{"product_id":"intramedullary-nail-for-proximal-humerus","title":"Intramedullary Nail for Proximal Humerus","description":"\u003cp\u003eProximal humerus fractures in elderly patients require effective stabilization with minimal tissue aggression. This training presents a surgical approach using a long intramedullary nail, guided by fluoroscopy, which preserves the rotator cuff and ensures secure fixation. The technique is demonstrated step by step from a surgical perspective, focusing on anatomical and biomechanical precision.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical positioning for exposure of the proximal humerus.\u003c\/li\u003e\n\u003cli\u003eAnatomical marking and insertion of the guide wire with radiographic control.\u003c\/li\u003e\n\u003cli\u003eMuscle dissection and preservation of the rotator cuff.\u003c\/li\u003e\n\u003cli\u003eManipulation with Kirschner wire used as a joystick.\u003c\/li\u003e\n\u003cli\u003eInsertion of a long intramedullary nail with proximal and distal locking.\u003c\/li\u003e\n\u003cli\u003eAnatomical repair of the rotator cuff with absorbable sutures.\u003c\/li\u003e\n\u003cli\u003eFluoroscopic control in multiple projections.\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\u003eOptimized Exposure of the Proximal Humerus:\u003c\/strong\u003e Positioning technique with elevated headboard for efficient anatomical access.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Radiographic Marking:\u003c\/strong\u003e Use of Kirschner wire and dermography for sagittal alignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMuscular and Tendinous Preservation:\u003c\/strong\u003e Respectful dissection of deltoid fibers and controlled tenotomy of the cuff.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eJoystick for Humeral Head Alignment:\u003c\/strong\u003e Safe manipulation for correction of angulation and centralization of the entry point.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStable Intramedullary Fixation:\u003c\/strong\u003e Insertion of a long nail with multiple locking screws, including metaphyseal.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRigorous Fluoroscopic Control:\u003c\/strong\u003e Anteroposterior and lateral images to ensure parallelism and implant precision.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAnatomical Repair of the Cuff:\u003c\/strong\u003e Absorbable sutures previously positioned for functional closure.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSystematized Surgical Sequence:\u003c\/strong\u003e Practical step-by-step for direct application in the operating room.\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\u003eThe complementary material presents the complete surgical protocol, including radiographic images, detailed operative sequence, rotator cuff care, strategic positioning of the image intensifier, and techniques for distal locking. Recommended for quick consultation and preoperative review.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 68241cb5-61b3-41f4-8290-66fa954fbbef --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776996773949,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/HASTEINTRAMEDULARPARAUMEROPROXIMAL_939ee2a5-153e-4a1a-81e6-5ec8c2dd3f45.webp?v=1764858780","url":"https:\/\/www.surgie.com\/fr\/products\/intramedullary-nail-for-proximal-humerus","provider":"Surgie","version":"1.0","type":"link"}