{"product_id":"proximal-ulna-metaphyseal-fracture-with-dislocation-and-radial-head-fracture-monteggia-variant","title":"Fracture of the Proximal Ulna Metaphysis with Radial Head Dislocation and Fracture (Monteggia Variant)","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 treating one of the most challenging elbow injuries: proximal ulna metaphyseal fracture associated with posterior dislocation and radial head fracture, known as the \u003c\/span\u003e\u003cspan class=\"cf0\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e variant. This training addresses anatomical reduction of the ulna and radial head, fixation with plates and screws, and reinsertion of ligamentous structures, aiming to restore joint stability and enable early elbow mobility, minimizing tissue trauma and optimizing the aesthetic outcome.\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=\"cf1\"\u003eSurgical treatment of proximal ulna metaphyseal fracture with posterior dislocation and radial head fracture (\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\"\u003eAnatomical reduction of the ulna and radial head.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eStable fixation with plates and screws.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eReinsertion of ligamentous structures.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003eRestoration of joint stability and early elbow mobility.\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 Surgical Approach:\u003c\/strong\u003e Patient in prone position, arm at 90\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e°, with a single posterior approach, preserving musculature and optimizing exposure.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eUlna Reduction:\u003c\/strong\u003e Careful periosteal \u003c\/span\u003e\u003cspan class=\"cf1\"\u003edesinsertion\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e and anatomical reduction based on \"fracture teeth.\"\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eRadial Head Access:\u003c\/strong\u003e Posterolateral portal through the anconeus, avoiding multiple planes. Enlargement with lateral collateral ligament \u003c\/span\u003e\u003cspan class=\"cf1\"\u003edesinsertion\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e and controlled dislocation.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eRadial Head Fixation:\u003c\/strong\u003e Manual reduction with mini-fragment screws in a tripod technique with subchondral stability.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eLigamentous Reinsertion:\u003c\/strong\u003e 5.0mm metallic anchor for precise reinsertion of lateral structures, ensuring joint stability.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eUlna Fixation: \u003c\/strong\u003eAnatomical reduction of the metaphyseal component and preparation of the bed for plate placement with minimal muscle injury.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePlating and Closure:\u003c\/strong\u003e Progressive fixation with dynamic and locking screws. Anatomical fascia and aponeurosis closure, guided by skin markings.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"pf1\"\u003e\n\u003cspan class=\"cf1\"\u003e\u003cstrong\u003ePostoperative Care:\u003c\/strong\u003e Immediate mobility with unrestricted flexion and pronation\/supination. Extension limited to 45\u003c\/span\u003e\u003cspan class=\"cf0\"\u003e° in the first weeks to preserve stability.\u003c\/span\u003e\n\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\u003cp class=\"pf0\"\u003e\u003cspan class=\"cf1\"\u003e\u003cstrong\u003eDetailed Procedure PDF:\u003c\/strong\u003e A comprehensive didactic document detailing each step of the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e variant surgical treatment, from patient positioning, surgical approaches, and exposure of the ulna and radial head, to reduction and fixation of fragments, ligamentous reinsertion, 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 the techniques for the complex treatment of the \u003c\/span\u003e\u003cspan class=\"cf1\"\u003eMonteggia\u003c\/span\u003e\u003cspan class=\"cf1\"\u003e variant, ensuring restoration of stability and early mobility 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":42776986615869,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Proximal-Ulna-Metaphyseal-Fracture-with-Dislocation-and-Radial-Head-Fracture-Monteggia-Variant.webp?v=1764858398","url":"https:\/\/www.surgie.com\/ja\/products\/proximal-ulna-metaphyseal-fracture-with-dislocation-and-radial-head-fracture-monteggia-variant","provider":"Surgie","version":"1.0","type":"link"}