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Mechanical evaluation of the effect of the rod to rod distance on the stiffness of uniplanar external fixator frames

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Abstract

Purpose

To investigate the effect of the rod-to-rod distance on the mechanical stability of single-rod and double-rod external fixator frames.

Methods

 Four different constructs, one single-rod and three double-rod constructs with different rod–rod distances, were subjected to the axial, bending, and torsional forces. The stiffness of different configurations was calculated.

Results

 Single-rod configuration had statistically the lowest stiffness when subjected to the axial, bending, and torsional forces. Maximum stiffness against the axial and anterior–posterior bending forces was achieved when the rod–rod distance was adjusted to 50 mm (halfway between the first rod and the end of the Schanz pins). There was no statistically significant difference in lateral bending stiffness among different double-rod configurations (p value: 0.435). The maximum stiffness against torsional forces was achieved when the rod–rod distance was adjusted to 100 mm (the second rod at the end of the Schanz pins).

Conclusion

 Double-rod uniplanar external fixator frames are significantly stiffer than the single-rod constructs, and however, the rod–rod distance can significantly affect the construct stiffness. We found that a frame with 50 mm rod–rod distance was the optimum fixator among tested configurations that allowed a balance between axial, bending, and torsional stiffness of the construct.

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Acknowledgements

This article has been obtained from a thesis (registered no. 17975) submitted to the Shiraz University of Medical Sciences in partial fulfillment of the requirement for the degree of specialty in orthopedic surgery. The project is sponsored by Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences.

Funding

The project was financed by Vice Chancellor for Research of the Shiraz University of Medical Science (Grant No. 17975).

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Correspondence to A. R. Vosoughi.

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Ethic number: IR.SUMS.MED.REC.1398.442.

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This study was carried out in Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

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Pourabbas, B., Emad, J., Dehghani, J. et al. Mechanical evaluation of the effect of the rod to rod distance on the stiffness of uniplanar external fixator frames. Musculoskelet Surg 107, 397–403 (2023). https://doi.org/10.1007/s12306-023-00782-1

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  • DOI: https://doi.org/10.1007/s12306-023-00782-1

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