Tibial Frame Appl
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Transcript of 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