Summary
Modifications of a Type1a external skeletal fixator (ESF) frame were evaluated by
alternately placing transfixation pins on opposite sides of the connecting rod (Type
1a-MOD) or by placing additional connecting rods on either of the two inside (Type
1a-INSIDE) or two outside (Type 1a-OUTSIDE) transfixation pins. The objective of this
study was to evaluate the stiffness of these modifications in terms of axial compression
(AC), cranial-caudal bending (CCB), and medial-lateral bending (MLB). We hypothesized
that these designs would allow significant increase in unilateral frame stiffness,
over Type 1a, without proportional increase in frame complexity or technical difficulty
of application. All of the ESF frames were constructed using large IMEX SK™ clamps,
3.2 mm threaded fixation pins, 9.5 mm carbon fibre connecting rods and Delrin rods
as bone models. Nine, eight pin frames of each design were constructed, and subjected
to repetitive non-destructive loading forces (AC, CCB, MLB) using a materials testing
machine. Frame construct stiffness for each force (AC, CCB, MLB) was derived from
load-deformation curve analysis and displayed in N/mm. Data revealed the 1a-MOD and
1a-OUTSIDE constructs had significantly increased stiffness in CCB and AC as compared
to the Type 1a constructs while all of the modified constructs were significantly
stiffer in MLB than the Type 1a constructs.
Keywords
External skeletal fixation - biomechanics - Type 1a - Type 1b