tibial frame appl

32
APPLICATION FRAME TO TIBIA DR. G. S. KULKARNI

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Page 1: Tibial Frame Appl

APPLICATION FRAME TO

TIBIADR. G. S. KULKARNI

Page 2: Tibial Frame Appl

PreconstructionPreconstruction

•Saves Oper. Time

•Assess patient•Assess instruments.

•Saves Oper. Time

•Assess patient•Assess instruments.

Page 3: Tibial Frame Appl

Ring Size - Size

- Number

- Placement

Posts, Wires,

Olive Wires, Pins,

X-rays

Ring Size - Size

- Number

- Placement

Posts, Wires,

Olive Wires, Pins,

X-rays

Page 4: Tibial Frame Appl

To determine

Ring Size

To determine

Ring Size

Page 5: Tibial Frame Appl

Reference wire

Page 6: Tibial Frame Appl

Rods Parallel

to Bone

Rods Parallel

to Bone

Page 7: Tibial Frame Appl

Proximal Ring

Page 8: Tibial Frame Appl

Middle Ring

Page 9: Tibial Frame Appl

Calcaneal wire & half pin

Page 10: Tibial Frame Appl

Metatarsal wires

Page 11: Tibial Frame Appl

Space for

Edema

Space for

Edema

Page 12: Tibial Frame Appl

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.

Page 13: Tibial Frame Appl
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Reference wires – Knee,

Ankle – Most Important

Reference wires – Knee,

Ankle – Most Important

Page 17: Tibial Frame Appl

Rods parallel to crest

Page 18: Tibial Frame Appl

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

Malleoli etc.

Page 19: Tibial Frame Appl

Wires – Rt. Lt. to Bone

Page 20: Tibial Frame Appl

Ring Fixation bolt on crest.

Page 21: Tibial Frame Appl

TrocarTrocar

Bio-netBio-net

OliveOlive

Half PinHalf Pin

Page 22: Tibial Frame Appl

HammerHammer

Page 23: Tibial Frame Appl

Use wire fixation bolts

For passing wire

Use wire fixation bolts

For passing wire

Page 24: Tibial Frame Appl

Wet gauze piece Wet gauze piece

Page 25: Tibial Frame Appl

Wire AngleWire Angle

Page 26: Tibial Frame Appl

Wire Away

From Ring

Wire Away

From Ring

Page 27: Tibial Frame Appl
Page 28: Tibial Frame Appl

Russian Wire TensionerRussian Wire Tensioner

Page 29: Tibial Frame Appl

DynamometerDynamometer

Page 30: Tibial Frame Appl

Oblique SupportOblique Support

Page 31: Tibial Frame Appl

Various types

of Hinges

Various types

of Hinges

Page 32: Tibial Frame Appl