A fixator system includes an active strut that that can be gradually or acutely adjusted. Adjustments can be made in six degrees of freedom. Embodiments of the active strut can provide for two of the six degrees of freedom being about a first common point of rotation, and another two of the six degrees of freedom being about a second common point of rotation. Embodiments of the fixator can include one or more active struts in combination with one or more passive struts. The passive struts can be rigidly locked or can be unlocked so as to be freely and acutely adjustable while gradual or acute adjustments are made using the one or more active struts.