Tibial Frame Appl

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Tibial Frame Appl

  1. 1. APPLICATION FRAME TO TIBIA DR. G. S. KULKARNI
  2. 2. Preconstruction <ul><li>Saves Oper. Time </li></ul><ul><li>Assess patient </li></ul><ul><li>Assess instruments . </li></ul>
  3. 3. <ul><li>Ring Size - Size </li></ul><ul><li>- Number </li></ul><ul><li>- Placement </li></ul><ul><li>Posts, Wires, </li></ul><ul><li>Olive Wires, Pins, </li></ul><ul><li>X-rays </li></ul>
  4. 4. To determine Ring Size
  5. 5. Reference wire
  6. 6. Rods Parallel to Bone
  7. 7. Proximal Ring
  8. 8. Middle Ring
  9. 9. Calcaneal wire & half pin
  10. 10. Metatarsal wires
  11. 11. Space for Edema
  12. 12. Wire Formula <ul><li>Safe Zones </li></ul><ul><li>Proximal Rings. </li></ul><ul><li>Middle Rings. </li></ul><ul><li>Distal Rings. </li></ul><ul><li>Calcaneal Wires. </li></ul><ul><li>Metatarsal Wires. </li></ul>
  13. 16. <ul><li>Reference wires – Knee, </li></ul><ul><li>Ankle – Most Important </li></ul>
  14. 17. Rods parallel to crest
  15. 18. Mark – Bony pts, crest, jt. Line, Patella, Malleoli etc.
  16. 19. Wires – Rt. Lt. to Bone
  17. 20. Ring Fixation bolt on crest.
  18. 21. Trocar Bio-net Olive Half Pin
  19. 22. Hammer
  20. 23. Use wire fixation bolts For passing wire
  21. 24. Wet gauze piece
  22. 25. Wire Angle
  23. 26. Wire Away From Ring
  24. 28. Russian Wire Tensioner
  25. 29. Dynamometer
  26. 30. Oblique Support
  27. 31. Various types of Hinges
  28. 32. Thank you

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