tibial frame appl

APPLICATION FRAME TO

TIBIADR. G. S. KULKARNI

PreconstructionPreconstruction

•Saves Oper. Time

•Assess patient•Assess instruments.

•Saves Oper. Time

•Assess patient•Assess instruments.

Ring Size - Size

- Number

- Placement

Posts, Wires,

Olive Wires, Pins,

X-rays

Ring Size - Size

- Number

- Placement

Posts, Wires,

Olive Wires, Pins,

X-rays

To determine

Ring Size

To determine

Ring Size

Reference wire

Rods Parallel

to Bone

Rods Parallel

to Bone

Proximal Ring

Middle Ring

Calcaneal wire & half pin

Metatarsal wires

Space for

Edema

Space for

Edema

Wire FormulaWire Formula• Safe Zones• Proximal Rings.• Middle Rings.• Distal Rings.• Calcaneal Wires.• Metatarsal Wires.

• Safe Zones• Proximal Rings.• Middle Rings.• Distal Rings.• Calcaneal Wires.• Metatarsal Wires.

Reference wires – Knee,

Ankle – Most Important

Reference wires – Knee,

Ankle – Most Important

Rods parallel to crest

Mark – Bony pts, crest, jt. Line, Patella,

Malleoli etc.

Wires – Rt. Lt. to Bone

Ring Fixation bolt on crest.

TrocarTrocar

Bio-netBio-net

OliveOlive

Half PinHalf Pin

HammerHammer

Use wire fixation bolts

For passing wire

Use wire fixation bolts

For passing wire

Wet gauze piece Wet gauze piece

Wire AngleWire Angle

Wire Away

From Ring

Wire Away

From Ring

Russian Wire TensionerRussian Wire Tensioner

DynamometerDynamometer

Oblique SupportOblique Support

Various types

of Hinges

Various types

of Hinges