Overcome the challenges in treating transtrochanteric fractures. This training offers a technical immersion in intramedullary nailing osteosynthesis, detailing the methodology of this procedure without the use of a traction table, presented from a high-resolution surgical perspective.

Training Focus:

• Treatment of transtrochanteric fractures with intramedullary nail.
• Osteosynthesis technique without the use of a traction table.
• Minimally invasive approach for reduction and fixation.
• Intraoperative management for fixation optimization.

Detailed Content:

• Strategic Patient Positioning: Methodology for safe positioning without a traction table, optimizing limb manipulation.
• Minimally Invasive Surgical Access: Protocol for a 3-5 cm incision and controlled dissection, minimizing tissue trauma and bleeding.
• Precise Guide Wire Insertion: Adduction and angulation technique for central guide wire positioning in the medullary canal, confirmed by fluoroscopy in AP and lateral views.
• Controlled Medullary Canal Opening: Strategies for using the soft tissue protector and initial reamer, preserving the lateral cortex and adjacent structures.
• Fracture Reduction Assisted by the Nail: Methodology for utilizing the nail's curvature and traction/manipulation maneuvers to achieve anatomical reduction without a traction table.
• Sliding Screw Insertion Technique: Approach for creating a safe path with Metzenbaum scissors, avoiding muscle injury, and details for guide wire and screw positioning.
• Prevention of Distal Locking Failures: Guidelines for correct drilling and insertion of the distal locking screw, ensuring rotational and axial stability.
• Optimized Functional and Aesthetic Results: Demonstration of satisfactory reduction, alignment, and component positioning, allowing immediate full weight-bearing and minimizing aesthetic impact.

Included Material:

• Detailed PDF: 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.

Enhance 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.