The use of hexapod circular external fixators has simplified the ability to correct complex limb deformities without cumbersome
frame reconfigurations. These frames are applied primarily using half pin mountings and may be difficult to utilize given
the constraints of traditional half pin constructs. We compared the biomechanical performance of simplified divergent half
pin frames to mountings currently being utilized for application of hexapod frames. Three 6-mm half pins per limb segment
were placed into sawbones at 60° divergent angles in both the sagittal and coronal planes in a 2-cm diaphyseal fracture gap
model. Pin mountings were attached to a standardized four-ring construct. This was compared to similar four-ring frames with
two differing pin/wire configurations: (1) two tensioned wires per ring placed at 90° angles, a total eight wires; and (2)
two 5-mm half pins per ring placed at 90° angles, a total eight half pins. The divergent 6-mm half pin frames demonstrated
similar performance compared the standardized tensioned wire and 5-mm half pin frames in terms of axial micromotion and angular
deflection. Based on the mechanical performance of these divergent half pin frames we believe they can be used clinically
without detrimental consequences.
One or more of the authors (JTW) has received funding from Smith & Nephew.