F. Korkusuz et al., BIOMECHANICS OF THE GAZI TYPE PELVIS EXTERNAL SKELETAL FIXATOR, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine, 211(5), 1997, pp. 401-409
External skeletal fixation is an alternative method of treatment to co
nventional therapy and open surgical procedures in pelvis fractures. T
he appropriate type of frame and the configuration of the connecting b
ars of these fixators are under investigation. In the Gazi type pelvis
external fixator (GPEF) which has been developed, a 70 degrees angula
tion is applied to the connecting bars of the anterior quadrangular fr
ame. This configuration, which is expected to improve the stability of
the posterior column of the pelvis, was evaluated biomechanically on
a phantom with various types of pelvic fractures and separations. The
results suggest that the GPEF effectively controls anterior column pel
vis fractures such as unilateral pubic ramus fractures, unilateral isc
hium pubis rami fractures and symphysis pubis separations under vertic
al loads. The fixator is partially capable of stabilizing the posterio
r column; however, loads above 700 N cause separation at the fracture
site. Further studies and clinical trials are essential to determine t
he GPEF's effectiveness in reducing blood loss and in providing stabil
ity at the posterior column.