{"title":"Forearm","description":null,"products":[{"product_id":"radial-ulnar-fracture-surgical-guide","title":"Diaphyseal Fractures of the Radius and Ulna","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the surgical treatment of radial and ulnar shaft fractures with this comprehensive training. Explore surgical approaches that emphasize anatomic preservation and clean technique, from planning and access to reduction and fixation, aiming to optimize patient recovery.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eTraining Focus:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eSurgical treatment of radial and ulnar shaft fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDorsal approach (Thompson) for radial fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTraditional approach for ulnar fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eAnatomic reduction and fracture stabilization.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTissue preservation and minimization of bleeding.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/b\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of Radial Shaft Fracture (Thompson Approach):\u003c\/span\u003e\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePlanning and Marking\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to mark and palpate Lister's tubercle and the lateral epicondyle, drawing a line between them. Utilize muscle palpation to define the exact location of the skin incision and the image intensifier to locate the fracture site.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eIncision and Dissection\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the skin incision with electrocautery and hemostasis. Deepen the dissection to identify muscle intervals, using gauze for blunt dissection and visualizing the fascia for the ideal access plane, preserving the natural planes of the forearm.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFascia Opening and Exposure\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Make a small incision through the fascia, creating the interval between the extensor digitorum communis and extensor carpi radialis brevis muscles, with careful progression to preserve underlying structures and prevent muscle damage.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFracture Identification and Cleaning\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Palpate the proximal radial fragment and define the trajectory towards the bone with the index finger. Make gentle contact with the scalpel on the bone surface to find the apex and the proximal fragment, maintaining dissection along the anatomic planes and exposing the fracture ends. Clean the fracture edges to find a reference point for reduction.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of Ulnar Shaft Fracture (Distal Third):\u003c\/span\u003e\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l3 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePositioning and Access\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Position the patient in supine decubitus with the arm flexed. Perform dissection between the extensor carpi ulnaris and flexor carpi ulnaris muscles, opening the fascia carefully to avoid muscle damage.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l3 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFracture Identification and Periosteum Preservation\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Identify the fracture, even with distorted anatomy. Elevate the periosteum anatomically to minimize soft tissue trauma and facilitate closure over the plate.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l3 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eBone Bed Preparation and Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Create the bone bed precisely on the dorsal (tension) cortex of the ulna. Clean the fracture edges in search of reference points, using a \"bone crest\" as a guide for anatomic reduction and avoiding the creation of a segmental fracture.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l3 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eStabilization and Plating\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Reposition the reduction clamp distally to optimize manipulation. With the radius already stabilized, achieve ulnar reduction for excellent stability and alignment. Perform plate pre-tensioning to avoid a gap in the opposite cortex and use a 3.5 mm locked DCP (Dynamic Compression Plate).\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l3 level1 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eClosure and Recovery\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Close the periosteum over the plate, preserving all muscular structures. Respect anatomic dissection with total muscular preservation and perform layered closure for significantly improved postoperative recovery.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eIncluded Material:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo4; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComplete Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: A detailed didactic document covering surgical techniques for treating radial (Thompson approach) and ulnar (traditional approach) shaft fractures. Includes everything from initial planning and access to reduction and fragment fixation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eEnhance your forearm surgery skills. Enroll now and master advanced osteosynthesis techniques for radial and ulnar shaft fractures, ensuring anatomic reduction and optimized recovery for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776980422717,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Diaphyseal-Fractures-of-the-Radius-and-Ulna.webp?v=1764858225"},{"product_id":"ulnar-shaft-case-2-plate-and-screws","title":"ULNAR SHAFT [Case 2] · Plate and Screws","description":"\u003cp\u003eUlnar shaft fractures, even with minimal displacement, can directly compromise pronation and supination when managed inadequately. This training objectively demonstrates osteosynthesis with a plate on the tension cortex, with emphasis on tissue preservation and interfragmentary compression, presented in 4K video under a surgical perspective.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTRAINING FOCUS\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eOsteosynthesis of ulnar shaft fracture with plate.\u003c\/li\u003e\n\u003cli\u003eApproach between the extensor carpi ulnaris and flexor carpi ulnaris.\u003c\/li\u003e\n\u003cli\u003ePeriosteal preservation and muscle-sparing approach.\u003c\/li\u003e\n\u003cli\u003eCompression technique with pre-tensioned plate.\u003c\/li\u003e\n\u003cli\u003eAnatomical reduction using different instrumental strategies.\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\u003ePrecise Intermuscular Approach:\u003c\/strong\u003e Identification and safe dissection of the plane between ECU and FCU, preserving muscular integrity.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eBiological Preservation of the Fracture Site:\u003c\/strong\u003e Controlled opening of the periosteum with a scalpel, maintaining vascularization and favoring consolidation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eControlled Anatomical Reduction:\u003c\/strong\u003e Progressive use of instruments (including alternatives such as Kelly forceps) for safe reduction.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eImplantation on the Tension Cortex:\u003c\/strong\u003e Correct positioning of the plate on the dorsal cortex of the ulna for biomechanical optimization.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePlate Pre-tensioning:\u003c\/strong\u003e Practical application of tensioning to generate effective compression at the fracture site.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eInterfragmentary Compression Technique:\u003c\/strong\u003e Use of an eccentric screw in an oval hole for primary stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRational Fixation Sequence:\u003c\/strong\u003e Screw insertion strategy for progressive control of reduction.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSoft Tissue Protection:\u003c\/strong\u003e Layered closure with reconstruction of the periosteum and fascia, reducing impact on tissues.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eIntraoperative Functional Validation:\u003c\/strong\u003e Immediate assessment of pronation and supination after fixation.\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\u003eStructured material with the step-by-step of ulnar osteosynthesis, including surgical planning, anatomical references for the intermuscular approach, principles of periosteal preservation, plate pre-tensioning technique, interfragmentary compression sequence, and guidelines for layered closure and functional assessment.\u003c\/p\u003e\n\u003cp\u003eApply biomechanical principles with precision and predictability in surgical practice. Enroll and refine your execution in ulnar osteosynthesis.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 6f82f9c4-c090-4d9c-8304-839ca0ee831c --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320158027837,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/DIAFISEDAULNACaso2_PlacaeParafusos.webp?v=1783098806"},{"product_id":"radial-shaft-case-2-thompson-approach","title":"RADIAL SHAFT [Case 2] · Thompson Approach","description":"\u003cp\u003eAchieving anatomic reduction and rotational stability in radial shaft fractures requires precise technical mastery of the surgical approach and the biomechanics of osteosynthesis. This training presents, in a direct manner, the technique using the Thompson approach and fixation with a 3.5 mm DCP plate, in 4K video under a surgical perspective.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eFOCUS OF THE TRAINING\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eOsteosynthesis of a radial shaft fracture with a 3.5 mm DCP plate.\u003c\/li\u003e\n\u003cli\u003eDorsal Thompson approach with identification of anatomical landmarks.\u003c\/li\u003e\n\u003cli\u003eDissection through fascial planes with muscle preservation.\u003c\/li\u003e\n\u003cli\u003eAnatomic reduction with control of rotation and length.\u003c\/li\u003e\n\u003cli\u003eInterfragmentary compression technique with plate.\u003cbr\u003e\n\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\u003eStructured Dorsal Approach:\u003c\/strong\u003e Execution of the Thompson approach based on reliable anatomical references and protection of critical structures.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Localization of the Fracture Site:\u003c\/strong\u003e Use of the image intensifier for exact definition of the fracture level and incision planning.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAtraumatic Dissection:\u003c\/strong\u003e Progression through fascial planes, avoiding muscle injury and maintaining tissue integrity.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eTargeted Exposure of the Radius:\u003c\/strong\u003e Controlled approach to the diaphysis with safe retraction of adjacent structures.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eReduction with Biomechanical Control:\u003c\/strong\u003e Correction of rotational and angular deformities using strategic application of clamps and assisted traction.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFracture Site Management:\u003c\/strong\u003e Organization of fragments and selective removal of devitalized bone tissue.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eApplication on the Tension Cortex:\u003c\/strong\u003e Plate positioning on the radial surface respecting the anatomical curvature of the bone.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePlate Pre-tensioning:\u003c\/strong\u003e Adjustment of curvature to promote compression at the site opposite to the implant.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eProgressive Interfragmentary Compression:\u003c\/strong\u003e Eccentric drilling to generate effective axial compression.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eTechnical Fixation Sequence:\u003c\/strong\u003e Strategic insertion of screws to achieve compression between fragments.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eImmediate Functional Check:\u003c\/strong\u003e Intraoperative assessment of pronation and supination without mechanical block.\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: Technical material with sequential description of the Thompson approach, approach planning with imaging assistance, principles of dissection through fascial planes, reduction techniques and rotational control, plate application on the tension cortex, interfragmentary compression strategy, and intraoperative functional assessment protocol.\u003c\/p\u003e\n\u003cp\u003eApply biomechanical control and technical precision in radial osteosynthesis. Enroll and enhance the predictability of your surgical outcomes.\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320158158909,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/DIAFISEDORADIOCase2_AcessodeThompson.webp?v=1783098810"}],"url":"https:\/\/www.surgie.com\/ja\/collections\/custom-sub_especialidade-forearm\/dr-savio-chami.oembed","provider":"Surgie","version":"1.0","type":"link"}