RADIAL SHAFT [Case 2] · Thompson Approach

Achieving anatomic reduction and rotational stability in radial shaft fractures requires precise technical mastery of the surgical approach and the biomechanics of osteosynthesis. This training presents, in a direct manner, the technique using the Thompson approach and fixation with a 3.5 mm DCP plate, in 4K video under a surgical perspective. FOCUS OF THE TRAINING Osteosynthesis of a radial shaft fracture with a 3.5 mm DCP plate. Dorsal Thompson approach with identification of anatomical landmarks. Dissection through fascial planes with muscle preservation. Anatomic reduction with control of rotation and length. Interfragmentary compression technique with plate. DETAILED CONTENT Structured Dorsal Approach: Execution of the Thompson approach based on reliable anatomical references and protection of critical structures. Precise Localization of the Fracture Site: Use of the image intensifier for exact definition of the fracture level and incision planning. Atraumatic Dissection: Progression through fascial planes, avoiding muscle injury and maintaining tissue integrity. Targeted Exposure of the Radius: Controlled approach to the diaphysis with safe retraction of adjacent structures. Reduction with Biomechanical Control: Correction of rotational and angular deformities using strategic application of clamps and assisted traction. Fracture Site Management: Organization of fragments and selective removal of devitalized bone tissue. Application on the Tension Cortex: Plate positioning on the radial surface respecting the anatomical curvature of the bone. Plate Pre-tensioning: Adjustment of curvature to promote compression at the site opposite to the implant. Progressive Interfragmentary Compression: Eccentric drilling to generate effective axial compression. Technical Fixation Sequence: Strategic insertion of screws to achieve compression between fragments. Immediate Functional Check: Intraoperative assessment of pronation and supination without mechanical block. INCLUDED MATERIAL Detailed PDF: Technical material with sequential description of the Thompson approach, approach planning with imaging assistance, principles of dissection through fascial planes, reduction techniques and rotational control, plate application on the tension cortex, interfragmentary compression strategy, and intraoperative functional assessment protocol. Apply biomechanical control and technical precision in radial osteosynthesis. Enroll and enhance the predictability of your surgical outcomes.