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Symposium: Advances in Limb Lengthening and Reconstruction

Circular External Fixation Frames with Divergent Half Pins: A Pilot Biomechanical Study

Christopher Lenarz1, Gary Bledsoe1 and J. Tracy Watson1, 2 Contact Information

(1)  Department of Orthopaedic Surgery and Biomechanics, St. Louis University, St. Louis, MO, USA
(2)  Division of Orthopaedic Traumatology, Department of Orthopaedic Surgery, Saint Louis University Health Science Center, 3635 Vista Ave., 7th Floor Desloge Towers, St. Louis, MO, 63110-2539, USA

Published online: 18 September 2008

Abstract  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.

Contact Information J. Tracy Watson
Email: watsonjt@slu.edu

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