Summary
This study evaluated the effects of fixation wire tension (0 kg, 30 kg, 60 kg, and
90 kg) on the biomechanics of a four ring asymmetric circular external fixator construct
in four testing modes (axial compression, medio-lateral bending, craniocaudal bending,
and torsional loading) using a gap fracture model. Wire tension had a significant
direct effect on gap stiffness in all of the testing modes. Axial compression load-deformation
curves exhibited non-linearity, characteristic of the self-tensioning effect observed
with fine wire fixation. Bending loaddeformation curves had two discrete linear segments,
attributable to slipping of the bone models on the fixation wires, once a critical
bending moment was exceeded. Torsional loading caused a gradual ‘windup’ of the construct
which was followed by a linear load-displacement curve. Increasing wire tension had
a small but significant effect on gap stiffness, which generally diminished as higher
tensions were applied, thus demonstrating the need for adequate initial construct
design to achieve sufficient stability during fracture healing.
Keywords
llizarov - Circular External Skeletal Fixator - Biomechanics