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Published in: European Journal of Trauma and Emergency Surgery 3/2015

01-06-2015 | Original Article

Biomechanical properties of different external fixator frame configurations

Authors: R. M. Sellei, P. Kobbe, T. Dienstknecht, P. Lichte, R. Pfeifer, M. Behrens, S. Brianza, H.-C. Pape

Published in: European Journal of Trauma and Emergency Surgery | Issue 3/2015

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Abstract

Purpose

External fixators are easy to apply and maximize soft tissue preservation. However, frames need providing an adequate stiffness in order to avoid excessive interfragmentary movement during the healing period. We characterized the stiffness of four different configurations of the newly developed Hoffmann 3 external fixation system.

Methods

A synthetic fracture gap model was stabilized using four different frame configurations: a double-∅ 11 mm rod configuration (group DR), a hybrid double-∅ 8 mm rod configuration (group H), a single ∅ 11 mm rod direct link configuration (group DL) and a single ∅ 11 mm rod side arm configuration (group SA). The stiffness of each configuration was measured under anterior-posterior bending, medial–lateral bending and axial torsion loading directions and the results statistically compared.

Results

The basic frame construct (group DR) showed the highest bending and torsional stiffness properties while the single rod side arm configuration (group SA) the lowest.

Conclusions

The diameter and the amount of used connecting rods as well as the adequate placement of these rods towards the main loading directions determine the construct stiffness. These results could help the surgeons estimating how different frames can potentially affect the interfragmentary motion. This information might help in choosing specific configuration when treating different fracture types on given patients.
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Metadata
Title
Biomechanical properties of different external fixator frame configurations
Authors
R. M. Sellei
P. Kobbe
T. Dienstknecht
P. Lichte
R. Pfeifer
M. Behrens
S. Brianza
H.-C. Pape
Publication date
01-06-2015
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Trauma and Emergency Surgery / Issue 3/2015
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-014-0436-1

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