{"title":"Pelvic Ring","description":null,"products":[{"product_id":"pelvic-open-book-fixation","title":"Open Book Pelvic Ring Injury (Pubic Symphysis Dislocation)","description":"\u003cdiv style=\"mso-element: para-border-div; border: none black 1.0pt; mso-border-alt: none black 0cm; padding: 0cm 0cm 0cm 0cm;\"\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eMaster the surgical treatment of \"open book\" type pelvic ring injury, an opening of the pubic symphysis. This training offers practical immersion in reduction and anterior fixation, covering everything from patient positioning and surgical access, with attention to the bladder, to the use of temporary screws for controlled reduction and the application of plates for definitive fixation, aiming for pelvic ring stability and early rehabilitation. \u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eTreatment of \"open book\" pelvic ring injury (pubic symphysis dislocation). \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eReduction and anterior fixation of the pubic symphysis. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eSurgical access with bladder protection. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eUse of temporary screws for controlled reduction. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eApplication of plates for definitive fixation. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003ePelvic ring stability and early rehabilitation. \u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003ePositioning and Access: \u003c\/strong\u003ePosition the patient in dorsal decubitus for free access of the image intensifier. Perform an incision approximately 2 cm superior to the pubic symphysis, exposing the rectus femoris fascia and the linea alba. Make a longitudinal incision in the linea alba and locate the pubic tubercle. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003eExposure and Preparation:\u003c\/strong\u003e Protect the bladder (previously emptied) with a malleable retractor. Dissect the periosteum of the symphysis to create space for the plate. Identify the symphysis opening and, if necessary, clean any fibrosis. Position a Hohmann retractor in the obturator foramen for exposure. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003eProvisional Reduction:\u003c\/strong\u003e Use temporary screws, one on each side of the symphysis, inserted from anterior to posterior with precise measurement. Employ a specific clamp coupled to these screws for reduction and adjustment, visually controlling shear and opening. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003eDefinitive Fixation:\u003c\/strong\u003e With reduction maintained, use a specific plate for the symphysis with screw insertion at a 30-degree angle. If non-locked screws are not firm, add a second locked plate anteriorly for greater stability. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003eClosure and Verification: \u003c\/strong\u003eDo not approach the sacroiliac joint if the posterior ligaments are intact.\u003cspan style=\"mso-spacerun: yes;\"\u003e  \u003c\/span\u003eReinsert the rectus abdominis tendon and close the linea alba to prevent herniation. Continuously protect the bladder. Close the skin guided by dermographic markings for aesthetics. \u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003e\u003cstrong\u003eDetailed PDF\u003c\/strong\u003e: Covers patient positioning, surgical access, exposure of the pubic symphysis, provisional reduction with screws and specific clamp, definitive fixation with plates, verification of posterior stability, and closure. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eAlso includes a practical summary of the procedure with key points. \u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan style=\"mso-ansi-language: EN-US;\" lang=\"EN-US\"\u003eEnhance your skills in pelvic surgery. Enroll now and master the techniques for reduction and anterior fixation of the pubic symphysis, ensuring pelvic ring stability and early rehabilitation for your patients. \u003c\/span\u003e\u003c\/p\u003e\n\u003c\/div\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776980717629,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Open-Book-Pelvic-Ring-Injury-Pubic-Symphysis-Dislocation.webp?v=1764858241"}],"url":"https:\/\/www.surgie.com\/fr\/collections\/custom-sub_especialidade-pelvic-ring\/custom-channel-reconstrucao-ossea.oembed","provider":"Surgie","version":"1.0","type":"link"}