{"product_id":"multifragmentary-distal-radius-fracture-volar-approach","title":"Multifragmentary Distal Radius Fracture (Volar Approach)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the surgical treatment of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e distal radius fractures with this training focused on the volar approach. The procedure aims to restore radial length and articular congruity, using a combination of manual traction, provisional percutaneous fixation, and a fixation strategy with a volar plate and screws of different lengths to stabilize the multiple fragments, including the dorsal component, without the need for an additional dorsal approach.\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\n\u003cspan class=\"cf0\"\u003eTreatment of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e distal radius fractures.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eVolar approach for reduction and fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eStrategies to restore radial length and articular congruity.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eFixation with a volar plate and screws of different lengths.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eStabilization of the dorsal component without additional access.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eAssessment and Provisional Reduction:\u003c\/strong\u003e The training covers the analysis of images of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e distal radius fractures and reduction by manual traction (ligamentotaxis). It includes provisional percutaneous fixation with K-wires in the radial styloid and Lister's tubercle for fragment stabilization.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eVolar Surgical Approach: \u003c\/strong\u003eDetails of the incision, coagulation, and dissection of tissue planes. It teaches how to retract tendons (flexor pollicis longus and flexor carpi radialis \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eulnarly\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e) and protect the radial artery radially for a wide approach. The fascia is incised linearly.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eExposure of the Pronator Quadratus:\u003c\/strong\u003e The course covers the identification of the pronator quadratus and how to position retractors. A needle delineates the articular margin. Access to the pronator quadratus is made in an L-shape, with subperiosteal elevation to expose the fracture lines, observing the already reduced volar surface.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf0\"\u003e\u003cstrong\u003ePreparation and Volar Fixation:\u003c\/strong\u003e Retractors are exchanged, fracture vertices are cleaned, and the plate is introduced respecting the articular margin. It begins with a cortical screw in the oval hole for compression. Short screws are used to fix the volar fragment, and with digital maneuvers, long screws stabilize the dorsal surface without the need for another approach. The short screws are exchanged for long ones (18\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e–20 mm), including the styloid, completing the osteosynthesis in the remaining holes.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eClosure and Final Results:\u003c\/strong\u003e The pronator quadratus is sutured in a straight fashion. The reduction is satisfactory, with radial anatomy close to normal. Skin closure is performed for a satisfactory outcome.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Covers provisional fixation, volar surgical approach, radius exposure and plate implantation, and closure and final results. It also includes a practical summary of the procedure with key points.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your wrist surgery skills. Enroll now and master the techniques for treating \u003c\/span\u003e\u003cspan class=\"cf0\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e distal radius fractures, ensuring functional restoration and stability for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776984715325,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Multifragmentary-Distal-Radius-Fracture-Volar-Approach.webp?v=1764858281","url":"https:\/\/www.surgie.com\/fr\/products\/multifragmentary-distal-radius-fracture-volar-approach","provider":"Surgie","version":"1.0","type":"link"}