaster the treatment of complex proximal humerus fractures. This training offers a technical immersion into the osteosynthesis of four-part fractures with valgus-impacted head, presented via a deltopectoral approach and plate and screw fixation.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eOsteosynthesis of four-part proximal humerus fractures.\u003c\/li\u003e\n\u003cli\u003eDeltopectoral approach in shoulder surgery.\u003c\/li\u003e\n\u003cli\u003eAnatomical reduction of humeral fragments.\u003c\/li\u003e\n\u003cli\u003eManagement of avulsed tuberosities.\u003c\/li\u003e\n\u003cli\u003ePlate and screw fixation techniques.\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\u003eOptimized Surgical Exposure:\u003c\/strong\u003e Methodology for safe and efficient deltopectoral access, with digital scanning techniques and arm positioning for ideal surgical field exposure.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Tendon Management:\u003c\/strong\u003e Techniques for identifying and managing the subscapularis and infraspinatus tendons, including specific lassoing and rotations for access and reduction.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eHigh-Precision Anatomical Reduction: \u003c\/strong\u003eSystematic approach to identifying fracture vertices and fitting the triangular fragment, with specific maneuvers for correcting valgus and achieving anatomical position.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStable Plate Fixation:\u003c\/strong\u003e Protocols for positioning the plate lateral to the bicipital groove and screw insertion sequence (oval, calcar, superior), ensuring primary and secondary stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eIntraoperative Radiographic Control:\u003c\/strong\u003e Critical analysis of radiographs to verify plate height, fracture reduction, and screw placement in different views.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eComplication Prevention Techniques: \u003c\/strong\u003eUse of a high-speed burr with low force to avoid articular cartilage perforation and strategies to prevent subacromial impingement.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eTenodesis and Tissue Preservation:\u003c\/strong\u003e Approach for performing long head of biceps tenodesis and techniques for preserving anatomy, including the cephalic vein and musculature.\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 technical document summarizing the key points of the surgical procedure, covering everything from the deltopectoral approach and exposure, tendon management and fragment reduction, to plate and screw fixation technique, biceps tenodesis, and incision closure, with a focus on anatomical preservation and practical outcomes.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in trauma surgery. Enroll now and master the essential techniques for treating complex proximal humerus fractures.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: ebe8bd69-c289-4ee1-b0af-9a7fb40266c3 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776992317501,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Four-Part-Proximal-Humerus-Fracture-Deltopectoral-Approach.webp?v=1764858632"},{"product_id":"proximal-humerus-fracture-with-plate-deltopectoral-approach","title":"Proximal Humerus Fracture with Plate (Deltopectoral Approach)","description":"\u003cp\u003eMaster the treatment of proximal humerus fractures. This training offers a technical immersion in plate osteosynthesis via the deltopectoral approach, presented in 4K video from the surgeon's perspective, addressing management in elderly patients with asymptomatic glenohumeral osteoarthritis.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003ePlate osteosynthesis for proximal humerus fractures.\u003c\/li\u003e\n\u003cli\u003eDeltopectoral approach: demarcation and dissection technique.\u003c\/li\u003e\n\u003cli\u003eManagement of the long head of the biceps and rotator cuff tendons (supraspinatus, subscapularis).\u003c\/li\u003e\n\u003cli\u003eFracture reduction strategies and intraoperative evaluation.\u003c\/li\u003e\n\u003cli\u003ePlate fixation and screw placement.\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\u003eOptimizing patient positioning for arm access and manipulation, including specific positions for access to key structures.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Deltopectoral Dissection:\u003c\/strong\u003e Methodology for demarcation and blunt dissection, identifying muscle fibers and retracting the cephalic vein, minimizing tissue damage.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAdvanced Tendinous Structure Management:\u003c\/strong\u003e Techniques for identifying and tenotomizing the long head of the biceps and pectoralis major, and lassoing with high-strength suture (Mason-Allen) in the supraspinatus and subscapularis for tuberosity control.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eGuided Fracture Reduction:\u003c\/strong\u003e Systematic approach to fracture reduction using arm manipulation and lassoing, with anatomical landmarks such as the bicipital groove and fracture apices for alignment and rotation control.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eEffective Provisional Fixation:\u003c\/strong\u003e Use of Kirschner wire for provisional stabilization outside the plate implantation area.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Plating Technique:\u003c\/strong\u003e Protocols for plate positioning and sequential screw insertion, including the calcar screw as a fundamental guide for alignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSafe Drilling:\u003c\/strong\u003e Drilling methodology with a high-speed, low-force drill bit to prevent transfixion of the articular cartilage.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFixation Augmentation:\u003c\/strong\u003e Performance of long head of biceps tenodesis and use of synthetic bone graft as augmentation for biomechanical support.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed Intraoperative Evaluation:\u003c\/strong\u003e Radiographic analysis for verification of plate height, fracture reduction, and plate centralization, ensuring adequate screw distribution.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eMaterial Included:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e This PDF addresses the surgical treatment of proximal humerus fractures in elderly patients with asymptomatic glenohumeral osteoarthritis, detailing positioning, deltopectoral approach, long head of biceps management, tenotomies, exposure of tuberosities and rotator cuff, fracture reduction, plate and screw fixation, tenodesis, and bone graft.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in trauma surgery. Enroll now and master the techniques in proximal humerus fracture osteosynthesis.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 4abd73de-9f50-4c34-a78c-31d1857bd736 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776992579645,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Proximal-Humerus-Fracture-with-Plate-Deltopectoral-Approach.webp?v=1764858642"},{"product_id":"fracture-of-the-proximal-humerus-in-2-parts-deltopectoral-approach","title":"Fracture of the Proximal Humerus in 2 Parts (Deltopectoral Approach)","description":"\u003cp\u003eMaster the treatment of 2-part proximal humerus fractures. This training offers a technical immersion into the deltopectoral approach for osteosynthesis, presented in 4K video from the surgeon's perspective, detailing each step of the procedure to optimize results.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical dissection and hemostasis in the deltopectoral approach.\u003c\/li\u003e\n\u003cli\u003eIdentification of the deltopectoral interval and neurovascular structures.\u003c\/li\u003e\n\u003cli\u003eBone exposure techniques and retractor positioning.\u003c\/li\u003e\n\u003cli\u003ePectoralis and long head of the biceps tenotomy.\u003c\/li\u003e\n\u003cli\u003eAnatomical reduction of proximal humerus fractures and provisional fixation.\u003c\/li\u003e\n\u003cli\u003eManeuvers for valgus impaction of the humeral head.\u003c\/li\u003e\n\u003cli\u003eDrilling technique and screw measurement for definitive subchondral fixation.\u003c\/li\u003e\n\u003cli\u003eRotator cuff repair 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\u003ePrecise Marking and Incision:\u003c\/strong\u003e Methodology for initial delimitation and skin incision that guides surgical access and facilitates wound closure.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRigorous Hemostasis:\u003c\/strong\u003e Detailed approach to bleeding control, maintaining a clean operative field and optimizing anatomical visualization.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStructural Identification: \u003c\/strong\u003eTechniques for recognizing the deltopectoral interval and preserving the cephalic vein.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Exposure:\u003c\/strong\u003e Strategies for bone exposure and the use of selective tenotomies (pectoralis and long head of the biceps) to facilitate humeral manipulation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRefined Anatomical Reduction:\u003c\/strong\u003e Protocols for cleaning fracture vertices, identifying parameters such as the bicipital groove, and efficient provisional fixation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eVarus Correction: \u003c\/strong\u003eSpecific maneuvers (abduction, high-strength wire traction, thumb pressure, and inverted condylar clamp) for valgus impaction of the humeral head.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSecure Subchondral Fixation:\u003c\/strong\u003e Drilling methodology with sensitivity for precise screw positioning in the subchondral bone, without perforating the cartilage, with initial insertion of calcar screws.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePostoperative Stability:\u003c\/strong\u003e Demonstration of rotator cuff repair to the plate for additional stabilization, especially in osteoporotic bone, and management of the long head of the biceps.\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 The attached PDF offers a practical and objective summary of the surgical procedure covered in the training, encompassing preparation, access, exposure, reduction, provisional fixation, valgus impaction, definitive fixation, repair, and closure, highlighting key points of each step for quick review and reference.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in shoulder trauma surgery. Enroll now and master the essential techniques in the approach to proximal humerus fractures.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 484bf568-6bbe-420b-b2cf-1aff6e55d23d --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776992710717,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Fracture-of-the-Proximal-Humerus-in-2-Parts-Deltopectoral-Approach.webp?v=1764858654"}],"url":"https:\/\/www.surgie.com\/collections\/orthopedics\/custom-sub_especialidade-hand.oembed","provider":"Surgie","version":"1.0","type":"link"}