PURPOSE The mechanical stiffness of Korean radiolucent carbon/graphite ring fixator(KRCRF) was analyzed and compared with those of conventional stainless steel Ilizarov system and the Smith- Nephew carbon fiber circular external fixator. MATERIALS AND METHODS The transfixing olive pins of the circular fixator on the acryl pylon were assembled in 90degrees- 90degrees and 135degrees- 45degrees configuration, respectively. And the fixator-pylon model was loaded with Instron model No. 8500 in three testing modes: axial compression, anteroposterior(AP) bending and lateral bending. RESULTS As compared with stainless steel Ilizarov fixator, the KRCRF was significantly more stiff on the axial compression test regardless of the ring size(140 mm and 200 mm diameters) and transfixation configuration. But, it was less stiff on the anteroposterior(AP) and lateral bending tests. When compared with the Smith-Nephew carbon fiber circular external fixator, the KRCRF was generally more stiff on the axial compression, AP and lateral bending tests regardless of the ring size(140 mm and 180 mm diameters) and configuration, except the AP bending stiffness in 90degrees- 90degrees configuration and lateral bending stffness in 135degrees- 45degrees configuration on the 180 mm diameter frame. CONCLUSION Considering the radiolucency, weight and biomechanical stffness, we think that the KRCRF is an excellent substitute for the imported circular fixators made of stainless steel or carbon/graphite.
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A Study on the Development of the Off-Line Software for Regulating the 6 D.O.F. Circular Fixator Bum-Seok PARK, In-Ho CHOI, Jin-Woo KIM, Seung-Yeol LEE, Chang-Soo HAN JSME International Journal Series C.2006; 49(4): 1123. CrossRef
Massive segmental bony defect in open tibial fractures are generally treated with conventional bone grafting, free vascularized fibular graft or ring fixator technique. There are corcumstance when conventional bone graft is not adequate. A vascularized fibular graft may be superior to conventional graft, but it is with ring fixator is alternative method. The procedure can be accomplished by transferring the osteotomized part of the fibula to the tibia by means of olive wires. There was a 20-year-old male patient with Gustilo type IIIc open tibial fracture. Soft tissue defect was severe and femoral angiogram was perfomed. Only tibialis posterior artery was patent and peroneal artery was partially damaged. Latissmus dorsi flap was performed for covering soft tissue defect. Since the only patent tibialis posterior artery was already used for latissmus dorsi flap, it was difficult to perform vascularized fibular graft. Also it was technically difficult for us to accomplish a gradual transport using ring fixator because the distal tibia was lost. Thus, the fibular transfer was performed immediately after the ring fixator was applied. Good bony union and fibular hypertophy were obtained even though these two procedure had been done simultaneously.