Skip to main content
Top
Published in: Archives of Orthopaedic and Trauma Surgery 9/2009

01-09-2009 | Orthopaedic Surgery

Distraction osteogenesis for correction of three-dimensional deformities with shortening of lower limbs by Taylor Spatial Frame

Authors: Takanobu Nakase, Motohiro Kitano, Hideo Kawai, Takafumi Ueda, Chikahisa Higuchi, Masayuki Hamada, Hideki Yoshikawa

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 9/2009

Login to get access

Abstract

Introduction

Surgical results of correction of three-dimensional deformities with shortening of lower limbs by simple two-ring system of Taylor Spatial Frame have been reported. The deformities were caused by various kinds of skeletal disorders.

Methods

Ten cases were successfully corrected using distraction osteogenesis, being one case showed recurrence of deformity due to the nature of the disease.

Results

The ranges of corrected deformities were 5°–55° in coronal angulation, 2°–47° in sagittal angulation, and 5°–40° in rotational deformities. Amount of lengthening ranged from 1.2 to 6.0 cm. Pin-site infection occurred in five cases, being no other complications. External fixation index was longer in a group of rotational correction over 10°.

Conclusion

The current report seems the first series of cases with four-dimensional deformities treated by distraction osteogenesis by TSF and may help to determine the indication of use of TSF in case of treatment of patients suffering from deformities in the lower limbs.
Literature
1.
go back to reference Bhave A, Paley D, Herzenberg JE (1999) Improvement in gait parameters after lengthening for the treatment of limb-length discrepancy. J Bone Joint Surg Am 81:529–534PubMed Bhave A, Paley D, Herzenberg JE (1999) Improvement in gait parameters after lengthening for the treatment of limb-length discrepancy. J Bone Joint Surg Am 81:529–534PubMed
2.
go back to reference Birch JG, Samchukov ML (2004) Use of the Ilizarov method to correct lower limb deformities in children and adolescents. J Am Acad Orthop Surg 12:144–154PubMed Birch JG, Samchukov ML (2004) Use of the Ilizarov method to correct lower limb deformities in children and adolescents. J Am Acad Orthop Surg 12:144–154PubMed
3.
go back to reference Donnan LT, Saleh M, Rigby AS (2003) Acute correction of lower limb deformity and simultaneous lengthening with a monolateral fixator. J Bone Joint Surg Br 85:254–260PubMedCrossRef Donnan LT, Saleh M, Rigby AS (2003) Acute correction of lower limb deformity and simultaneous lengthening with a monolateral fixator. J Bone Joint Surg Br 85:254–260PubMedCrossRef
4.
go back to reference Eidelman M, Bialik V, Katzman A (2006) Correction of deformities in children using the Taylor spatial frame. J Pediatr Orthop B 15:387–395PubMed Eidelman M, Bialik V, Katzman A (2006) Correction of deformities in children using the Taylor spatial frame. J Pediatr Orthop B 15:387–395PubMed
5.
go back to reference Fadel M, Hosny G (2005) The Taylor spatial frame for deformity correction in the lower limbs. Int Orthop 29:125–129PubMedCrossRef Fadel M, Hosny G (2005) The Taylor spatial frame for deformity correction in the lower limbs. Int Orthop 29:125–129PubMedCrossRef
6.
go back to reference Feldman DS, Madan SS, Koval KJ et al (2003) Correction of tibia vara with six-axis deformity analysis and the Taylor spatial frame. J Pediatr Orthop 23:387–391PubMedCrossRef Feldman DS, Madan SS, Koval KJ et al (2003) Correction of tibia vara with six-axis deformity analysis and the Taylor spatial frame. J Pediatr Orthop 23:387–391PubMedCrossRef
7.
go back to reference Feldman DS, Shin SS, Madan S et al (2003) Correction of tibial malunion and nonunion with six-axis analysis deformity correction using the Taylor spatial frame. J Orthop Trauma 17:549–554PubMedCrossRef Feldman DS, Shin SS, Madan S et al (2003) Correction of tibial malunion and nonunion with six-axis analysis deformity correction using the Taylor spatial frame. J Orthop Trauma 17:549–554PubMedCrossRef
8.
go back to reference Herzenberg JE, Smith JD, Paley D (1994) Correcting torsional deformities with Ilizarov’s apparatus. Clin Orthop 302:36–41PubMed Herzenberg JE, Smith JD, Paley D (1994) Correcting torsional deformities with Ilizarov’s apparatus. Clin Orthop 302:36–41PubMed
9.
go back to reference Kakushima M, Miyamoto K, Shimizu K (2003) The effect of leg length discrepancy on spinal motion during gait: three-dimensional analysis in healthy volunteers. Spine 28:2472–2476PubMedCrossRef Kakushima M, Miyamoto K, Shimizu K (2003) The effect of leg length discrepancy on spinal motion during gait: three-dimensional analysis in healthy volunteers. Spine 28:2472–2476PubMedCrossRef
10.
go back to reference Kettelkamp DB, Hillberry BM, Murrish DE et al (1988) Degenerative arthritis of the knee secondary to fracture malunion. Clin Orthop 234:159–169PubMed Kettelkamp DB, Hillberry BM, Murrish DE et al (1988) Degenerative arthritis of the knee secondary to fracture malunion. Clin Orthop 234:159–169PubMed
11.
go back to reference Matsubara H, Tsuchiya H, Sakurakichi K et al (2006) Deformity correction and lengthening of lower legs with an external fixator. Int Orthop 30:550–554PubMedCrossRef Matsubara H, Tsuchiya H, Sakurakichi K et al (2006) Deformity correction and lengthening of lower legs with an external fixator. Int Orthop 30:550–554PubMedCrossRef
12.
go back to reference Matsubara H, Tsuchiya H, Takato K et al (2007) Correction of ankle ankylosis with deformity using the taylor spatial frame: a report of three cases. Foot Ankle Int 28:1290–1294PubMedCrossRef Matsubara H, Tsuchiya H, Takato K et al (2007) Correction of ankle ankylosis with deformity using the taylor spatial frame: a report of three cases. Foot Ankle Int 28:1290–1294PubMedCrossRef
13.
go back to reference Nakase T, Ohzono K, Araki N et al (2006) A case of Paget’s disease treated by distraction osteogenesis. Clin Orthop Relat Res 451:279–282PubMedCrossRef Nakase T, Ohzono K, Araki N et al (2006) A case of Paget’s disease treated by distraction osteogenesis. Clin Orthop Relat Res 451:279–282PubMedCrossRef
14.
go back to reference Nakase T, Ohzono K, Shimizu N et al (2006) Correction of severe post-traumatic deformities in the distal femur by distraction osteogenesis using Taylor spatial frame: a case report. Arch Orthop Trauma Surg 126:66–69PubMedCrossRef Nakase T, Ohzono K, Shimizu N et al (2006) Correction of severe post-traumatic deformities in the distal femur by distraction osteogenesis using Taylor spatial frame: a case report. Arch Orthop Trauma Surg 126:66–69PubMedCrossRef
15.
go back to reference Nakase T, Yasui N, Kawabata H et al (2007) Correction of deformity and shortening due to post-traumatic epiphyseal arrest by distraction osteogenesis. Arch Orthop Trauma Surg 127:659–663PubMedCrossRef Nakase T, Yasui N, Kawabata H et al (2007) Correction of deformity and shortening due to post-traumatic epiphyseal arrest by distraction osteogenesis. Arch Orthop Trauma Surg 127:659–663PubMedCrossRef
16.
go back to reference Rozbruch SR, Helfet DL, Blyakher A (2002) Distraction of hypertrophic nonunion of tibia with deformity using Ilizarov/Taylor spatial frame. Report of two cases. Arch Orthop Trauma Surg 122:295–298PubMedCrossRef Rozbruch SR, Helfet DL, Blyakher A (2002) Distraction of hypertrophic nonunion of tibia with deformity using Ilizarov/Taylor spatial frame. Report of two cases. Arch Orthop Trauma Surg 122:295–298PubMedCrossRef
17.
go back to reference Rubin C, Gross T, Qin Y et al (1996) Differentiation of the bone-tissue remodeling response to axial and torsional loading in the Turkey Ulna. J Bone Joint Surg Am 78:1523–1533PubMed Rubin C, Gross T, Qin Y et al (1996) Differentiation of the bone-tissue remodeling response to axial and torsional loading in the Turkey Ulna. J Bone Joint Surg Am 78:1523–1533PubMed
18.
go back to reference Sluga M, Pfeiffer M, Kotz R et al (2003) Lower limb deformities in children: two-stage correction using the Taylor spatial frame. J Pediatr Orthop B 12:123–128PubMedCrossRef Sluga M, Pfeiffer M, Kotz R et al (2003) Lower limb deformities in children: two-stage correction using the Taylor spatial frame. J Pediatr Orthop B 12:123–128PubMedCrossRef
19.
go back to reference Tetsworth K, Paley D (1994) Malalignment and degenerative arthropathy. Orthop Clin North Am 25:367–377PubMed Tetsworth K, Paley D (1994) Malalignment and degenerative arthropathy. Orthop Clin North Am 25:367–377PubMed
20.
go back to reference Tsuchiya H, Morsy AF, Matsubara H et al (2007) Treatment of benign bone tumours using external fixation. J Bone Joint Surg Br 89-B:1077–1083CrossRef Tsuchiya H, Morsy AF, Matsubara H et al (2007) Treatment of benign bone tumours using external fixation. J Bone Joint Surg Br 89-B:1077–1083CrossRef
21.
go back to reference Tsuchiya H, Uehara K, Abdel-Wanis ME et al (2002) Deformity correction followed by lengthening with the Ilizarov method. Clin Orthop Relat Res 402:176–183PubMedCrossRef Tsuchiya H, Uehara K, Abdel-Wanis ME et al (2002) Deformity correction followed by lengthening with the Ilizarov method. Clin Orthop Relat Res 402:176–183PubMedCrossRef
22.
go back to reference Watanabe K, Tsuchiya H, Sakurakichi K et al (2007) Double-level correction with the Taylor spatial frame for shepherd’s crook deformity in fibrous dysplasia. J Orthop Sci 12:390–394PubMedCrossRef Watanabe K, Tsuchiya H, Sakurakichi K et al (2007) Double-level correction with the Taylor spatial frame for shepherd’s crook deformity in fibrous dysplasia. J Orthop Sci 12:390–394PubMedCrossRef
23.
go back to reference Yasui N, Nakase T, Kawabata H et al (2000) A technique of percutaneous multidrilling osteotomy for limb lengthening and deformity correction. J Orthop Sci 5:104–107PubMedCrossRef Yasui N, Nakase T, Kawabata H et al (2000) A technique of percutaneous multidrilling osteotomy for limb lengthening and deformity correction. J Orthop Sci 5:104–107PubMedCrossRef
Metadata
Title
Distraction osteogenesis for correction of three-dimensional deformities with shortening of lower limbs by Taylor Spatial Frame
Authors
Takanobu Nakase
Motohiro Kitano
Hideo Kawai
Takafumi Ueda
Chikahisa Higuchi
Masayuki Hamada
Hideki Yoshikawa
Publication date
01-09-2009
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 9/2009
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-008-0702-y

Other articles of this Issue 9/2009

Archives of Orthopaedic and Trauma Surgery 9/2009 Go to the issue