scholarly journals Fracture Reduction and Definitive Management for Acute Tibial Shaft Fractures Using the Taylor Spatial Frame

2021 ◽  
Author(s):  
Yanshi Liu ◽  
Jialin Liu ◽  
Maimaiaili Yushan ◽  
Zhenhui Liu ◽  
Tao Zhang ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Taylor Spatial Frame ◽  
Bone Union ◽  
Fracture Reduction ◽  
Tibial Shaft ◽  
Clinical Visit ◽  
Spatial Frame ◽  
Shaft Fractures ◽  
Definitive Management ◽  
Tibial Shaft Fractures

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.

scholarly journals Management of high-energy tibial shaft fractures using the hexapod circular external fixator

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yanshi Liu ◽  
Jialin Liu ◽  
Maimaiaili Yushan ◽  
Zhenhui Liu ◽  
Tao Zhang ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
External Fixator ◽  
High Energy ◽  
Bone Union ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Clinical Visit ◽  
Shaft Fractures ◽  
Definitive Management ◽  
Tibial Shaft Fractures

Abstract Background The hexapod external fixator (HEF) is increasingly used for high-energy 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 HEF for definitive management in patients with high-energy tibial shaft fractures. Methods The study was conducted on 34 patients with tibial shaft fractures who were admitted or referred to our institution and consented to HEF treatment from Jan 2016 to June 2019, including 27 males 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 HEF 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 Definitive management using the hexapod external fixator is an alternative and effective method for high-energy tibial shaft fractures, including technical advantages of early trauma-control, the versatility of achieving excellent alignment, and the continuity of device until bone union.

Functional Outcomes After Tibial Shaft Fractures Treated Using the Taylor Spatial Frame

2015 ◽  
Vol 29 (2) ◽  
pp. e54-e59 ◽  
Author(s):  
Daniel J. Henderson ◽  
Elizabeth Barron ◽  
Yvonne Hadland ◽  
Hemant K. Sharma
Keyword(s):  
Functional Outcomes ◽  
Taylor Spatial Frame ◽  
Tibial Shaft ◽  
Spatial Frame ◽  
Shaft Fractures ◽  
Tibial Shaft Fractures

scholarly journals Management of paediatric tibial shaft fractures with the Taylor Spatial frame

Injury Extra ◽  
2009 ◽  
Vol 40 (10) ◽  
pp. 228
Author(s):  
M. Padman ◽  
S. Shah ◽  
S.S. Madan ◽  
S. Jones ◽  
J.A. Fernandes
Keyword(s):  
Taylor Spatial Frame ◽  
Tibial Shaft ◽  
Spatial Frame ◽  
Shaft Fractures ◽  
Tibial Shaft Fractures

scholarly journals Intraoperative acute correction versus postoperative gradual correction for tibial shaft fractures with multiplanar posttraumatic deformities using the hexapod external fixator

2021 ◽  
Author(s):  
Yanshi Liu ◽  
Feiyu Cai ◽  
Kai Liu ◽  
Xingpeng Zhang ◽  
Hong Li ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
External Fixator ◽  
Demographic Data ◽  
Tibial Shaft ◽  
Gradual Correction ◽  
Shaft Fractures ◽  
Significant Difference ◽  
Acute Correction ◽  
Operation Duration ◽  
Tibial Shaft Fractures

Abstract Background: The purpose of this study was to determine the differences in clinical outcomes, if any, between intraoperative acute correction and postoperative gradual correction for tibial shaft fractures with multiplanar posttraumatic deformities using the hexapod external fixator.Methods: We retrospectively analyzed 58 consecutive patients with tibial shaft fractures treated by the hexapod external fixator at our institution from January 2015 to April 2019. Twenty-three patients (Group Ⅰ) underwent intraoperative acute correction, from January 2015 to October 2016. Starting in November 2016, the other 35 patients (Group Ⅱ) all underwent postoperative gradual correction. The demographic data, operation duration, original residual deformities before correction, residual deformities after correction, and external fixation time were collected and analyzed. The clinical outcomes were evaluated by the Johner-Wruhs criteria at the last clinical visit.Results: All patients achieved complete bone union with a mean time of 28.7±4.6 weeks (range 21 to 37 weeks) in Group Ⅰ and 27.9±4.8 weeks (range 19 to 38 weeks) in Group Ⅱ (P>0.05). The operation duration in Group Ⅰ (88.9±7.7 minutes) was longer than that in Group Ⅱ (61.9±8.4 minutes), and there was a statistically significant difference (P<0.05). There were no statistically significant differences between the two groups in original residual deformities before correction and residual deformities after correction (P>0.05). The rate of postoperative complication was similar between the two groups. There was no statistical significance in demographic data and clinical outcomes between the two groups (P>0.05). Conclusions: There is no difference in clinical outcomes between intraoperative acute correction and postoperative gradual correction for tibial shaft fractures with multiplanar posttraumatic deformities using the hexapod external fixator. Postoperative gradual correction may shorten the duration in the operation room and decrease the potential intraoperative risk.

Open Tibial Shaft Fractures: II. Definitive Management and Limb Salvage

2010 ◽  
Vol 18 (2) ◽  
pp. 108-117 ◽  
Author(s):  
Stuart J. Melvin ◽  
Derek G. Dombroski ◽  
Jesse T. Torbert ◽  
Stephen J. Kovach ◽  
John L. Esterhai ◽  
...  
Keyword(s):  
Limb Salvage ◽  
Tibial Shaft ◽  
Shaft Fractures ◽  
Definitive Management ◽  
Tibial Shaft Fractures

Treatment of comminuted tibial shaft fractures in four dogs with the use of interlocking nail connected with type I external fixator

2012 ◽  
Vol 15 (4) ◽  
pp. 661-666
Author(s):  
A. Piórek ◽  
Z. Adamiak ◽  
M. Jaskólska ◽  
Y. Zhalniarovich
Keyword(s):  
External Fixator ◽  
Healing Process ◽  
Clinical Treatment ◽  
Bone Union ◽  
Type I ◽  
Tibial Shaft ◽  
Interlocking Nail ◽  
Fracture Stabilization ◽  
Shaft Fractures ◽  
Tibial Shaft Fractures

AbstractThe treatment of comminuted tibial shaft fractures in canine patients is burdened by significant risk which involves bone healing complications, such as delayed bone union. Complications may result from iatrogenic damage to blood vessels during fracture stabilization. To minimize this risk, treatment methods increasingly often rely on the concept of biological osteosynthesis. One of such methods involves the treatment of fractures with the use of new hybrid fixator consisted of an interlocking nail connected with type I external fixator. Connection of the nail with external fixator has been recently developed to maximize treatment efficiency. This manner of stabilization increases bone-fixator construct strength on forces acting in the place of fracture. It also enables fracture fixation with minimal damage of the blood supply of bone fragments. This article describes surgical procedure of stabilization of comminuted tibial bone fractures in four dogs by the use of interlocking nail connected with external fixator type I, discusses and evaluates the results of clinical treatment with the involvement of the said fixator. To control bone consolidation process the radiograms were taken in 6 and 8 week of healing.In all cases, the reviewed methods of clinical treatment were successful in producing bone union after eight week of healing. During the whole period of observations no complication was observed. In all cases the intramedullary nail were left in the medullary canal after the healing process was finished. The fixator supported quick restoration of limb function after treatment.

scholarly journals Bone Healing by Using Ilizarov External Fixation Combined with Flexible Intramedullary Nailing versus Ilizarov External Fixation Alone in the Repair of Tibial Shaft Fractures: Experimental Study

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
A. V. Popkov ◽  
N. A. Kononovich ◽  
E. N. Gorbach ◽  
S. I. Tverdokhlebov ◽  
Y. M. Irianov ◽  
...  
Keyword(s):  
External Fixation ◽  
Intramedullary Nailing ◽  
Bone Union ◽  
Tibial Shaft ◽  
Flexible Intramedullary Nailing ◽  
Shaft Fractures ◽  
Ilizarov Apparatus ◽  
Group 2 ◽  
Tibial Shaft Fractures ◽  
Group 1

Purpose. Our research was aimed at studying the radiographic and histological outcomes of using flexible intramedullary nailing (FIN) combined with Ilizarov external fixation (IEF) versus Ilizarov external fixation alone on a canine model of an open tibial shaft fracture.Materials and Methods. Transverse diaphyseal tibial fractures were modelled in twenty dogs. Fractures in the dogs of group 1 (n=10) were stabilized with the Ilizarov apparatus while it was combined with FIN in group 2 (n=10).Results. On day 14, a bone tissue envelope started developing round the FIN wires. Histologically, we revealed only endosteal bone union in group 1 while in group 2 the radiographs revealed complete bone union on day 28. At the same time-point, the areas of cancellous and mature lamellar bone tissues were observed in the intermediary area in group 2. The periosteal layers were formed of the trabeculae net of lamellar structure and united the bone fragments. The frame was removed at 30 days after the fracture in group 2 and after 45 days in group 1 according to bone regeneration.Conclusion. The combination of the Ilizarov apparatus and FIN accelerates bone repair and augments stabilization of tibial shaft fractures as compared with the use of the Ilizarov fixation alone.

Sign in / Sign up

Export Citation Format

Share Document