{"product_id":"trimalleolar-fracture-lateral-decubitus-approach","title":"Trimalleolar Fracture – Lateral Decubitus Approach","description":"\u003cp data-start=\"0\" data-end=\"366\"\u003eTrimalleolar fractures represent a challenge due to the anatomical complexity and the need for complete joint stability. This training shows, in 4K video from the surgeon’s perspective, the systematic approach to reduction and fixation of the three malleoli, ensuring 360° stability and functional recovery.\u003c\/p\u003e\n\u003cp data-start=\"368\" data-end=\"748\"\u003e\u003cstrong data-start=\"368\" data-end=\"387\"\u003eTraining Focus:\u003c\/strong\u003e\u003cbr data-start=\"387\" data-end=\"390\"\u003e· Strategic positioning in lateral and dorsal decubitus.\u003cbr data-start=\"446\" data-end=\"449\"\u003e· Postero-lateral approach to the fibula and posterior malleolus.\u003cbr data-start=\"514\" data-end=\"517\"\u003e· Fixation of the lateral malleolus with a low-profile locking plate.\u003cbr data-start=\"586\" data-end=\"589\"\u003e· Indirect reduction and fixation of the posterior malleolus with a contoured plate.\u003cbr data-start=\"673\" data-end=\"676\"\u003e· Medial approach with joystick wire and cannulated screw with washer.\u003c\/p\u003e\n\u003cp data-start=\"750\" data-end=\"1572\"\u003e\u003cstrong data-start=\"750\" data-end=\"771\"\u003eDetailed Content:\u003c\/strong\u003e\u003cbr data-start=\"771\" data-end=\"774\"\u003e· \u003cstrong data-start=\"776\" data-end=\"815\"\u003eAnatomical Reduction of the Fibula:\u003c\/strong\u003e Use of fragmentary vertices and pointed reduction clamp to restore length.\u003cbr data-start=\"890\" data-end=\"893\"\u003e· \u003cstrong data-start=\"895\" data-end=\"922\"\u003eSecure Fibula Fixation:\u003c\/strong\u003e Plate aligned with the shear vector, ensuring compression and stability.\u003cbr data-start=\"995\" data-end=\"998\"\u003e· \u003cstrong data-start=\"1000\" data-end=\"1039\"\u003ePosterior Anti-Shear Stabilization:\u003c\/strong\u003e Technique with key screw and controlled dorsiflexion.\u003cbr data-start=\"1093\" data-end=\"1096\"\u003e· \u003cstrong data-start=\"1098\" data-end=\"1122\"\u003eLow-Profile Implant:\u003c\/strong\u003e Minimizes soft tissue irritation and preserves vascularization.\u003cbr data-start=\"1186\" data-end=\"1189\"\u003e· \u003cstrong data-start=\"1191\" data-end=\"1219\"\u003eBiological Preservation:\u003c\/strong\u003e Minimal periosteal stripping and careful dissection.\u003cbr data-start=\"1272\" data-end=\"1275\"\u003e· \u003cstrong data-start=\"1277\" data-end=\"1305\"\u003ePrecise Medial Fixation:\u003c\/strong\u003e Use of joystick wire for rotational control and cannulated screw with washer for final compression.\u003cbr data-start=\"1405\" data-end=\"1408\"\u003e· \u003cstrong data-start=\"1410\" data-end=\"1435\"\u003eRadiographic Control:\u003c\/strong\u003e Intraoperative check with image intensifier.\u003cbr data-start=\"1480\" data-end=\"1483\"\u003e· \u003cstrong data-start=\"1485\" data-end=\"1513\"\u003eSafe Decubitus Sequence:\u003c\/strong\u003e Lateral-to-dorsal conversion without contamination risk.\u003c\/p\u003e\n\u003cp data-start=\"1574\" data-end=\"1841\"\u003e\u003cstrong data-start=\"1574\" data-end=\"1596\"\u003eIncluded Material:\u003c\/strong\u003e\u003cbr data-start=\"1596\" data-end=\"1599\"\u003e\u003cstrong data-start=\"1599\" data-end=\"1616\"\u003eDetailed PDF:\u003c\/strong\u003e Contains objective description of the technique, positioning sequence, approaches and fixations, as well as practical protocols for tissue preservation, use of low-profile implants, and strategies for 360° joint stability.\u003c\/p\u003e\n\u003cp data-start=\"1843\" data-end=\"2006\" data-is-last-node=\"\" data-is-only-node=\"\"\u003eEnhance your precision in trimalleolar fracture fixation. Enroll now and master the combined approach techniques for the lateral, posterior, and medial malleoli.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 18fc50a3-25ba-4398-9149-5aee0d95a2b5 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776994185277,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/54_bbc0fde6-fbab-45fe-ac9e-22631bd58b05.webp?v=1764858710","url":"https:\/\/www.surgie.com\/es\/products\/trimalleolar-fracture-lateral-decubitus-approach","provider":"Surgie","version":"1.0","type":"link"}