Abstract: An external skeletal fixation apparatus provides support about a joint such as the knee. The apparatus includes a first external support section with one or more rings rigidly supporting a first skeletal element (e.g., the femur) on one side of the joint and a second external support section, with two or more rings, rigidly supporting a second skeletal element (e.g., the tibia) on an opposite side of the joint. The apparatus further includes a hinged support section interconnecting the first and second external support sections in the vicinity of the joint such that the hinged support section pivots the joint about a generally lateral axis when the skeletal elements move through angular flexion or extension. The second external support section includes at least a first support ring element and a second support ring element rotatably coupled with the first support ring element.