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Stability of ten configurations of the Hoffmann external-fixation frame

The Journal of Bone & Joint Surgery.  1987; 69:734-744 
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Abstract

The rigidity, load to yield, and load to failure of ten configurations of the Hoffmann external fixator were investigated using a model of wooden pylons with a simulated fracture that consisted of either a reduced transverse cut or a ten-millimeter gap. The axial compressive, torsional, anterior-posterior bending, and medial-lateral bending characteristics of four forms of the single half-frame (half-pinned), four double half-frame, and two full-frame (transfixion-pinned) configurations were examined. Of the single half-frame configurations, a system with a second stacked connecting-rod proved to be superior; however, the system yielded at a mean axial compressive load of only 199 newtons and failed totally at 355 newtons. The delta frame (two rods connecting or triangulating two half-frames set at an angle of 45 degrees to one another) was as rigid as the quadrilateral full frame in axial compression; however, it exhibited low loads to yield and to failure, with means around 200 and 350 newtons, respectively. The use of only two pins in each pin-cluster did not significantly affect the performance of the delta frame. The two full-frame systems performed poorly in torsion and particularly poorly in anterior-posterior bending. The loads that caused a one-millimeter movement within the fracture gap in axial compression were notably low: for the stacked half-frames the load did not exceed a mean value of 174 newtons; for the double half-frame, 190 newtons; and for the quadrilateral frame, 412 newtons. We concluded that no frame had a good over-all performance with regard to rigidity.(ABSTRACT TRUNCATED AT 250 WORDS)

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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