{"product_id":"subtrochanteric-fracture-case-1-minimally-invasive-intramedullary-nail","title":"SUBTROCHANTERIC FRACTURE [Case 1] · Minimally Invasive Intramedullary Nail","description":"\u003cp\u003eThe treatment of subtrochanteric fractures is challenging due to the tendency toward varus, flexion deformity, and external rotation of the proximal fragment. This training presents, in a direct manner, the surgical management using an\u0026amp;nbsp;intramedullary nail with a minimally invasive technique, demonstrated in 4K video under a surgical perspective, with a focus on percutaneous reduction, biomechanical control, and adequate stability.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eMinimally invasive reduction of subtrochanteric fracture\u003c\/li\u003e\n\u003cli\u003eControl of flexion and rotation of the proximal fragment\u003c\/li\u003e\n\u003cli\u003eEntry point and guidewire parallelism\u003c\/li\u003e\n\u003cli\u003eUse of joystick, clamps, and percutaneous maneuvers\u003c\/li\u003e\n\u003cli\u003eVarus control during nail insertion\u003c\/li\u003e\n\u003cli\u003eApplication of the poller screw\u003c\/li\u003e\n\u003cli\u003eProximal fixation and distal locking\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003c!-- notionvc: c4eecd02-6456-4e32-949b-13b61384dea6 --\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed Content\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eControlled Percutaneous Reduction: \u003c\/strong\u003eApplication of the seesaw maneuver with a Mixter clamp, use of a percutaneous joystick, and association with limb positioning to correct flexion and external rotation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSpatial Planning and Strategic Portals:\u003c\/strong\u003e Marking of the fracture site, longitudinal axis, and precise definition of mini-portals for safe manipulation of the proximal fragment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Entry Point for the Intramedullary Nail:\u003c\/strong\u003e Definition of the point slightly medial to the apex of the greater trochanter, with continuous correction in anteroposterior and lateral views.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eGuidewire Parallelism to the Medullary Canal:\u003c\/strong\u003e Practical demonstration of the use of the parallelism guide to avoid oblique entry and prevent residual malalignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eVarus Control in Subtrochanteric Fractures:\u003c\/strong\u003e Intraoperative strategies for correction of residual varus, including selective enlargement of the entry point and application of the medial poller screw.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRational Use of the Poller Screw:\u003c\/strong\u003e Indication, percutaneous positioning, and biomechanical effect of the poller in neutralizing deforming forces.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eProximal Fixation and Distal Stability:\u003c\/strong\u003e Insertion of the sliding screw and use of two distal locking screws to reduce the windshield-wiper effect and increase stability within the medullary canal.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMinimally Invasive Technique and Functional Recovery:\u003c\/strong\u003e Procedure with small portals, less tissue aggression, reduction of postoperative pain, and early release for gait training.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eThe PDF objectively accompanies the complete surgical sequence of the training, including principles of percutaneous reduction, choice of the entry point, control of parallelism, management of varus, indication of the poller screw, and strategies for proximal and distal stability, with a focus on practical application in subtrochanteric fractures.\u003c\/p\u003e\n\u003cp\u003eImprove your decision-making and technical execution in the treatment of subtrochanteric fractures. Enroll and master minimally invasive reduction with precise biomechanical control.\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320157700157,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/FRATURASUBTROCANTERIANACase1_HasteIntramedularMinimamenteInvasiva.webp?v=1783098788","url":"https:\/\/www.surgie.com\/products\/subtrochanteric-fracture-case-1-minimally-invasive-intramedullary-nail","provider":"Surgie","version":"1.0","type":"link"}