{"product_id":"intramedullary-tibial-nailing-infra-patellar-approach","title":"Intramedullary Tibial Nailing – Infra-patellar Approach","description":"\u003cp\u003eThe stabilization of tibial shaft fractures requires precision in the entry portal, axial alignment, and soft tissue protection. This training presents, in an objective and practical manner, the technique for intramedullary nail implantation via the infrapatellar route, with a detailed demonstration of the surgical steps, radiographic control, and minimally invasive execution from a technical perspective.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eStrategic patient positioning for ideal knee flexion;\u003c\/li\u003e\n\u003cli\u003eAnatomical marking and precise definition of the tibial axis;\u003c\/li\u003e\n\u003cli\u003eInfrapatellar access with preservation of the paratenon and patellar tendon;\u003c\/li\u003e\n\u003cli\u003eSafe introduction of the guide wire and olivary wire with radiographic control;\u003c\/li\u003e\n\u003cli\u003eProtection of soft tissues during drilling and reaming;\u003c\/li\u003e\n\u003cli\u003eCorrect measurement and adequate reaming of the medullary canal;\u003c\/li\u003e\n\u003cli\u003eInsertion of the intramedullary nail and positioning check;\u003c\/li\u003e\n\u003cli\u003eProximal and distal locking with a minimally invasive approach;\u003c\/li\u003e\n\u003cli\u003eAnatomical closure and postoperative evaluation.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eOptimized Patient Positioning: Strategies to obtain adequate knee flexion, facilitating alignment and access to the entry portal;\u003c\/li\u003e\n\u003cli\u003ePrecise Anatomical Reference: Marking techniques with a dermographic pen and Kirschner wire to ensure anteroposterior and lateral alignment;\u003c\/li\u003e\n\u003cli\u003eSafe Infrapatellar Access: Linear incision with preservation of the paratenon and patellar tendon, allowing for anatomical closure and lower morbidity;\u003c\/li\u003e\n\u003cli\u003eEfficient Radiographic Control: Methods to avoid posterior directioning of the guide wire and ensure centering of the olivary wire;\u003c\/li\u003e\n\u003cli\u003eTissue Protection During Drilling: Proper use of the soft tissue protector to avoid tendon and anterior cortical injuries;\u003c\/li\u003e\n\u003cli\u003ePrecise Reaming of the Medullary Canal: Parameters for choosing the ideal diameter and preparing the canal without risk of fissures;\u003c\/li\u003e\n\u003cli\u003eNail Insertion with Stability: Techniques to avoid prominence, ensure proper advancement, and minimize trauma during olivary wire removal;\u003c\/li\u003e\n\u003cli\u003eMinimally Invasive Proximal and Distal Locking: Execution of cross and distal locking with small portals and image intensifier control;\u003c\/li\u003e\n\u003cli\u003ePost-Implant Evaluation: Criteria to confirm stability, alignment, and absence of nail prominence.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eDetailed PDF with technical sequence, anatomical references, reaming parameters, and soft tissue care.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eElevate your precision in tibial osteosynthesis. Enroll now and improve your execution of the infrapatellar technique with safety and efficiency.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: bb5cba8b-de8c-4208-9c6c-de8a237079fb --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320157339709,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Haste_Intramedular_Da_T_C3_ADbia_-_Abordagem_Infra-Patelar_result.webp?v=1783098772","url":"https:\/\/www.surgie.com\/it\/products\/intramedullary-tibial-nailing-infra-patellar-approach","provider":"Surgie","version":"1.0","type":"link"}