The 6.3 mm titanium rod is approximately twice the strength of the 6.3 mm carbon fiber rod. On lower limbs, Type I-b or Type II minimal frames will extend the upper weight range for carbon rods. For larger patients, the added strength of titanium rods is advantageous, especially if attempting to simplify frames or in most fractures involving the humerus or femur.

At some point, more complex frames need to be built or large SK ESF rods and clamps should be utilized. Both carbon and titanium rods are in the small SK starter kit, but customers usually re-order their ultimate preference. Differences in strength can be utilized as part of a plan for staged disassembly or rod downsizing.

Small SK titanium rods can be cut with a large bolt cutter but tend to develop a significant burr that must be smoothed with a file or sanding material. All SK ESF System connecting rods are stocked in several length choices. The variety of lengths available should greatly reduce the need for cutting rods.

The small SK 6.3 mm titanium external rod is the only rod other than the mini SK stainless steel rod that can be bent for this purpose. However, it is quite difficult to bend and is best bent prior to sterilization using a vise and two hand chucks. Plate benders can also be utilized.