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Published in: International Orthopaedics 2/2005

01-04-2005 | Original Paper

The Taylor spatial frame for deformity correction in the lower limbs

Authors: Mohamed Fadel, Gamal Hosny

Published in: International Orthopaedics | Issue 2/2005

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Abstract

The Taylor spatial frame uses the slow correction principles of the Ilizarov system but adds a six-axis deformity analysis incorporated within a computer program. To evaluate its use in our community, we used it in lengthening and deformity correction of the lower limbs to treat 22 cases from 1999 to 2001. There were 14 females and eight males (average age 16.5 years). Our target was lengthening in eight cases, correction of deformities in eight and both in six. The results were excellent in 18 cases, good in two, and fair in two. Despite the cost, patient profile and a steep learning curve, our results were encouraging but less favorable than with the Ilizarov external fixator.
Literature
1.
go back to reference Cattaneo R, Catagni M, Johnson EE (1992) The treatment of infected nonunions and segmental defects of the tibia by the methods of Ilizarov. Clin Orthop 280:143–152 Cattaneo R, Catagni M, Johnson EE (1992) The treatment of infected nonunions and segmental defects of the tibia by the methods of Ilizarov. Clin Orthop 280:143–152
2.
go back to reference Coogan PG, Fox JA, Fitch RD (1996) Treatment of adolescent Blount disease with circular external fixation device and distraction osteogenesis. J Pediatr Orthop 16:450–454 Coogan PG, Fox JA, Fitch RD (1996) Treatment of adolescent Blount disease with circular external fixation device and distraction osteogenesis. J Pediatr Orthop 16:450–454
3.
go back to reference Feldman DS, Madan SS, Koval KJ, van Bosse HJ, Bazzi J, Lehman WB (2003) Correction of tibia vara with six-axis deformity analysis and the Taylor Spatial Frame. J Pediatr Orthop 23(3): 387–91. PMID: 12724607 Feldman DS, Madan SS, Koval KJ, van Bosse HJ, Bazzi J, Lehman WB (2003) Correction of tibia vara with six-axis deformity analysis and the Taylor Spatial Frame. J Pediatr Orthop 23(3): 387–91. PMID: 12724607
4.
go back to reference Feldman DS, Shin SS, Madan S, Koval KJ (2003) Correction of tibial malunion and nonunion with six-axis analysis deformity correction using the Taylor Spatial Frame. J Orthop Trauma 17(8): 549–54. PMID: 14504575 Feldman DS, Shin SS, Madan S, Koval KJ (2003) Correction of tibial malunion and nonunion with six-axis analysis deformity correction using the Taylor Spatial Frame. J Orthop Trauma 17(8): 549–54. PMID: 14504575
5.
go back to reference Henderson RC, Kemp GJ, Greene WB (1992) Adolescent tibia vara: alternatives for operative treatment. J Bone Joint Surg Am 74:342–350 Henderson RC, Kemp GJ, Greene WB (1992) Adolescent tibia vara: alternatives for operative treatment. J Bone Joint Surg Am 74:342–350
6.
go back to reference Ilizarov GA (1992) Transosseous osteosynthesis. Springer, Berlin Heidelberg New York, pp 287–543 Ilizarov GA (1992) Transosseous osteosynthesis. Springer, Berlin Heidelberg New York, pp 287–543
7.
go back to reference Langenskoild A (1981) Tibia vara, osteochondrosis deformans tibiae. Blount disease. Clin Orthop 158:77–82 Langenskoild A (1981) Tibia vara, osteochondrosis deformans tibiae. Blount disease. Clin Orthop 158:77–82
8.
go back to reference Monticelli G, Spinelli R (1984) A new method of treating the advanced stages of tibia vara Blount disease. Ital J Orthop Traumatol 10:295–303PubMed Monticelli G, Spinelli R (1984) A new method of treating the advanced stages of tibia vara Blount disease. Ital J Orthop Traumatol 10:295–303PubMed
9.
go back to reference Paley D (2002) Radiographic assessment of lower limb deformities. In: Paley D, ed. Principles of Deformity Correction. Springer, Berlin Heidelberg New York, pp 31–60 Paley D (2002) Radiographic assessment of lower limb deformities. In: Paley D, ed. Principles of Deformity Correction. Springer, Berlin Heidelberg New York, pp 31–60
10.
go back to reference Pinkowski JL, Weiner DS (1995) Complication in proximal tibial osteotomies in children with presentation of technique. J Pediatr Orthop 15:307–312 Pinkowski JL, Weiner DS (1995) Complication in proximal tibial osteotomies in children with presentation of technique. J Pediatr Orthop 15:307–312
11.
go back to reference Price CT, Scott DS, Greenberg DA (1995) Dynamic axial external fixation in the surgical treatment of tibia vara. J Pediatr Orthop 15:236–243 Price CT, Scott DS, Greenberg DA (1995) Dynamic axial external fixation in the surgical treatment of tibia vara. J Pediatr Orthop 15:236–243
12.
go back to reference Rodl R, Leidinger B, Bohm A, Winkelmann W (2003) Correction of deformities with conventional and hexapod frames--comparison of methods. Z Orthop Ihre Grenzgeb 141(1): 92–8. PMID: 12605337 Rodl R, Leidinger B, Bohm A, Winkelmann W (2003) Correction of deformities with conventional and hexapod frames--comparison of methods. Z Orthop Ihre Grenzgeb 141(1): 92–8. PMID: 12605337
13.
go back to reference Rozbruch SR, Helfet DL, Blyakher A. (2002) Distraction of hypertrophic non-union of tibia with deformity using Ilizarov/Taylor Spatial Frame: reportof two cases. Arch Orthop Trauma Surg; 122:295–298. PMID: 12070651 Rozbruch SR, Helfet DL, Blyakher A. (2002) Distraction of hypertrophic non-union of tibia with deformity using Ilizarov/Taylor Spatial Frame: reportof two cases. Arch Orthop Trauma Surg; 122:295–298. PMID: 12070651
14.
go back to reference Saleh M, Royston S (1996) Management of nonunion of fractures by distraction with correction of angulation and shortening. J Bone Joint Surg Br 78:105–109 Saleh M, Royston S (1996) Management of nonunion of fractures by distraction with correction of angulation and shortening. J Bone Joint Surg Br 78:105–109
15.
go back to reference Schatz KD, Nehrer S, Dorotka R, Kotz R (2002) 3D-navigated high energy shock wave therapy and axis correction after failed distraction treatment of congenital tibial pseudarthrosis. Orthopade 31:663–666PubMed Schatz KD, Nehrer S, Dorotka R, Kotz R (2002) 3D-navigated high energy shock wave therapy and axis correction after failed distraction treatment of congenital tibial pseudarthrosis. Orthopade 31:663–666PubMed
16.
go back to reference Seide K, Wolter D, Kortmann HR (1999) Fracture reduction and deformity correction with hexapod Ilizarov fixator. Clin Orthop 363:186–195CrossRefPubMed Seide K, Wolter D, Kortmann HR (1999) Fracture reduction and deformity correction with hexapod Ilizarov fixator. Clin Orthop 363:186–195CrossRefPubMed
17.
go back to reference Shevtsov VI, Maer VI (1980) Ambulatory treatment of children with Erlacher-Blount disease by Ilizarov’s transosseous osteosynthesis. Orthop Traumatol 1:53–55 Shevtsov VI, Maer VI (1980) Ambulatory treatment of children with Erlacher-Blount disease by Ilizarov’s transosseous osteosynthesis. Orthop Traumatol 1:53–55
18.
go back to reference Sluga M, Pfeiffer M, Kotz R, Nehrer S. (2003) Lower limb deformities in children: two-stage correction using the Taylor spatial frame. J Pediatr Orthop B 12(2): 123–8. PMID: 12584497 Sluga M, Pfeiffer M, Kotz R, Nehrer S. (2003) Lower limb deformities in children: two-stage correction using the Taylor spatial frame. J Pediatr Orthop B 12(2): 123–8. PMID: 12584497
19.
go back to reference Steel HH, Sandrow RE, Sullivan PH (1971) complication of tibial osteotomy in children for genu varum or valgum. J Bone Joint Surg Am 53:1629–1635PubMed Steel HH, Sandrow RE, Sullivan PH (1971) complication of tibial osteotomy in children for genu varum or valgum. J Bone Joint Surg Am 53:1629–1635PubMed
20.
go back to reference Taylor JC (2000) Correction of general deformity with Taylor Spatial Frame. www.jcharlestaylor.com. Accessed October 25 Taylor JC (2000) Correction of general deformity with Taylor Spatial Frame. www.jcharlestaylor.com. Accessed October 25
21.
go back to reference Taylor JC (2002) Six-axis deformity analysis and correction. In: Paley D, ed. Principles of Deformity Correction. Springer, Berlin Heidelberg New York, pp 411–436 Taylor JC (2002) Six-axis deformity analysis and correction. In: Paley D, ed. Principles of Deformity Correction. Springer, Berlin Heidelberg New York, pp 411–436
22.
go back to reference Tetsworth KD, Paley D (1994) Accuracy of correction of complex lower extremity deformities by the Ilizarov method. Clin Orthop; 301:102–110. Tetsworth KD, Paley D (1994) Accuracy of correction of complex lower extremity deformities by the Ilizarov method. Clin Orthop; 301:102–110.
23.
go back to reference Tucker H, Kendra JC, Kinnebrew TE (1992) Management of unstable open and closed tibial fractures using the Ilizarov method. Clin orthop 280:125–135 Tucker H, Kendra JC, Kinnebrew TE (1992) Management of unstable open and closed tibial fractures using the Ilizarov method. Clin orthop 280:125–135
Metadata
Title
The Taylor spatial frame for deformity correction in the lower limbs
Authors
Mohamed Fadel
Gamal Hosny
Publication date
01-04-2005
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 2/2005
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-004-0611-9

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