{"title":"Ankle","description":null,"products":[{"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. 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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. 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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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Enroll now and enhance your skills with the posterior plate technique.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 76c8e013-0b43-4563-bb54-ed576bfc5d83 --\u003e\u003c!-- notionvc: 76c8e013-0b43-4563-bb54-ed576bfc5d83 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776987533373,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Lateral-Malleolus-Fracture-with-Posterior-Plate.webp?v=1764858450"},{"product_id":"multi-fragmentary-tibial-pilon-fracture-high-energy-trauma","title":"Multifragmentary Tibial Pilon Fracture (High-Energy Trauma)","description":"\u003cp\u003eThe treatment of high-energy, multi-fragmentary tibial pilon fractures represents a significant technical challenge for orthopedic surgeons. 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It includes surgical planning focused on the fibula, posteromedial fragment, and anterior impaction, with a description of minimally invasive approaches, fixation techniques, medial plating, and periosteal closure for plate protection and vascularity maintenance.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your expertise in trauma surgery. Enroll now and master effective strategies in the treatment of multi-fragmentary tibial pilon fractures.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 73b1585c-cf6b-4b52-90cd-3f8fa6dba855 --\u003e\u003c!-- notionvc: 73b1585c-cf6b-4b52-90cd-3f8fa6dba855 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776987729981,"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-Tibial-Pilon-Fracture-High-Energy-Trauma.webp?v=1764858459"},{"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"},{"product_id":"tibial-pilon-case-2-posteromedial-lateral-approach","title":"TIBIAL PILON [Case 2] · Posteromedial + Lateral Approach","description":"\u003cp\u003eTreatment of tibial pilon fractures requires precise three-dimensional planning, anatomical joint restoration, and stable fixation strategies in multiple fragments.\u003c\/p\u003e\n\u003cp\u003eThis training presents the complete management of a complex tibial pilon fracture using a posteromedial approach combined with lateral access, with osteosynthesis based on indirect reduction, posterior and medial support plates, as well as anteroposterior percutaneous fixation, all demonstrated in detail from a surgical perspective.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTRAINING FOCUS\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eCT planning and three-dimensional reconstruction.\u003c\/li\u003e\n\u003cli\u003ePosteromedial approach to the distal tibia.\u003c\/li\u003e\n\u003cli\u003eManagement of posteromedial shear of the tibial pilon.\u003c\/li\u003e\n\u003cli\u003eAnatomical preservation of the posterior tibial tendon and neurovascular bundle.\u003c\/li\u003e\n\u003cli\u003ePosterior fixation with titanium plate.\u003c\/li\u003e\n\u003cli\u003eReduction strategies through the implant.\u003c\/li\u003e\n\u003cli\u003ePercutaneous fixation of the posterior malleolus.\u003c\/li\u003e\n\u003cli\u003eLateral approach to the distal fibula.\u003c\/li\u003e\n\u003cli\u003eManagement of segmental fractures and rotated fragments.\u003c\/li\u003e\n\u003cli\u003eAlignment correction and restoration of the physiological valgus of the fibula.\u003c\/li\u003e\n\u003cli\u003eThree-dimensional fixation in complex articular fractures.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDETAILED CONTENT\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eStructured CT Planning: Axial interpretation and 3D reconstruction for defining surgical sequence and identifying key fragments.\u003c\/li\u003e\n\u003cli\u003eAnatomical Posteromedial Approach: Access technique with preservation of the posterior tibial tendon, flexor retinaculum, and superficial venous structures.\u003c\/li\u003e\n\u003cli\u003eProtection of the Saphenous Vein and Soft Tissues: Blunt dissection strategies and tissue preservation aimed at reducing postoperative edema.\u003c\/li\u003e\n\u003cli\u003eImplant-Guided Reduction: Practical application of reduction through the plate and cortical screw positioned over the shear apex.\u003c\/li\u003e\n\u003cli\u003ePosterior Fixation of the Tibial Pilon: Placement of posteromedial plate and three-dimensional stabilization of articular fragments.\u003c\/li\u003e\n\u003cli\u003eThree-Dimensional Reduction Control: Methods of deep palpation and fine adjustment of reduction to avoid hidden incongruities.\u003c\/li\u003e\n\u003cli\u003eAnteroposterior Percutaneous Fixation: Minimally invasive technique for simultaneous stabilization of the posterior malleolus and anterolateral fragment.\u003c\/li\u003e\n\u003cli\u003eStrategies for Complex Fibular Fractures: Management of rotated segmental fragments and intraoperative adaptation of fixation tactics.\u003c\/li\u003e\n\u003cli\u003eCorrection of Varus and Recovery of Physiological Valgus: Progressive adjustments of plates and screws for restoration of the anatomical axis.\u003c\/li\u003e\n\u003cli\u003eAnatomical Layered Closure: Muscle preservation and tissue reconstruction with reduced surgical aggression.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eINCLUDED MATERIAL\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e The PDF presents complete CT planning of the fracture, analysis of articular fragments, strategic sequence of surgical approaches, implant positioning, biomechanical principles used in tibial pilon reduction, and discussion of intraoperative decisions related to posteromedial fixation, percutaneous stabilization, and distal fibula reconstruction.\u003c\/p\u003e\n\u003cp\u003eDeepen your decision-making in complex ankle articular fractures and master tibial pilon fixation strategies with dual approach and three-dimensional stabilization.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 7982a812-7715-49e6-b7cc-78b28960a59d --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320158257213,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/PILAOTIBIALCaso2_AbordagemPostero-Medial_Lateral.webp?v=1783098815"},{"product_id":"trimalleolar-case-03-posterolateral-approach-antegrade-medial-malleolus-fixation","title":"TRIMALLEOLAR [CASE 03] POSTEROLATERAL APPROACH + ANTEGRADE MEDIAL MALLEOLUS FIXATION","description":"\u003cp\u003eThis educational case presents the surgical management of a trimalleolar ankle fracture with a distinctive inverted oblique fracture line of the medial malleolus. The case emphasizes procedural reasoning rather than prescriptive technique, highlighting how fracture morphology can influence positioning, surgical approach, reduction strategy, and implant selection.\u003c\/p\u003e\n\u003cp\u003eThe lesson follows the sequence of lateral malleolus exposure through a posterolateral approach, assessment of a long oblique fibular fracture, indirect reduction using plate-assisted mechanics, fixation of the posterior malleolar fragment, conversion of patient positioning for medial access, and intraoperative decision-making for a small distal medial malleolar fragment with an atypical obliquity.\u003c\/p\u003e\n\u003cp\u003eParticular attention is given to anatomical landmarks around the ankle, including the peroneal tendons, Achilles tendon interval, syndesmotic structures, posterior malleolus, medial malleolus, periosteal handling, and articular reference points used during reduction. The case also illustrates how preoperative imaging and intraoperative findings may require adaptation of the fixation plan, especially when conventional retrograde screw trajectories are not ideal for the fracture pattern.\u003c\/p\u003e\n\u003ch2\u003eINCLUDED CONTENT\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eCase-based surgical walkthrough\u003c\/li\u003e\n\u003cli\u003eDiscussion of preoperative fracture pattern assessment\u003c\/li\u003e\n\u003cli\u003ePosterolateral approach considerations for the ankle\u003c\/li\u003e\n\u003cli\u003eLateral malleolus reduction and fixation reasoning\u003c\/li\u003e\n\u003cli\u003ePosterior malleolus fixation concept\u003c\/li\u003e\n\u003cli\u003eMedial malleolus exposure and fragment evaluation\u003c\/li\u003e\n\u003cli\u003eDiscussion of atypical screw trajectory selection\u003c\/li\u003e\n\u003cli\u003eAnatomy-focused procedural commentary\u003c\/li\u003e\n\u003cli\u003eFluoroscopy-based reduction assessment concepts\u003c\/li\u003e\n\u003cli\u003eEducational review points for orthopedic trauma learners\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eTARGET AUDIENCE\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eOrthopedic trauma surgeons\u003c\/li\u003e\n\u003cli\u003eOrthopedic surgery residents and fellows\u003c\/li\u003e\n\u003cli\u003eFoot and ankle surgery trainees\u003c\/li\u003e\n\u003cli\u003eMedical students with interest in musculoskeletal trauma\u003c\/li\u003e\n\u003cli\u003eOperating room professionals involved in orthopedic trauma education\u003c\/li\u003e\n\u003cli\u003eMedical educators developing procedural anatomy content\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eEDUCATIONAL NOTICE\u003c\/h2\u003e\n\u003cp\u003eThis content is intended for medical and procedural education only. It does not replace formal surgical training, institutional protocols, specialist supervision, or individualized clinical judgment. No clinical outcome is promised or implied. All procedural content should be reviewed by qualified medical professionals before educational or clinical use.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 369e401e-a10d-4897-a30f-d668bbc3a9b7 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43388150022205,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/TRIMALEOLARCaso3_57ad42c9-cd26-4eb7-bba3-5507cfcdfea5.webp?v=1785335252"}],"url":"https:\/\/www.surgie.com\/fr\/collections\/custom-sub_especialidade-ankle\/free-surgical-videos-online-watch-medical-procedures.oembed","provider":"Surgie","version":"1.0","type":"link"}