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DOI: 10.1055/s-0038-1632487
Effect of Clamp Type on Type II External Fixator Stiffness[*]
Publication History
Received 23 July 1998
Accepted 01 April 1999
Publication Date:
08 February 2018 (online)
Summary
In order to investigate the effects of two clamp types on type II external fixator stiffness, models using wooden dowels were constructed and mechanically tested. Kirschner-Ehmer clamps were compared to Securos clamps in four-pin type II external fixator configurations. Increasing axial loads were applied and displacement at a gap in the centre of the model measured. Linear regression and comparison of the slope of the regression lines before yield, after yield, and throughout 700N assessed model performance. The resulting load displacement curves were linear. There was no difference in model stiffness before yield, but was greater with models constructed with Securos clamps after yield and overall. The mean relative stiffness of the models constructed with the Kirschner-Ehmer type clamps were 320 ± 53.8 Newtons/mm, and with models constructed with Securos type clamps were 425 ± 74.8 Newtons/mm. Utilizing Securos clamps resulted in significantly (p<0.05) greater frame stiffness that is attributable to higher load at yield and greater stiffness after yield. Increasing resistance to rotational moments at the clamp/connecting bar junction should result in less stress imparted to the bone/pin interface, decreasing strain and decreasing pin loosening.
Axial stiffness in models of bilateral external fixators using Kirschner-Ehmer type clamps versus Securos clamps were compared. The stiffness of fixators constructed with Securos clamps was greater overall and at high loads due to a more secure fixation pin/connecting bar junction. Increased fixator stiffness would result in less stress at the bone/pin interface and may contribute to less pin loosening.
* This study was funded in part by the Roth Foundation
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REFERENCES
- 1 Anderson MA, Mann FA, Kinden DA, Wagner-Mann C. Evaluation of cortical bone damage and axial holding power of nonthreaded and enhanced threaded pins placed with and without drilling of a pilot hole in femurs from canine cadavers. Journal of the American Veterinary Medical Association 1996; 208 (06) 883-7.
- 2 Aro HT. Chao EY. Biomechanics and biology of fracture repair under external fixation. Hand Clinics 1993; 9 (04) 531-42.
- 3 Aro HT, Markel MD. Chao EY. Cortical bone reactions at the interface of external fixation half-pins under different loading conditions. Journal of Trauma 1993; 35 (05) 776-85.
- 4 Aro HT, Wahner HT, Chao EY. Healing patterns of transverse and oblique osteotomies in the canine tibia under external fixation. Journal of Orthopaedic Trauma 1991; 5 (03) 351-64.
- 5 Aron DN, Dewey CW. Application and postoperative management of external skeletal fixators. Veterinary Clinics of North America - Small Animal Practice 1992; 22 (01) 69-97.
- 6 Bouvy BM, Markel MD, Chelikani S, Egger EL, Piermattei DL, Vanderby Jr R. Ex vivo biomechanics of Kirschner-Ehmer external skeletal fixation applied to canine tibiae. Veterinary Surgery 1993; 22 (03) 194-207.
- 7 Brinker WO, Verstraete MC, Soutas-Little RW. Stiffness studies on various configurations and types of external fixators. Journal of the American Animal Hospital Association 1985; 21: 801-8.
- 8 Dudley M, Johnson AL, Olmstead M, Smith CW, Schaeffer DJ, Abbuehl U. Open reduction and bone plate stabilization, compared with closed reduction and external fixation, for treatment of comminuted tibial fractures: 47 cases (1980-1995) in dogs. Journal of the American Veterinary Medical Association 1997; 211 (08) 1008-12.
- 9 Evans M, Kenwright J, Tanner KE. Analysis of single-sided external fracture fixation. Engineering in Medicine 1979; 8: 133-7.
- 10 Foland MF, Egger EL. Application of type III external fixators: A review of 23 clinical fractures in 20 dogs and two cats. Journal of the American Animal Hospital Association 1991; 27: 193-202.
- 11 Goodship AE, Kenwright J. The influence of induced micromovement upon the healing of experimental tibial fractures. Journal of Bone & Joint Surgery - British Volume 1985; 67B: 650-5.
- 12 Goodship AE, Watkins PE, Rigby HS, Kenwright J. The role of fixator frame stiffness in the control of fracture healing. An experimental study. Journal of Biomechanics 1993; 26 (09) 1027-35.
- 13 Halsey D, Fleming B, Pope MH. Krag M, Kristiansen T. External fixator pin design. Clinical Orthopaedics & Related Research 1992; (278) 305-12.
- 14 Hyldahl C, Pearson S, Tepic S, Perren SM. Induction and prevention of pin loosening in external fixation: an in vivo study on sheep tibiae. Journal of Orthopaedic Trauma 1991; 5 (04) 485-92.
- 15 Johnson AL, Seitz SE, Smith CW, Johnson JM, Schaeffer DJ. Closed reduction and type-II external fixation of comminuted fractures of the radius and tibia in dogs: 23 cases (1990-1994). Journal of the American Veterinary Medical Association 1996; 209 (08) 1445-8.
- 16 Kenwright J, Goodship AE, Kelly DJ, Newman JH, Richardson JB, Evans M, Spriggins AJ, Burrough SJ, Rowley DI. Effect of controlled axial micromovement on healing of tibial fractures. Lancet 1986; 2: 1185-7.
- 17 Kraus KH, Wotton HM, Boudrieau RJ, Schwarz L, Diamond D, Minihan A. Type-II external fixation, using new clamps and positive-profile threaded pins, for treatment of fractures of the radius and tibia. Journal of the American Veterinary Medical Association 1998; 212 (08) 1267-70.
- 18 Kraus KH, Wotton HM, Rand W. Mechanical comparison of two external fixator clamp designs. Veterinary Surgery 1998; 27: 224-30.
- 19 McLaughlin Jr RM, Roush JK. Effects of increasing velocity on braking and propulsion times during force plate analysis in Greyhounds. American Journal of Veterinary Research 1995; 56 (02) 159-61.
- 20 O'Doherty DM, Butler SP, Goodship AE. Stress protection due to external fixation. Journal of Biomechanics 1995; 28 (05) 575-86.
- 21 Pettine KA, Chao EY, Kelly PJ. Analysis of the external fixator pin-bone interface. Clinical Orthopaedics & Related Research 1993; (293) 18-27.
- 22 Riggs CM, DeCamp CE, Soutas-Little RW, Braden TD, Richter MA. Effects of subject velocity on force plate-measured ground reaction forces in healthy Greyhounds at the trot. American Journal of Veterinary Research 1993; 54 (09) 1523-6.
- 23 Roe SC, Clary EM. In Vitro biomechanical and histological assessment of pilot hole diameter for positive-profile external skeletal fixation pins in canine tibiae. Veterinary Surgery 1996; 25: 453-62.
- 24 Rosner B. Fundamentals of biostatistics. second ed. Boston: Duxbury Press; 1986: 372.
- 25 Rumph PF, Kincaid SA, Baird DK, Kammermann JR. Visco DM, Goetze LF. Vertical ground reaction force distribution during experimentally induced acute synovitis in dogs. American Journal of Veterinary Research 1993; 54 (03) 365-9.
- 26 Rumph PF, Lander JE, Kincaid SA, Baird DK, Kammermann JR, Visco DM. Ground reaction force profiles from force platform gait analysis of clinically normal mesomorphic dogs at the trot. American Journal of Veterinary Research 1994; 55 (06) 756-61.
- 27 Seitz Jr. WH, Froimson AI, Brooks DB, Postak P, Polando G, Greenwald AS. External fixator pin insertion techniques: biomechanical analysis and clinical relevance. Journal of Hand Surgery - American Volume 1991; 16 (03) 560-3.
- 28 Yanoff SR, Hulse DA, Hogan HA, Slater MR, Longnecker MT. Measurements of vertical ground reaction force in jumping dogs. Vet. Comp. Orthopand Traumatol 1992; 5: 44-50.