The document provides instructions for applying a frame to a tibia. It lists the necessary equipment including posts, wires, olive wires, pins and x-rays. It describes determining the ring size and placing reference wires parallel to the bone, then the proximal ring, middle ring, and calcaneal wire and half pin. It emphasizes the importance of reference wires at the knee and ankle and keeping rods and wires parallel to the bone crest and joints. Safety zones for placement of rings and wires are noted.

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

4. To determine Ring Size

5. Reference wire

6. Rods Parallel to Bone

7. Proximal Ring

8. Middle Ring

9. Calcaneal wire & half pin

10. Metatarsal wires

11. Space for Edema

17. Rods parallel to crest

18. Mark – Bony pts, crest, jt. Line, Patella, Malleoli etc.

19. Wires – Rt. Lt. to Bone

20. Ring Fixation bolt on crest.

21. Trocar Bio-net Olive Half Pin

22. Hammer

23. Use wire fixation bolts For passing wire

24. Wet gauze piece

25. Wire Angle

26. Wire Away From Ring

28. Russian Wire Tensioner

29. Dynamometer

30. Oblique Support

31. Various types of Hinges

32. Thank you