Die Korrektur von posttraumatischen Fehlstellungspseudarthrosen der Tibia mit dem Taylor Spatial Frame

2009 ◽  
Vol 147 (01) ◽  
pp. 26-31 ◽  
Author(s):  
D. Seybold ◽  
J. Geßmann ◽  
L. Özokyay ◽  
H. Bäcker ◽  
G. Muhr ◽  
...  
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 ◽  
...  

2021 ◽  
Author(s):  
Yanshi Liu ◽  
Jialin Liu ◽  
Maimaiaili Yushan ◽  
Zhenhui Liu ◽  
Tao Zhang ◽  
...  

Abstract Background: The Taylor spatial frame (TSF) is increasingly used for acute tibial shaft fracture care as more general orthopedic surgeons are gaining expertise of this versatile device. The purpose of this study was to evaluate the clinical effectiveness of the TSF for fracture reduction and definitive management in patients with acute tibial shaft fractures.Methods: The study was conducted on 34 patients with acute tibial shaft fractures who were admitted or referred to our institution and consented to TSF treatment from Jan 2016 to June 2019, including 27males and 7 females with a mean age of 39 years (range 18 to 65 years). Patients' clinical and radiological data, and the final clinical outcomes at a minimum of 12 months follow-up were collected and retrospectively analyzed. All complications were documented according to Paley’s classification. The clinical outcomes were evaluated using the Association for the Study and Application of the Method of Ilizarov criteria (ASAMI) at the last clinical visit.Results: All patients remained in the TSF for a mean of 26 weeks (range 15 to 52 weeks) and acquired complete bone union. The satisfactory alignment was achieved in all patients, and all the patients were able to perform daily activities with no difficulty at the last clinical visit. Complications included pin tract infection (44%), delayed union (6%), nonunion (3%), and joint stiffness (3%). The ASAMI bony result was excellent in 31 patients and good in 3. The ASAMI functional result was excellent in 27 patients, good in 6, and fair in 1. Conclusions: Fracture reduction and definitive management using the Taylor spatial frame is an alternative and effective method for acute tibial shaft fractures, including technical advantages of early trauma-control, ease of soft tissue care, the versatility of achieving excellent alignment, and the continuity of device until bone union.


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.


2006 ◽  
Vol 88 ◽  
pp. 156-174 ◽  
Author(s):  
S. ROBERT ROZBRUCH ◽  
AUSTIN T. FRAGOMEN ◽  
SVETLANA ILIZAROV

2020 ◽  
Author(s):  
QiXin Liu ◽  
Hong Li ◽  
SiDa Liu ◽  
XueFei Fu ◽  
YanShi Liu ◽  
...  

Abstract Background The Taylor Spatial Frame (TSF) has been widely used on tibia fractures. However, traditional radiograph measurement method is complicated and the reduction accuracy is not high enough for correcting residual deformities. We proposed the marker-3D measurement method to solve these problems. This study aimed to compare the reduction accuracy of the traditional radiograph measurement method and the marker-3D measurement method in tibia fracture treated with TSF. Methods From January 2016 to June 2019, A retrospective analysis was performed based on the patients with tibia fracture treated with TSF in Tianjin Hospital. Forty-one patients were qualified for this study, including 21 patients in the marker-3D measurement group (experimental group) and 20 patients in the traditional radiograph measurement group (control group). In the experimental group, CT scan was performed for 3D reconstruction with 6 markers installed on the TSF, to determine the adjusting plan; in the control group, the Anteroposterior (AP) and Lateral radiographs were performed for the deformity parameters. All fractures were corrected after TSF adjusting, and then X-rays were taken to measure the residual deformities. Results All patients reached functional reduction. The residual displacement deformity (RDD) in AP radiograph was 0.5 (0, 1.72) mm in experimental group and 1.74 (0.43, 3.67) mm in control group; the residual angle deformity (RAD) in AP radiograph was 0 (0, 1.25) ° in experimental group and 1.25 (0.62, 1.95) °in control group. As to the Lateral radiograph, the RDD was 0 (0, 1.22) mm in experimental group and 2.02 (0, 3.74) mm in control group; the RAD was 0 (0, 0) ° in experimental group and 1.42 (0, 1.93) ° in control group. Significant differences in all above comparisons were found between the groups (AP radiograph RDD: P = 0.024, RAD: P = 0.020; Lateral radiograph RDD: P = 0.016, RAD: P = 0.004). Conclusion Both groups achieved satisfactory fracture reduction. However, the residual deformities in the experimental group were significantly smaller. This study proved that the marker-3D measurement method could further improve the accuracy of the reduction.


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