Skip to main content
Top
Published in: MUSCULOSKELETAL SURGERY 2/2010

01-11-2010 | Case Report

Versatility of Taylor Spatial Frame in Gustilo-Anderson III C femoral fractures: report of three cases

Authors: Francesco Sala, Walter Albisetti, Dario Capitani

Published in: MUSCULOSKELETAL SURGERY | Issue 2/2010

Login to get access

Abstract

Taylor Spatial Frame (TSF) combines a multiplanar external fixator and software accuracy for reduction of acute long-bone fractures. The frame gives stability, soft-tissue preservation, adjustability and functionality allowing bone to realize its full osteogenic potential. Three patients with multiple injuries and femoral Gustilo-Anderson type III C have been treated in our center. Initial surgery was performed within 6 h of injury with help of vascular surgeon. We used TSF as definitive fixation method. The results were assessed using the functional and radiological scoring system described by Paley and Maar. Fracture union occurred in all limbs and average fixation time was 151.6 days. All three patients had excellent outcome in terms of bony and functional ASAMI criteria. The TSF is a valuable tool. It is a definitive method of femoral Gustilo-Anderson type III C fracture care using external fixation with several advantages over previously used devices.
Literature
1.
go back to reference Braten M, Helland P, Myhre HO, Molster A, Terjesen T (1996) Eleven femoral fractures with vascular injury: good outcome with early vascular repair and internal fixation. Acta Orthop Scand 67(2):161–164CrossRefPubMed Braten M, Helland P, Myhre HO, Molster A, Terjesen T (1996) Eleven femoral fractures with vascular injury: good outcome with early vascular repair and internal fixation. Acta Orthop Scand 67(2):161–164CrossRefPubMed
2.
go back to reference Feliciano DV (1998) Evaluation and treatment of vascular injuries. In: Browner BD, Levine AL, Jupiter JB, Trafton PG (eds) Skeletal trauma, 2nd edn. WB Saunders, Philadelphia, pp 349–361 Feliciano DV (1998) Evaluation and treatment of vascular injuries. In: Browner BD, Levine AL, Jupiter JB, Trafton PG (eds) Skeletal trauma, 2nd edn. WB Saunders, Philadelphia, pp 349–361
3.
go back to reference Schlickewei W, Kuner EH, Mullaji AB, Gotze B (1992) Upper and lower limb fractures with concomitant arterial injury. J Bone Jt Surg Br 74(2):181–188 Schlickewei W, Kuner EH, Mullaji AB, Gotze B (1992) Upper and lower limb fractures with concomitant arterial injury. J Bone Jt Surg Br 74(2):181–188
4.
go back to reference Eisner LG, Ammann JF (1994) Vascular injuries: diagnosis and technical procedure [in German]. Helv Chir Acta 60(6):1053–1059PubMed Eisner LG, Ammann JF (1994) Vascular injuries: diagnosis and technical procedure [in German]. Helv Chir Acta 60(6):1053–1059PubMed
5.
go back to reference Gates JD (1995) The management of combined skeletal and arterial injuries of the lower extremity. Am J Orthop 24(9):674–680PubMed Gates JD (1995) The management of combined skeletal and arterial injuries of the lower extremity. Am J Orthop 24(9):674–680PubMed
6.
go back to reference Iannacone WM, Taffet R, Delong WG Jr, Born CT, Dalsey RM, Deutsch LS (1994) Early exchange intramedullary nailing of distal femoral fractures with vascular injury initially stabilized with external fixation. J Trauma 37(3):446–451CrossRefPubMed Iannacone WM, Taffet R, Delong WG Jr, Born CT, Dalsey RM, Deutsch LS (1994) Early exchange intramedullary nailing of distal femoral fractures with vascular injury initially stabilized with external fixation. J Trauma 37(3):446–451CrossRefPubMed
7.
go back to reference Paley D, Maar DC (2000) Ilizarov bone transport treatment for tibial defects. J Orthop Trauma 14(2):76–85CrossRefPubMed Paley D, Maar DC (2000) Ilizarov bone transport treatment for tibial defects. J Orthop Trauma 14(2):76–85CrossRefPubMed
8.
go back to reference Moroni A, Vannini F, Mosca M et al (2002) Techniques to avoid pin loosening and infection in external fixation. J Orthop Trauma 16:189–195CrossRefPubMed Moroni A, Vannini F, Mosca M et al (2002) Techniques to avoid pin loosening and infection in external fixation. J Orthop Trauma 16:189–195CrossRefPubMed
9.
go back to reference Waddell JP, Lenczner EM (1974–1975) Arterial injury associated with skeletal trauma. Injury 6:28–32 Waddell JP, Lenczner EM (1974–1975) Arterial injury associated with skeletal trauma. Injury 6:28–32
10.
go back to reference Connolly JF, Whittaker D, Williams E (1971) Femoral and tibial fractures combined with injuries to the femoral or popliteral artery: a review of the literature and analysis of fourteen cases. J Bone Jt Surg (Am) 53-A:56–68 Connolly JF, Whittaker D, Williams E (1971) Femoral and tibial fractures combined with injuries to the femoral or popliteral artery: a review of the literature and analysis of fourteen cases. J Bone Jt Surg (Am) 53-A:56–68
11.
go back to reference Rich NM, Metz CW Jr, Hutton JR Jr et al (1971) Internal versus external fixation of fractures with concomitant vascular injuries in Vietnam. J Trauma 11:463–473CrossRefPubMed Rich NM, Metz CW Jr, Hutton JR Jr et al (1971) Internal versus external fixation of fractures with concomitant vascular injuries in Vietnam. J Trauma 11:463–473CrossRefPubMed
12.
go back to reference Howard PW, Makin GS (1990) Lower limb fractures with associated vascular injury. J Bone Jt Surg Br 72(1):116–120 Howard PW, Makin GS (1990) Lower limb fractures with associated vascular injury. J Bone Jt Surg Br 72(1):116–120
13.
go back to reference Seide K, Wolter D, Kortmann HR (1999) Fracture reduction and deformity correction with the hexapod Ilizarov fixator. Clin Orthop Relat Res 363:186–195CrossRefPubMed Seide K, Wolter D, Kortmann HR (1999) Fracture reduction and deformity correction with the hexapod Ilizarov fixator. Clin Orthop Relat Res 363:186–195CrossRefPubMed
14.
go back to reference Paley D (2005) Frontal plane mechanical plane and anatomic axis planning. In: Paley D (ed) Principle of deformity correction. Springer, New York, pp 61–76 Paley D (2005) Frontal plane mechanical plane and anatomic axis planning. In: Paley D (ed) Principle of deformity correction. Springer, New York, pp 61–76
Metadata
Title
Versatility of Taylor Spatial Frame in Gustilo-Anderson III C femoral fractures: report of three cases
Authors
Francesco Sala
Walter Albisetti
Dario Capitani
Publication date
01-11-2010
Publisher
Springer Milan
Published in
MUSCULOSKELETAL SURGERY / Issue 2/2010
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI
https://doi.org/10.1007/s12306-010-0073-8

Other articles of this Issue 2/2010

MUSCULOSKELETAL SURGERY 2/2010 Go to the issue