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- ArticleJorgensen TE.Clin Orthop Relat Res. 1977 May(124):124-7.Twenty-eight tibial fractures were treated with external fixation by means of a Hoffmann apparatus. Through two electrode-screws in the Hoffmann apparatus a slowly pulsating, asymmetrical direct current was applied to the fracture site in each patient. The stimulated patients experienced a 30 per cent acceleration in healing as determined by mechanically stressing the Hoffmann apparatus used for immobilization of the fracture.