{"product_id":"treatment-of-proximal-femur-fracture-with-intramedullary-nail-and-see-saw-maneuver","title":"Treatment of Proximal Femur Fracture with Intramedullary Nail and See-Saw Maneuver","description":"\u003cp\u003eThe treatment of unstable proximal femur fractures in elderly patients presents a significant technical challenge, often complicating the proper execution of the surgical procedure. This training offers a practical immersion in proximal femur osteosynthesis with an intramedullary nail, presenting an optimized approach that includes positioning without a traction table and the \"seesaw\" maneuver, all detailed in a high-resolution video from a surgical perspective to facilitate replication.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eOsteosynthesis of unstable proximal femur fractures with an intramedullary nail.\u003c\/li\u003e\n\u003cli\u003ePatient positioning technique without a traction table.\u003c\/li\u003e\n\u003cli\u003e\"Seesaw\" reduction maneuver for impacted and valgus fractures.\u003c\/li\u003e\n\u003cli\u003eManagement of guidewire insertion and intramedullary canal opening.\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\u003ePositioning Without Traction: \u003c\/strong\u003eMethodology for patient positioning, including the use of a gynecological leg holder for the contralateral limb, optimizing the surgical field and radioscopic visualization.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Guidewire Insertion:\u003c\/strong\u003e Protocols for creating the entry portal aligned with the anterior superior iliac spine, shaping the guidewire for a better angle of attack, and radiological verification for centralization and prevention of obliquity.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSafe Intramedullary Canal Opening:\u003c\/strong\u003e Technique for using the soft tissue guide\/protector, directing it medially to protect the lateral femoral cortex during reaming.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eShort Intramedullary Nail:\u003c\/strong\u003e Systematic approach to nail insertion and guidewire removal, considering the challenges of impaction and valgus deviation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e\"Seesaw\" Reduction Maneuver:\u003c\/strong\u003e Demonstration of the reduction technique for valgus or impacted proximal fragments, including the creation of a safe mini-portal and the application of leverage to obtain and maintain anatomical reduction with minimal manipulation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDefinitive Fixation:\u003c\/strong\u003e Sequence for guidewire and sliding screw introduction, strategic positioning of the locking screw (with adjustment for piston effect), and insertion of the distal locking screw, ensuring stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMinimization of Access and Tissue Trauma:\u003c\/strong\u003e Strategies for performing the procedure with reduced entry portals, promoting a minimally invasive character and favoring early patient mobility.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eIncluded Material:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF: \u003c\/strong\u003eA guide summarizing the principles of osteosynthesis of unstable proximal femur fractures with an intramedullary nail, the methodology of positioning without a traction table, the steps for precise guidewire insertion, and a detailed description of the \"seesaw\" reduction maneuver, as well as a practical guide for definitive fixation.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in orthopedic trauma surgery. Enroll now and master the techniques of proximal femur osteosynthesis with an intramedullary nail and the seesaw maneuver, optimizing your surgical outcomes and patient recovery.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: d42db38b-d313-49a9-8030-895c872481e3 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776989564989,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Treatment-of-Proximal-Femur-Fracture-with-Intramedullary-Nail-and-See-Saw-Maneuver.webp?v=1764858509","url":"https:\/\/www.surgie.com\/products\/treatment-of-proximal-femur-fracture-with-intramedullary-nail-and-see-saw-maneuver","provider":"Surgie","version":"1.0","type":"link"}