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)