A computer-linked magnetic motion transducer was used to monitor and
record the six components of motion of the bone fragments in eight
cadaveric tibiae in which a simulated, oblique fracture of the middle of
the shaft had been stabilized with a functional brace. The limbs were
mounted in a servo-hydraulic testing frame, and a cyclic load of 150
newtons was applied along the axis of the tibia. Motion sensors, attached
to each side of the fracture, measured and displayed the values of the
three translations (axial, anterior-posterior, and medial-lateral), the
axial rotation, and the two angulations (anterior-posterior and
varus-valgus) as they occurred. Although only an axial load was applied,
the off-axis motions were comparable in magnitude with the motion along the
axis. The elastic (recoverable) translations of the fragments ranged from
0.5 to 1.9 millimeters, about four to ten times larger than the
corresponding motions that were recorded in an earlier study of such
fractures that had been stabilized with two types of external fixators. The
recoverable rotation and angulations of the fragments of the limbs in the
functional brace ranged from 0.7 to 1.2 degrees, about ten times those
recorded when the external fixators were used.