{"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","url":"https:\/\/www.surgie.com\/fr\/products\/tibial-pilon-case-2-posteromedial-lateral-approach","provider":"Surgie","version":"1.0","type":"link"}