Do axial dynamic fixators really produce axial dynamization?

The use of dynamic external fixators for the treatment of long bone fractur e is widespread and well accepted. It is claimed that dynamization, i.e. sm all micromovements of compression/distraction at the fracture site, can be produced by allowing sliding of an inner rod within an outer housing. Howev er, as the forces on the fixator are not direct but transferred from the bo ne via bone pins, there is a bending moment on the fixator. This produces " self-locking" and effectively prevents axial movements. We have studied the effect of this moment on the binding properties of the Orthofix system. Th e amount of movement at a simulated fracture site allowed before this locki ng occurs was measured and its implications discussed. It would appear that true axial dynamization does not take place using this system. (C) 1999 El sevier Science Ltd. All rights reserved.