{"product_id":"fifth-metatarsal-case-2-minifragment-plate-and-screws","title":"FIFTH METATARSAL [Case 2] · Mini-fragment Plate and Screws","description":"\u003cp\u003eDisplaced fractures of the fifth metatarsal in young patients and athletes require precise decision-making between conservative treatment and surgical stabilization, especially when there is shortening and risk of altered load distribution in the forefoot.\u003c\/p\u003e\n\u003cp\u003eThis training demonstrates the complete surgical management of anatomical reduction and fixation with a 2.0 mm low-profile locking plate, in full-length video, from the surgeon’s perspective, with emphasis on tissue preservation, biomechanical stability, and implant protection.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSurgical indication in displaced fracture of the 5th metatarsal\u003c\/li\u003e\n\u003cli\u003eAnatomic approach between the abductor of the fifth toe and the sensory plane\u003c\/li\u003e\n\u003cli\u003eExtensive dissection for distal fragment control\u003c\/li\u003e\n\u003cli\u003eAnatomic reduction in a long oblique fracture line\u003c\/li\u003e\n\u003cli\u003eFixation with 2.0 mm titanium locking plate\u003c\/li\u003e\n\u003cli\u003eStrategy of locking and interfragmentary screws\u003c\/li\u003e\n\u003cli\u003ePeriosteal protection and layered closure\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eCriteria for Surgical Indication:\u003c\/strong\u003e Analysis of the impact of shortening and malalignment on forefoot biomechanics, with rationale for stabilization in a young athlete.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSafe Anatomic Access:\u003c\/strong\u003e Surgical exploration preserving musculature and avoiding injury to the lateral sensory innervation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eControl of the Small Distal Fragment:\u003c\/strong\u003e Strategy of distal extension of the approach to allow fixation with a minimum of two locking screws.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eControlled Reduction in Long Oblique Fracture Line:\u003c\/strong\u003e Combined use of digital maneuvers, reduction forceps, and provisional fixation with a Kirschner wire for temporary stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eManagement of Segmental Cortical Fragment:\u003c\/strong\u003e Conservative handling of the small lateral fragment to preserve vascularity and prevent failure.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRational Fixation Sequence:\u003c\/strong\u003e Initiation with a cortical screw to seat the plate to bone, followed by locking and interfragmentary screws according to the fracture pattern.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eImplant Contouring:\u003c\/strong\u003e Precise adaptation of the low-profile plate to avoid prominence and reduce the future need for hardware removal.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eBiomechanical Load Distribution Strategy:\u003c\/strong\u003e Fixation distributed along the metatarsal for global structural protection.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eImplant Protection:\u003c\/strong\u003e Elevation and suturing of the periosteum over the plate, creating additional biological coverage.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eLayered Closure:\u003c\/strong\u003e Anatomic reconstruction of tissue planes with muscular preservation and adequate coverage of the hardware.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed PDF\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eDidactic document that objectively presents the surgical indications, approach planning, reduction technique and fixation with a 2.0 mm locking plate, the biomechanical principles applied to the fifth metatarsal, and the closure protocol with periosteal protection, consolidating a stable and technically reproducible approach in forefoot trauma.\u003c\/p\u003e\n\u003cp\u003eRefine your decision-making and perform stable fixations in the fifth metatarsal with technical mastery and applied biomechanical reasoning. Enroll and elevate your surgical standard in foot trauma.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 6ac5cd7b-382f-405e-926a-4f6d099cdbd1 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320157831229,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/QUINTOMETATARSOCase2_PlacaeParafusosdeMinifragmentos.webp?v=1783098792","url":"https:\/\/www.surgie.com\/products\/fifth-metatarsal-case-2-minifragment-plate-and-screws","provider":"Surgie","version":"1.0","type":"link"}