• Zongchao Liu, Zegao Tian, Yan Jiang, Zhenlong Wang, Yong Liu, and Xiaobo Lu.
• Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2015 Feb 1; 29 (2): 145-8.

ObjectiveTo explore the mechanical stability of the three-dimensional (3-D) external fixator for osteoporotic fracture so as to provide the biomechanical basis for clinical application.MethodsForty-five fresh frozen adult tibial specimens were selected to rapidly prepare the extracorporal tibia osteoporotic fracture models, and were randomly divided into 3 groups (n = 15). Fractures were fixed with 3-D external fixators (3-D external fixators group), intramedullary nails (intramedullary nail group), and plate (plate group) respectively. Five specimens randomly from each group were used to do axial compression test, three-point bending test, and torsion test with microcomputer control electronic universal testing machine, then the mechanical parameters were calculated.ResultsIn the axial compression test, the displacement of 3-D external fixator group and intramedullary nail group were shorter than plate group, showing significant differences (P < 0.05); but no significant difference was found between 3-D external fixator group and intramedullary nail group (P > 0.05). In the three-point bending test and torsion test, the deflection and the torsional angle of 3-D external fixator group and intramedullary nail group were smaller than plate group, showing significant differences (P < 0.05); but no significant difference was found between 3-D external fixator group and intramedullary nail group (P > 0.05).ConclusionThe 3-D external fixator can fix fracture three-dimensionally from multiple plane and it can offer strong fixing. It is biomechanically demonstrated to be suitable for osteoporotic fracture.

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