{"title":"Tibia","description":null,"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":"intramedullary-tibial-nailing-infra-patellar-approach","title":"Intramedullary Tibial Nailing – Infra-patellar Approach","description":"\u003cp\u003eThe stabilization of tibial shaft fractures requires precision in the entry portal, axial alignment, and soft tissue protection. This training presents, in an objective and practical manner, the technique for intramedullary nail implantation via the infrapatellar route, with a detailed demonstration of the surgical steps, radiographic control, and minimally invasive execution from a technical perspective.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eStrategic patient positioning for ideal knee flexion;\u003c\/li\u003e\n\u003cli\u003eAnatomical marking and precise definition of the tibial axis;\u003c\/li\u003e\n\u003cli\u003eInfrapatellar access with preservation of the paratenon and patellar tendon;\u003c\/li\u003e\n\u003cli\u003eSafe introduction of the guide wire and olivary wire with radiographic control;\u003c\/li\u003e\n\u003cli\u003eProtection of soft tissues during drilling and reaming;\u003c\/li\u003e\n\u003cli\u003eCorrect measurement and adequate reaming of the medullary canal;\u003c\/li\u003e\n\u003cli\u003eInsertion of the intramedullary nail and positioning check;\u003c\/li\u003e\n\u003cli\u003eProximal and distal locking with a minimally invasive approach;\u003c\/li\u003e\n\u003cli\u003eAnatomical closure and postoperative evaluation.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eOptimized Patient Positioning: Strategies to obtain adequate knee flexion, facilitating alignment and access to the entry portal;\u003c\/li\u003e\n\u003cli\u003ePrecise Anatomical Reference: Marking techniques with a dermographic pen and Kirschner wire to ensure anteroposterior and lateral alignment;\u003c\/li\u003e\n\u003cli\u003eSafe Infrapatellar Access: Linear incision with preservation of the paratenon and patellar tendon, allowing for anatomical closure and lower morbidity;\u003c\/li\u003e\n\u003cli\u003eEfficient Radiographic Control: Methods to avoid posterior directioning of the guide wire and ensure centering of the olivary wire;\u003c\/li\u003e\n\u003cli\u003eTissue Protection During Drilling: Proper use of the soft tissue protector to avoid tendon and anterior cortical injuries;\u003c\/li\u003e\n\u003cli\u003ePrecise Reaming of the Medullary Canal: Parameters for choosing the ideal diameter and preparing the canal without risk of fissures;\u003c\/li\u003e\n\u003cli\u003eNail Insertion with Stability: Techniques to avoid prominence, ensure proper advancement, and minimize trauma during olivary wire removal;\u003c\/li\u003e\n\u003cli\u003eMinimally Invasive Proximal and Distal Locking: Execution of cross and distal locking with small portals and image intensifier control;\u003c\/li\u003e\n\u003cli\u003ePost-Implant Evaluation: Criteria to confirm stability, alignment, and absence of nail prominence.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eDetailed PDF with technical sequence, anatomical references, reaming parameters, and soft tissue care.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eElevate your precision in tibial osteosynthesis. Enroll now and improve your execution of the infrapatellar technique with safety and efficiency.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: bb5cba8b-de8c-4208-9c6c-de8a237079fb --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320157339709,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Haste_Intramedular_Da_T_C3_ADbia_-_Abordagem_Infra-Patelar_result.webp?v=1783098772"}],"url":"https:\/\/www.surgie.com\/es\/collections\/custom-sub_especialidade-tibia\/paid-videos.oembed","provider":"Surgie","version":"1.0","type":"link"}