{"title":"Home page","description":null,"products":[{"product_id":"tibial-fracture-locked-plate-technique","title":"Distal Tibia Fracture - Treatment with Locked Plate","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the treatment of tibial shaft fractures. This training offers a technical immersion in \u003cb\u003elocked plate osteosynthesis\u003c\/b\u003e via a \u003cb\u003eminimally invasive approach\u003c\/b\u003e, presented with a focus on \u003cb\u003eanatomic reduction\u003c\/b\u003e and \u003cb\u003estable fixation\u003c\/b\u003e.\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: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eSurgical treatment of tibial shaft fractures with long oblique and spiral patterns.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eUtilization of an \u003cb\u003eanatomic locked plate\u003c\/b\u003e.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003eMinimally invasive approach\u003c\/b\u003e.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePreliminary and final \u003cb\u003epercutaneous reduction\u003c\/b\u003e.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003eOsteosynthesis optimization\u003c\/b\u003e.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Preoperative Planning\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Evaluation of tibial shaft fractures and associated fibular fractures using X-ray and computed tomography for precise planning.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMinimally Invasive Access\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Creation of skin portals guided by a surgical marker and image intensifier for the introduction of percutaneous reduction clamps.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eSafe Percutaneous Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Methodology for achieving preliminary and final \u003cb\u003epercutaneous reduction\u003c\/b\u003e with reduction clamps, including ankle traction and rotational maneuvers, monitored by image intensifier.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTunnel Creation and Plate Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Technique for creating a submuscular tunnel with a long dissector, guided by palpation, for the introduction of the \u003cb\u003eanatomic locked plate\u003c\/b\u003e which already possesses pre-fabricated anatomic curvature.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDefinitive Fixation and Osteosynthesis Optimization\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Procedure for drilling and inserting distal screws into the \u003cb\u003edistal tibia\u003c\/b\u003e, with the plate positioned flush to the bone to avoid medial malleolus irritation. Insertion of an additional screw near the fracture site to optimize energy distribution and balance the osteosynthesis. \u003c\/span\u003eFinalization with proximal screws.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eComprehensive Final Assessment\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Confirmation of \u003cb\u003eanatomic reduction\u003c\/b\u003e, sufficient number of screws, adequate positioning of the long plate, relative stability, and maintenance of external rotation similar to the contralateral side.\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 lfo3; 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: Step-by-step guide to the entire procedure, from patient positioning to surgical closure.\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 skills in trauma surgery. Enroll now and master advanced techniques in the treatment of tibial shaft fractures.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776977571901,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/FraturadoTercoDistaldaTibia-TratamentocomPlacaBloqueada_result.webp?v=1783447982"},{"product_id":"distal-tibial-fracture-training","title":"Distal Tibial Diaphyseal Fracture via Intramedullary Nail with Suprapatellar Approach","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eEnhance your skills in treating distal tibial shaft fractures, especially in elderly patients, aiming for early rehabilitation and ambulation. This training offers a technical immersion in \u003cb\u003eintramedullary nail osteosynthesis\u003c\/b\u003e with a \u003cb\u003esuprapatellar portal\u003c\/b\u003e, optimizing alignment and minimizing invasiveness.\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: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of distal tibial shaft fractures in elderly patients.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFixation with an intramedullary nail.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003eSuprapatellar access technique.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimization of alignment and stability for early rehabilitation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMinimization of invasiveness and protection of soft tissues.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eStrategic Patient Positioning\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Methodology for positioning with the knee in semi-flexion and diaphyseal alignment guided by palpation of the tibial crest, crucial for avoiding soft tissue complications.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise Suprapatellar Portal Creation\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Techniques for skin marking and access with an electrocautery, with positioning in the inferior region, near the trochlea and the apex of the patella, using a protective sleeve to preserve articular cartilage.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Angle of Attack\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Benefits of suprapatellar access for a superior angle of attack, facilitating guidewire passage and reaming with greater comfort and ease.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eReduction and Guidewire Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Methodology for percutaneous reduction with a clamp, with progression of the olive-tipped guidewire and verification of its centralization in AP and lateral views, aiming for the center of the ankle.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eReaming and Intramedullary Nail Introduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Reaming techniques to enlarge the medullary canal and introduction of the largest diameter nail, maintaining the protective sleeve and protecting the articular cartilage.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProximal and Distal Locking\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Execution of proximal locking percutaneously with the patient keeping the leg in a stable position, and \"freehand\" technique for distal locking screws, with precise skin marking to avoid friction with soft tissues.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptional Fibula Fixation\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Indication and technique for fibula fixation with a TEN nail in distal fractures to optimize stability and allow early weight-bearing and ambulation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eClosure and Rehabilitation\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Skin closure and rehabilitation that allows full weight-bearing ambulation and a favorable prognosis.\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 lfo3; 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: Full step-by-step procedure, from patient positioning to surgical closure.\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;\"\u003eElevate your level in trauma surgery. Enroll now and master the technique of fixing distal tibial shaft fractures with an intramedullary nail via a suprapatellar approach, optimizing results and rehabilitation.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776979669053,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/FraturaDiafisariaDistaldeTibiaviaHasteIntramedularcomAcessoSuprapatelar_result_462e24ac-0921-430a-9c6d-81ad9678ef35.webp?v=1783447240"},{"product_id":"humeral-shaft-fracture-nail-technique","title":"Humeral Diaphyseal Fracture with Intramedullary Nail","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the treatment of humeral shaft fractures. This training offers a technical immersion in intramedullary nailing, covering everything from planning to advanced reduction and locking maneuvers, to optimize your surgical outcomes.\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: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of humeral shaft fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003eIntramedullary nail fixation technique.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eUse of Kirschner wire as a \"joystick\" for proximal fragment manipulation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise nail measurement and considerations regarding medullary canal tapering.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePerformance of proximal and distal locking, with a focus on the high difficulty of distal locking.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eInitial Assessment and Marking\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to delineate the long axis of the humerus and identify the deformity and the exact fracture site, using a surgical marker for precise surgical planning.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eCreation of an Aligned Access Portal\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the technique of creating an access portal aligned with the diaphysis and rotator cuff, with special attention to incisions along the fibers to avoid injuries and the need for future repair.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProximal Fragment Manipulation with Kirschner Wire (\"Joystick\")\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Understand how to use a 3.0mm or 2.0mm Kirschner wire as a \"joystick\" to assist in adduction and rotation correction of the superior fragment, exposing the entry point and facilitating a precise entry angle at the transition between the greater tuberosity and the humeral head.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Entry Point\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn how to direct guidewire introduction predominantly into the humeral head, avoiding the tubercle-head transition to prevent greater tuberosity fractures during entry point reaming.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise Radiographic Evaluation of the Entry Point\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to perform radiographic evaluation of the entry point directly with the \"joystick\" in anteroposterior and lateral views, ensuring precise visualization of the free proximal fragment.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eIntramedullary Nail Measurement and Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Develop the skill of precisely measuring the intramedullary nail, considering the triangular tapering of the medullary canal to avoid prominences and optimize implant fit.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProximal Locking Techniques\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the performance of proximal locking, using oblique screws directed to the humeral calcar to ensure nail fixation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eHigh-Difficulty Distal Locking\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Delve into the freehand distal locking technique, a challenging procedure due to the triangular anatomy of the distal humerus. Understand the importance of using a sharp-tipped drill bit to prevent slippage and ensure the precision of the one-centimeter incision.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eClosure and Postoperative Outcomes\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Understand the importance of rotator cuff suture (since the incision is along the fibers) to prevent shoulder function problems postoperatively, and subcutaneous and skin closure that allows early mobility.\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: l1 level1 lfo3; 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: Educational document detailing all steps of the surgical technique for the treatment of humeral shaft fractures with an intramedullary nail.\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;\"\u003eElevate your skills in humerus surgery. Enroll now and master advanced techniques for treating diaphyseal fractures with an intramedullary nail, ensuring optimized surgical results for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776979734589,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/FraturaDiafisariadoUmero-TratamentocomHasteIntramedular_result_d0a635e1-739a-419f-9d0a-f7b3f392cd16.webp?v=1783447088"},{"product_id":"femoral-fracture-retrograde-technique","title":"Retrograde Intramedullary Nailing for Femoral Diaphyseal Fracture","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the treatment of femoral shaft refractures, especially in cases of local bone fragility, focusing on early rehabilitation. This training offers a technical immersion in \u003cb\u003eanterograde cephalomedullary intramedullary nail osteosynthesis\u003c\/b\u003e, emphasizing a minimally invasive approach without the use of a traction table.\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: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eTreatment of femoral shaft refractures, including in patients with bone fragility.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eFixation technique with an \u003cb\u003eanterograde cephalomedullary intramedullary nail\u003c\/b\u003e.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMinimally invasive approach without a traction table, allowing free limb manipulation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePre-surgical and intra-procedural reduction maneuvers.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePrecise and efficient distal locking.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\u003c\/b\u003e\u003c\/p\u003e\n\u003cul style=\"margin-top: 0cm;\" type=\"disc\"\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003ePlanning and Initial Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to perform hip flexion, external rotation, and internal rotation maneuvers to plan reduction before surgical incision, allowing free limb manipulation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eAccess and Precise Guidewire Insertion\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the creation of the incision for intramedullary nailing and the introduction of the guidewire with a favorable angulation, allowing controlled curvature and ensuring flexibility and control in the initial direction. \u003c\/span\u003eVerify guidewire introduction in anteroposterior (AP) and lateral views.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMedullary Canal Opening and Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn how to open the medullary canal through a soft tissue protector and introduce the olive-tipped guidewire. \u003c\/span\u003eFracture reduction is performed using previously planned maneuvers.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Medullary Canal Reaming\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Develop the skill of reaming the medullary canal after successful guidewire passage, seeking a reamer size that provides a snug fit for better stability.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eProximal Fixation with Cephalomedullary Nail\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Utilize an 11-millimeter diameter \u003cb\u003ecephalomedullary nail\u003c\/b\u003e and create a lateral access for sliding screw fixation. Perform synchronized measurement and positioning of the sliding screw, aiming for the center of the femoral head in AP and lateral views, even in diaphyseal fractures.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eHigh-Precision Distal Locking\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the distal locking technique using a mini skin portal aligned with the bone tunnel to avoid difficulties with soft tissues. Learn to align the drill bit with the image intensifier, using the first drill bit as a guide for the second, guaranteeing parallelism and avoiding hole loss due to lower limb manipulations. Comprehend the importance of precision in the first drilling for quick locking and to avoid inadvertent screw insertion into an incorrect hole.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eOptimized Postoperative Care\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Prepare for a minimally invasive surgery that results in a comfortable postoperative recovery, allowing full weight-bearing and immediate rehabilitation the day after surgery.\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: l2 level1 lfo3; 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: Detailed didactic document that describes the surgical technique for the treatment of femoral shaft refractures using an \u003cb\u003eanterograde cephalomedullary intramedullary nail\u003c\/b\u003e. It covers everything from initial planning and patient positioning to reduction steps, instrumentation, and closure.\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 skills in treating femoral shaft fractures. Enroll now and master advanced techniques with an \u003cb\u003eanterograde cephalomedullary intramedullary nail\u003c\/b\u003e to optimize results and rehabilitation for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776980029501,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Retrograde-Intramedullary-Nailing-for-Femoral-Diaphyseal-Fracture.webp?v=1764858216"},{"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":"posterior-acetabular-fracture-surgery","title":"Fracture of the Posterior Acetabular Wall with Hip Dislocation","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eMaster the treatment of posterior acetabular wall fractures associated with hip dislocation. This training offers a technical immersion in a carefully planned and executed surgical approach, aiming for fragment reduction, fixation to re-establish joint congruence, and hip stability.\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 posterior acetabular wall fractures with hip dislocation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\" style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt;\"\u003eKocher-Langenbeck surgical approach.\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;\"\u003eReduction and fixation of fragments to restore joint anatomy and function.\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;\"\u003eProtection of neurovascular structures, with emphasis on the sciatic nerve and circumflex artery.\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;\"\u003eReconstruction of external rotator muscles.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cb\u003eDetailed Content:\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;\"\u003eInitial Assessment and Optimized Surgical Access\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to interpret CT scans to identify hip dislocation and large posterior acetabular wall fragments. Master the Kocher-Langenbeck approach, using landmarks such as the apex of the greater trochanter, the posterior superior iliac spine, and the long axis of the femur.\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;\"\u003eStrategic Dissection and Exposure\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Develop the skill of performing an incision in the iliotibial tract and blunt dissection through the gluteus maximus fibers. Identify and elevate the gluteus medius, and perform tenotomy of the gluteus maximus to facilitate exposure. Identify the external rotators, including the piriformis, superior gemellus, obturator internus, and inferior gemellus.\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;\"\u003eNeurovascular Protection and Safe Tenotomy\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Execute piriformis tenotomy and identify the superior and inferior gemellus muscles, and the obturator internus. Understand the crucial protection of the quadratus femoris, due to the passage of the circumflex artery that nourishes the femoral head in this region. Use the retracted tendons (piriformis and gemelli) as padding for the sciatic nerve, which passes adjacent to the access.\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;\"\u003ePrecise Fragment Identification and Reduction\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn how to identify the inferior and superior fragments of the acetabular roof. Learn to clean and free the joint for better identification of reduction parameters, and reposition the fragments in their anatomical locations after dislocation reduction.\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;\"\u003eProvisional Fixation and Plate Contouring\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Master the technique of introducing the inferior retractor into the lesser sciatic notch after careful detachment. Perform provisional fixation of fragments with Kirschner wires. Use aluminum to contour a plate model, which will be used for the definitive fixation plate.\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;\"\u003eDefinitive Fixation with Multiple Plates\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Learn to fix the main plate to the ischium, contouring the entire posterior rim, with screws directed towards the acetabular roof. Use a second plate at the apex of the superior fragment for fixation. Understand how the use of these two plates provides satisfactory reduction and stability, eliminating the need for spring plates.\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;\"\u003eAnatomical Reconstruction and Closure\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Perform identification and reconstruction of the piriformis, superior gemellus, inferior gemellus, and obturator internus tendons. Learn to reinsert the piriformis in its original position, with slight external rotation of the hip assisting in tendon reinsertion. Restore the anatomical structure with preservation of the quadratus femoris and gluteus medius, without muscle cuts. \u003c\/span\u003eFinalize with suture of the iliotibial tract.\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 lfo3; tab-stops: list 36.0pt;\"\u003e\n\u003cb\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003eDetailed Technical PDF\u003c\/span\u003e\u003c\/b\u003e\u003cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\"\u003e: Didactic document describing the surgical procedure for treating posterior acetabular wall fractures associated with hip dislocation, from initial evaluation to reconstruction and closure.\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 hip surgery skills. Enroll now and master advanced techniques for acetabular reconstruction, ensuring restoration of joint congruence and hip stability for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776980521021,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Fracture-of-the-Posterior-Acetabular-Wall-with-Hip-Dislocation.webp?v=1764858229"},{"product_id":"distal-radius-fracture-volar-approach","title":"Distal Radius Fracture (Volar Approach)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the surgical treatment of distal radius fractures with dorsal and volar comminution and dorsal displacement. This training offers practical immersion in a volar approach, starting with provisional fracture fixation, followed by careful dissection of planes and tendons, up to plate osteosynthesis, aiming for anatomical reduction and stability for the patient's functional recovery.\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\u003cspan class=\"cf0\"\u003eSurgical treatment of distal radius fractures with comminution and dorsal displacement.\u003c\/span\u003e\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\"\u003eProvisional fracture fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003eCareful dissection of planes and tendons.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003ePlate osteosynthesis for anatomical restoration.\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\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eProvisional Fixation and Assessment: \u003c\/strong\u003eThe training begins with a manual reduction maneuver and provisional stabilization with a 2.5 mm Kirschner wire, aiming for good initial fracture positioning.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eVolar Surgical Approach: \u003c\/strong\u003eThe approach is made with an incision over the flexor carpi radialis. It addresses the sectioning of the fascia covering this tendon and the careful progression of dissection, plane by plane, to avoid muscle cuts and bleeding. The radial artery is located, and the flexor pollicis longus and pronator quadratus are identified. A needle is used to identify the exact point of the joint, delimiting the distal limit of the approach. It concludes with an L-shaped incision in the pronator quadratus.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eRadius Exposure and Plate Implantation: \u003c\/strong\u003eThe radius is exposed, and a periosteal elevator is used to prepare the plate bed. With the fracture already reduced by provisional fixation, screw placement must respect the radial inclination to prevent intra-articular positioning. It is recommended to maintain reduction manually or use additional wires to avoid loss of reduction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf0\"\u003e\u003cstrong\u003eClosure and Results:\u003c\/strong\u003e The access through the pronator quadratus is sutured to cover the plate. The final result is satisfactory, with well-positioned screws, maintained radial inclination, and a well-fixed fracture. Closure is performed layer by layer up to the skin.\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, the volar surgical approach, radius exposure and plate implantation, and closure and 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 distal radius fractures, ensuring anatomical reduction and stability for your patients' functional recovery.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776984518717,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Distal-Radius-Fracture-Volar-Approach.webp?v=1764858270"},{"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"},{"product_id":"multi-fragmentary-patella-fracture","title":"Multi-fragmentary Patella Fracture","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eThe management of multi-fragmentary patella fractures with extensor mechanism compromise represents a significant technical challenge in orthopedics. This training offers a practical immersion in osteosynthesis that restores articular congruence and extensor function, minimizing implant prominence.\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\u003cspan class=\"cf1\"\u003eSurgical treatment of multi-fragmentary patella fractures with extensor mechanism compromise.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eAnatomical reduction and stable fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eUse of cannulated screws and cerclage.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eManagement of secondary fragments in the lateral retinaculum.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eOptimized Surgical Approach: \u003c\/strong\u003ePrecise demarcation and a single incision to intraoperatively manipulate fragments and identify fracture \"teeth,\" facilitating reduction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePrecise Reduction Technique: \u003c\/strong\u003eMethodology for using reduction forceps and the hand as a mold, adjusting the anchor for primary stability without translation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eEffective Cerclage Application: \u003c\/strong\u003eCreation of longitudinal incisions in the quadriceps tendon for precise wire positioning close to the bone, with a traction technique and burying of the ends within the muscle mass to prevent complications.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eFixation of Lateral Fragments:\u003c\/strong\u003e Use of double compression screws for fixation of fragments in the lateral retinaculum, with complete burying of the head to prevent implant prominence.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eI\u003cstrong\u003edentification of the Key Fragment: \u003c\/strong\u003eFocus on the importance of the inferior pole inserted into the patellar tendon as a crucial point for reduction and concentration of screws with a washer for stabilization.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003ePrevention of \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eComplicaions\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003e: \u003c\/strong\u003eStrategies to avoid post-fixation instability and considerations regarding implant prominence, especially plates in the patella, which frequently require removal.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed PDF: \u003c\/strong\u003eTechnical document summarizing the surgical treatment of multi-fragmentary patella fractures, addressing: demarcation and surgical approach; reduction and stabilization techniques; preparation and fixation with cannulated screws and cerclage; fixation of lateral fragments; and final considerations, including the management of the key fragment in the inferior pole.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your skills in the treatment of complex patella fractures. Enroll and master osteosynthesis techniques that ensure superior functional restoration.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776985043005,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Multi-fragmentary-Patella-Fracture.webp?v=1764858292"},{"product_id":"diaphyseal-tibia-fracture-with-deformity","title":"Diaphyseal Tibia Fracture with Deformity","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eTreating high diaphyseal tibial fractures with pre-existing bone deformity presents a technical challenge due to the instability of the shear fracture pattern and the presence of \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eosteopenic\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e bone.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eThis training offers a direct solution with two-column fixation (medial and lateral) using pre-contoured plates via a minimally invasive technique, displayed in 4K video from a surgical perspective.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eFocus of the Training:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003ePre-operative planning with image intensifier.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eAnti-shear fixation with an anatomical medial plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eLateral approach with a pre-contoured bridging plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eMinimally invasive technique with tissue preservation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eStrategies for \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eosteopenic\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e bones and early post-operative mobility.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eImage-Guided Skin Marking:\u003c\/strong\u003e Precise positioning of surgical approaches.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eMedial Anti-Shear Fixation:\u003c\/strong\u003e Anatomical fibular plate with multiple proximal screws for alignment and indirect reduction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eAnatomical Reduction with Tissue Preservation:\u003c\/strong\u003e Full skin access without \"funnel\" formation and minimally invasive manipulation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eLateral Bridging Plate Implantation:\u003c\/strong\u003e Submuscular tunnel technique using a dissector and digital palpation to avoid intramuscular insertion.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePlate Contouring for Tibial Curvature: \u003c\/strong\u003eCustomized adaptation with a table bender to avoid prominences.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eStable Fixation with Cortical and Locking Screws:\u003c\/strong\u003e Strategic combination for torque, stability, and load distribution.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eMinimally Invasive Surgery with Two-Column Fixation:\u003c\/strong\u003e Anatomical reduction and biomechanical stability for low-density bones.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eIncluded Material: \u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed PDF: \u003c\/strong\u003eThe complementary PDF material provides a complete and objective summary of the procedure, including all surgical steps, from pre-operative planning to closure. It describes the landmarks for skin marking, the types of plates and screws used, techniques for indirect reduction and implant contouring, as well as practical guidelines for performing medial and lateral approaches with minimal tissue aggression.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your surgical precision in treating complex tibial fractures. Enroll now and master the technique of two-column fixation with a minimally invasive approach.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776985206845,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Diaphyseal-Tibia-Fracture-with-Deformity.webp?v=1764858306"},{"product_id":"anatomical-reconstruction-of-the-distal-biceps-tendon-tightrope","title":"Anatomical Reconstruction of the Distal Biceps Tendon (TightRope)","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in the anatomical reconstruction of the distal biceps brachii tendon, a fundamental surgical technique for muscle restoration after tendinous avulsion. This training details the procedure with a focus on the reinsertion technique using the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e device and specific materials, highlighting critical points from surgical access to tendon fixation and the expected aesthetic and functional outcomes.\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\u003cspan class=\"cf1\"\u003eAnatomical reconstruction of the distal biceps brachii tendon.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eReinsertion technique using the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e device.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eMinimization of tissue trauma.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eOptimization of functional and aesthetic outcomes.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eEvaluation and Planning: \u003c\/strong\u003ePalpation of the brachioradialis border and use of fluoroscopy to locate the radial tuberosity. Planned skin incision to avoid muscle injury and precise fascial dissection.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDissection and Hemostasis: \u003c\/strong\u003eLigation of a radial artery branch, with effective bleeding control, eliminating the need for a tourniquet.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eExposure of the Reinsertion Site:\u003c\/strong\u003e Visualization of the radial tuberosity with full forearm supination, exposing the biceps avulsion site.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eTendon Preparation and Suture:\u003c\/strong\u003e Triangular shaping of the tendon end to facilitate introduction. Suture with Arthrex material, slightly taut for stability.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eBone Tunnel and Fixation: \u003c\/strong\u003eMeasurement of tendon thickness, drilling of cortices with a guide wire and drill bit, creating a 7 mm hole in the first cortex.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eReinsertion with \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003e:\u003c\/strong\u003e Introduction and fixation of the already sutured tendon with the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e device on the opposite side of the radius.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eVerification and Closure: \u003c\/strong\u003eRadiograph confirms the tunnel. Anatomical and delicate access, without muscle injuries, with a favorable aesthetic result.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Technical PDF:\u003c\/strong\u003e A didactic document detailing each step of the anatomical reconstruction of the distal biceps brachii tendon, from preoperative evaluation and planning to tendon fixation with the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e device.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your skills in elbow and shoulder surgery. Enroll now and master distal biceps tendon reconstruction techniques, ensuring functional restoration and superior aesthetic results for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776985862205,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Anatomical-Reconstruction-of-the-Distal-Biceps-Tendon-TightRope.webp?v=1764858345"},{"product_id":"anatomic-reconstruction-of-the-distal-biceps-tendon-with-tightrope","title":"Anatomic Reconstruction of the Distal Biceps Tendon with TightRope","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eEnhance your skills in anatomic reconstruction of the distal biceps tendon, a surgical procedure aimed at restoring muscle function after tendon detachment. This training details the technique using the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e device, focusing on preoperative planning, identification of critical neurovascular structures, precise preparation of the tendon and bone tunnel, and reinsertion for optimal aesthetic and functional outcomes.\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\u003cspan class=\"cf1\"\u003eAnatomic reconstruction of the distal biceps tendon at the radial tuberosity.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eUse of the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e device.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eMinimally invasive approach and preservation of anatomical structures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eSurgical access planning and identification of neurovascular structures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eTendon preparation and bone tunnel creation.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eSurgical Planning and Access:\u003c\/strong\u003e Radiographic identification of the radial tuberosity using a fluoroscope. Skin marking with a \u003c\/span\u003e\u003cspan class=\"cf1\"\u003edermographic\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e pen. Fascia opening without injuring the musculature, with rigorous hemostasis and without a tourniquet.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eNeurovascular Dissection and Protection: \u003c\/strong\u003eDissection of the brachioradialis muscle following the fiber direction. Ligation of the recurrent radial artery branch. Careful identification and retraction of the deep branch of the radial nerve.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePreparation of Bone and Tendon Site:\u003c\/strong\u003e Identification of the radial tuberosity and tendon remnant. Manual placement of retractors. Cortical drilling with guidewire and bit according to tendon thickness. Remodeling of the distal end of the tendon and cleaning of the insertion site.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eSuturing and Fixation with \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003c\/strong\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003e:\u003c\/strong\u003e Braided stitch with \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eFiberLoop\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e. Determination of drill diameter (7mm). Passage of the endo-button with care to avoid compression of soft tissues. Progressive introduction of the tendon into the tunnel and knot tightening with proper approximation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eVerification and Closure:\u003c\/strong\u003e Anatomic positioning assessment with radiograph. Attention to proper tunnel creation. Preservation of musculature and neurological structures. Anatomic fascia closure and aesthetic intradermal skin suturing.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Procedure PDF:\u003c\/strong\u003e A comprehensive didactic document outlining each step of the anatomic reconstruction of the distal biceps tendon using \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eTightRope\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e. Includes preoperative planning, surgical access, neurovascular identification and protection, bone and tendon site preparation, tendon suturing and fixation, as well as final verification and closure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your skills in elbow and shoulder surgery. Enroll now and master distal biceps tendon reconstruction techniques to ensure functional restoration and superior aesthetic outcomes for your patients.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c!--EndFragment --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776986026045,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Anatomic-Reconstruction-of-the-Distal-Biceps-Tendon-with-TightRope.webp?v=1764858356"},{"product_id":"minimally-invasive-osteosynthesis-of-olecranon-fractures","title":"Minimally Invasive Osteosynthesis of Olecranon Fractures","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster minimally invasive osteosynthesis of articular olecranon fractures, which is important for long-term preservation of joint function in young patients. This training details a surgical approach that aims to minimize tissue trauma, optimize aesthetics, and allow early postoperative mobility, ensuring anatomical reduction and stable fixation.\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\u003cspan class=\"cf1\"\u003eTreatment of articular olecranon fractures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eMinimally invasive surgical approach.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eAnatomical reduction and stable fixation.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003ePreservation of joint function and early mobility.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eOptimization of postoperative aesthetics.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eAccess and Exposure:\u003c\/strong\u003e Small portal over the olecranon with a single incision and periosteal detachment, allowing clean dissection and full fracture exploration for reduction reference.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eProvisional Reduction and Planning: \u003c\/strong\u003eReduction assisted by forceps and fixation with Kirschner wire. Anatomical verification using the \"fracture teeth.\" Planning for a second mini-access for distal screws.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eSubperiosteal Tunnel and Plate Passage:\u003c\/strong\u003e Dissection between extensor and flexor muscles to create a tunnel and introduce the long plate.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePlate Fixation: \u003c\/strong\u003eBeginning with an eccentric dynamic screw for compression, followed by intramedullary provisional fixation. Replacement with subchondral locking screws for greater strength. A drill system streamlines the procedure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePercutaneous Screws: \u003c\/strong\u003eDistal insertion via mini-access and intermediate screw via percutaneous incision guided by palpation. Finalization with locking screws.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eClosure and Final Result:\u003c\/strong\u003e Anatomical closure of periosteum and skin, guided by \u003c\/span\u003e\u003cspan class=\"cf1\"\u003edermographic\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e markings. Minimally invasive technique preserves musculature and allows early postoperative mobility.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Procedure PDF:\u003c\/strong\u003e A comprehensive didactic document detailing the less invasive surgical approach for treating articular olecranon fractures, including surgical access and fracture exposure, provisional reduction, planning and plate passage, definitive fixation, percutaneous insertion of additional screws, and closure.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your elbow surgery skills. Enroll now and master minimally invasive osteosynthesis of olecranon fractures, ensuring anatomical reduction, stable fixation, and early mobility for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776986157117,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Minimally-Invasive-Osteosynthesis-of-Olecranon-Fractures.webp?v=1764858366"},{"product_id":"transolecranon-fracture-dislocation-of-the-elbow-monteggia-variant-pull-out-technique","title":"Transolecranon Fracture-Dislocation of the Elbow (Monteggia Variant) – \"Pull-out\" Technique","description":"\u003cp\u003e\u003c!--StartFragment --\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf0\"\u003eMaster the surgical treatment of complex elbow fracture-dislocations, such as the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e variant. This training details the reconstruction of the anterior joint capsule using the \"pull-out\" technique and the subsequent reduction and fixation of the ulnar fracture, aiming to restore the stability and articular congruency of the elbow. \u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf0\"\u003eFocus of the Training:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eTreatment of \u003c\/span\u003e\u003cspan class=\"cf1\"\u003etransolecranon\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e fracture-dislocation of the elbow (\u003c\/span\u003e\u003cspan class=\"cf1\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e variant).\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eReconstruction of the anterior joint capsule using the \"pull-out\" technique.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003eReduction and fixation of \u003c\/span\u003e\u003cspan class=\"cf1\"\u003emultifragmentary\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e fractures of the proximal ulna.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eRestoration of stability and articular congruency of the elbow.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cstrong\u003e\u003cspan class=\"cf1\"\u003eDetailed Content:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePositioning and Approach: \u003c\/strong\u003ePatient in prone position with the elbow at 90\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e°. Dissection by planes with a single approach, retracting muscles around the ulna.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eCapsular Repair (Pull-out Technique): \u003c\/strong\u003eIdentification of the capsule and the coronoid process through the olecranon fracture. Passage of high-strength sutures and creation of tunnels to pull the capsule to its disinsertion site, aided by elbow flexion.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eReduction of the Ulna:\u003c\/strong\u003e Reduction of the fracture with Kirschner wires. Fixation of a lateral fragment with a mini-fragment plate, enabling the use of a long plate on the olecranon.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eFinalization and Stabilization: \u003c\/strong\u003eTying of the pull-out sutures and definitive fixation with a long locking plate on the metaphyseal ulna, ensuring joint stability.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eClosure and Final Result:\u003c\/strong\u003e Linear opening of the musculature, reconstructed fracture, and congruent joint. Well-distributed screws, with anatomic layer-by-layer closure.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eIncluded Material:\u003c\/span\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed PDF of the Procedure:\u003c\/strong\u003e A document describing the surgical treatment of a complex elbow fracture-dislocation, including positioning, surgical approach, identification and repair of the anterior joint capsule with the \"pull-out\" technique, reduction and fixation of the ulna fracture, finalization of the \"pull-out,\" plating, and closure.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003eEnhance your skills in elbow surgery. Enroll now and master the advanced techniques for treating complex fracture-dislocations, ensuring joint stability and function for your patients.\u003c\/span\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776986484797,"sku":null,"price":20.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Transolecranon-Fracture-Dislocation-of-the-Elbow-Monteggia-Variant-Pull-out-Technique.webp?v=1764858388"},{"product_id":"proximal-humerus-osteosynthesis-medial-plate","title":"Proximal Humerus Osteosynthesis – Medial Plate","description":"\u003cp\u003ePartial consolidation in proximal humerus fractures with medial shear represents a frequent challenge in orthopedic practice, hindering anatomical reduction and adequate stabilization.\u003c\/p\u003e\n\u003cp\u003eThis training presents, in high definition and from the surgeon's perspective, the application of the medial anti-shear plate in association with the low-profile lateral plate, demonstrating a step-by-step approach to indirect reduction, preservation of anatomical structures, and biomechanical stabilization of the fracture.\u003c\/p\u003e\n\u003cp\u003eTraining Focus:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eIndirect reduction of proximal humerus fracture with medial shear.\u003c\/li\u003e\n\u003cli\u003eCombined fixation: medial anti-shear plate + low-profile lateral plate.\u003c\/li\u003e\n\u003cli\u003eDeltopectoral approach with selective tenotomies for exposure.\u003c\/li\u003e\n\u003cli\u003eTissue and vascular preservation (subscapularis, deltoid, cephalic vein).\u003c\/li\u003e\n\u003cli\u003eClosing techniques with high-strength sutures for anterior stability.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eDetailed Content:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eIndirect Reduction with Plate:\u003c\/strong\u003e Use of the plate itself as a lever to overcome partial consolidation and restore the humeral head height.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAdvanced Biomechanical Stability:\u003c\/strong\u003e Combination of medial anti-shear plate with lateral plate → resistance against shear and rotation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSmart Surgical Planning:\u003c\/strong\u003e Positioning strategy that allows multiple rotations and expands access without muscle cuts.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eTissue Preservation:\u003c\/strong\u003e Technique that reduces bleeding, preserves muscle mass and anatomical structures (deltoid and cephalic vein).\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFunctional Closure:\u003c\/strong\u003e Reinforcement of the subscapularis with high-strength suture, preventing postoperative anterior instability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eImmersive 4K Visualization:\u003c\/strong\u003e Anatomical details, instruments, and technical decisions presented from the surgeon's perspective.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eIncluded Material:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e Practical guide with surgical planning, deltopectoral approach technique, indirect reduction sequence, fixation with medial and lateral plates, and closure care. Includes step-by-step guidelines for direct application in orthopedic practice.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eElevate your technical level in proximal humerus surgery. Enroll now and master the biomechanical fixation strategies with medial and lateral plates in complex fractures.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: cef373b6-e51f-43a3-b86e-c9655d08443a --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776994709565,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Placa_medial_-_Umero_proximal_2b1b34e4-ecaa-4f91-8cf6-516e7fb44c92.webp?v=1769537369"}],"url":"https:\/\/www.surgie.com\/ja\/collections\/frontpage\/custom-channel-reconstrucao-ossea.oembed","provider":"Surgie","version":"1.0","type":"link"}