{"title":"Knee","description":null,"products":[{"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":"patella-case-2-cannulated-screws-cerclage","title":"PATELLA [Case 2] · Cannulated Screws + Cerclage","description":"\u003cp\u003eDisplaced patellar fractures associated with joint stiffness, preexisting deformity, and poor bone quality represent a significant technical challenge, particularly in achieving and maintaining reduction.\u003c\/p\u003e\n\u003cp\u003eThis training presents, in 4K video under a surgical perspective, a systematized approach to patellar osteosynthesis using cannulated screws associated with cerclage, focused on restoration of the extensor mechanism even in highly complex scenarios.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eOsteosynthesis of displaced patellar fractures\u003c\/li\u003e\n\u003cli\u003eDifficult reduction in a knee with flexion stiffness\u003c\/li\u003e\n\u003cli\u003eUse of cannulated screws associated with cerclage\u003c\/li\u003e\n\u003cli\u003eStrategies for associated longitudinal fractures\u003c\/li\u003e\n\u003cli\u003ePreservation of the extensor mechanism\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 Anatomic Planning:\u003c\/strong\u003e Careful identification of fracture lines, bony interdigitations, and areas of greater bone mass to safely define implant positioning.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSelective Periosteal Dissection:\u003c\/strong\u003e Technique limited to the fracture line, preserving bone vascularity and favoring consolidation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eProgressive Reduction in High-Tension Situations:\u003c\/strong\u003e Manual and clamp-assisted strategies to overcome muscular contractures and joint stiffness without generating secondary fractures.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStrategic Use of Temporary Crossed Wires:\u003c\/strong\u003e Maintenance of reduction in scenarios where immediate definitive fixation is not possible.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Sequence of Cannulated Screws:\u003c\/strong\u003e Homogeneous compression through alternating tightening and prevention of opening of longitudinal fracture lines.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eManagement of Associated Longitudinal Fractures:\u003c\/strong\u003e Complementary fixation with transverse screws for structural protection of the patella.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eGuided Cerclage Closely Applied to Bone:\u003c\/strong\u003e Technique of passage through the cannulated screws, avoiding interposition of soft tissues.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eControlled Knot Tying and Knot Positioning:\u003c\/strong\u003e Strategies to minimize anterior prominence and reduce the future need for implant removal.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFunctional Preservation of the Extensor Mechanism:\u003c\/strong\u003e Planned longitudinal incisions in the quadriceps tendon to accommodate the cerclage without functional impairment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eIntraoperative Technical Analysis:\u003c\/strong\u003e Detailed commentary on surgical decisions, encountered difficulties, and adopted solutions.\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\u003c\/p\u003e\n\u003cp\u003eTechnical document with a structured summary of the step-by-step surgical procedure, biomechanical principles of patellar osteosynthesis, indications for the implants used, strategies for difficult reduction, prevention of complications, and critical points for preservation of the extensor mechanism.\u003c\/p\u003e\n\u003cp\u003eEnhance your decision-making and execution in complex patellar fractures. Enroll and incorporate a systematized technical approach into your surgical practice.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: db2f077e-f248-41b9-90ee-1e339930c9d4 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320157634621,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/PATELACase2_ParafusosCanulados_Cerclagem.webp?v=1783098784"},{"product_id":"tibial-plateau-case-03-posterolateral-depression","title":"TIBIAL PLATEAU [CASE 03] Posterolateral Depression","description":"\u003cp\u003eThis orthopedic trauma learning case reviews the surgical management principles for a posterolateral depression fracture of the tibial plateau. The lesson emphasizes anatomical exposure of the lateral knee, use of limb positioning and varus stress to improve visualization, careful preservation and retraction of the meniscus, direct assessment of the articular depression, and reduction with subchondral support. The case also discusses decision-making around alternative approaches, including why a posterolateral approach or fibular osteotomy may be avoided in selected scenarios. Learners follow the sequence from incision planning and soft-tissue handling to elevation of the depressed fragment, bone void filling, fluoroscopic assessment, and screw placement using a subchondral support or 'jail' configuration. The content is intended for procedural education and anatomical reasoning, not as a substitute for supervised surgical training or clinical judgment.\u003c\/p\u003e\n\u003ch2\u003eINCLUDED CONTENT\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eCase-based surgical anatomy review of the knee and tibial plateau\u003c\/li\u003e\n\u003cli\u003eDiscussion of posterolateral depression fracture morphology\u003c\/li\u003e\n\u003cli\u003ePositioning strategy for varus-assisted lateral exposure\u003c\/li\u003e\n\u003cli\u003eStepwise lateral approach with preservation of the tibialis anterior muscle\u003c\/li\u003e\n\u003cli\u003eMeniscal elevation, protection, and repair technique concepts\u003c\/li\u003e\n\u003cli\u003eArticular depression elevation using an osteotome\u003c\/li\u003e\n\u003cli\u003eUse of fluoroscopy to assess reduction and implant position\u003c\/li\u003e\n\u003cli\u003eBone void filling with structural granular graft material\u003c\/li\u003e\n\u003cli\u003eSubchondral screw support strategy using crossed screw configuration\u003c\/li\u003e\n\u003cli\u003eFinal construct review and closure sequence\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\u003eTrauma and reconstruction fellows\u003c\/li\u003e\n\u003cli\u003eMedical educators in musculoskeletal trauma\u003c\/li\u003e\n\u003cli\u003eAdvanced learners studying periarticular fracture fixation\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eEDUCATIONAL NOTICE\u003c\/h2\u003e\n\u003cp\u003eThis content is intended for medical education and procedural discussion only. It does not provide patient-specific medical advice, does not replace formal surgical training, and should not be used as a standalone guide for clinical care. All procedural decisions require appropriate patient evaluation, institutional standards, supervision when applicable, and review by qualified medical professionals.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 476e3d4d-33d1-4424-ba80-542e5c0c329d --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43379378683965,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/PLANALTOTIBIALCaso3.webp?v=1784658898"}],"url":"https:\/\/www.surgie.com\/fr\/collections\/custom-sub_especialidade-knee\/orthopedics.oembed","provider":"Surgie","version":"1.0","type":"link"}