scholarly journals Accuracy of complex lower-limb deformity correction with external fixation: a comparison of the Taylor Spatial Frame with the Ilizarov ring fixator

2007 ◽  
Vol 1 (1) ◽  
pp. 55-61 ◽  
Author(s):  
Hans Michael Manner ◽  
Michael Huebl ◽  
Christof Radler ◽  
Rudolf Ganger ◽  
Gert Petje ◽  
...  
2018 ◽  
Vol 9 (4) ◽  
Author(s):  
Yudha Manggala ◽  
Chayanin Angthong ◽  
Andri Primadhi ◽  
Supoj Kungwan

This study was to report the comparison of outcomes between Ilizarov ring fixator (IRF) and Taylor Spatial Frame® (Smith & Nephew, Memphis, Tenn.; TSF) in terms of the effectiveness of ankle-foot deformities correction, follow-up results, and complications. Fourteen patients with ankle-foot deformities were corrected using circular external fixation (IRF group = 7 patients; TSF group = 7 patients) and related procedures. Baseline data and treatment variables were recorded. The patients’ mean age was 42.9 years. Mean follow-up time was 6.5 months. Most common cause of deformity/traumatic condition was posttraumatic equinus. There were successful results in 8 patients (57.1%), partial successful results in 5 patients (35.7%), and revision-needed in 1 patient (7.1%). TSF group demonstrated significantly higher rate of successful results than IRF group (P=0.033). A trend of lower complication rate was found in TSF group (P=0.286). Deformity corrections using TSF provided significantly better clinical scores and higher rate of successful outcome than conventional IRF.


Author(s):  
Juergen Messner ◽  
Harpreet Chhina ◽  
Sophia Davidson ◽  
Jero Abad ◽  
Anthony Cooper

Purpose Comparison of two hexapod frame systems in paediatric tibial deformity correction; the Taylor Spatial Frame (TSF) and Orthex Hexapod System. Methods Paediatric patients with congenital and acquired tibial deformities treated with either TSF (between 2014 and 2016) or Orthex (between 2017 and 2019) frames were included in a retrospective comparative study. Outcome measures were healing index, pin infection rate, regenerate quality and density, software residual rate, deformity correction accuracy, strut exchanges and quality of life (QoL). Results The TSF group had 17 patients (18 frames) and the Orthex group had 21 patients (25 frames). The most common indications for tibial deformity correction were fibular hemimelia (14) and septic or traumatic growth arrest (8). The median time in frame was 230 days (TSF) versus 203 days (Orthex) (p= 0.06). The mean lengthening achieved was 54 mm (TSF) and 51 mm (Orthex) (p = 0.41). The healing index was 41 days/cm (TSF) versus 43 days/cm (Orthex) (p = 0.70). Pin site infections occurred more in the TSF cohort (40%) than in the Orthex cohort (18%) (p < 0.001). The regenerate in the Orthex group showed higher density at three months (p = 0.029) and was more homogenous (p = 0.023) at six months after frame application. Strut exchanges were less frequent with the Orthex system (p < 0.0001). QoL measures were similar in both cohorts (p = 0.92). Conclusions This is the first study to compare two hexapod designs in paediatric orthopaedics. The Orthex system showed superiority in regenerate quality and a significant reduction in pin site infection rates. Both systems delivered predictable and accurate limb deformity correction. Level of evidence III


2019 ◽  
Vol 70 (4) ◽  
Author(s):  
Marianna Faggiani ◽  
Selena Desayeux ◽  
Giovanni Martino ◽  
Eraclite Petruccelli ◽  
Alessandro Aprato ◽  
...  

2016 ◽  
Vol 36 (8) ◽  
pp. 821-828 ◽  
Author(s):  
Benjamin J. Shore ◽  
Jon-Paul P. DiMauro ◽  
David D. Spence ◽  
Patricia E. Miller ◽  
Michael P. Glotzbecker ◽  
...  

2010 ◽  
Vol 17 (1) ◽  
pp. 67-78
Author(s):  
Lutf A. Abumunaser ◽  
Mohammed J. Alsayyed

Congenital pseudarthrosis of the tibia remains one of the most difficult conditions in pediatric orthopedic surgery. The numerous treatment options reflect this difficulty. The aim of successful treatment is to achieve union, length and deformity correction. This reports a 16-years-old male patient with congenital pseudarthrosis of the tibia diagnosed at age of two years, who previously underwent 14 different operations. The patient was referred to King Abdulaziz University Hospital, where he was treated with Taylor Spatial Frame, excision of pseudarthrosis, autogenus bone grafts and Demineralized Bone Matrix was performed, and union was achieved. Stability and deformity correction permitted by Taylor Spatial Frame, in addition to stimulation of bone healing through proper grafting provided a successful option to treat this complex condition.


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