scholarly journals The deformity correction and fixator-assisted treatment using Ilizarov versus Taylor spatial frame in the foot and ankle

2018 ◽  
Vol 9 (4) ◽  
Author(s):  
Yudha Manggala ◽  
Chayanin Angthong ◽  
Andri Primadhi ◽  
Supoj Kungwan
Keyword(s):  
Deformity Correction ◽  
Taylor Spatial Frame ◽  
Successful Outcome ◽  
Foot Deformities ◽  
Ring Fixator ◽  
Spatial Frame ◽  
Ilizarov Ring Fixator ◽  
Lower Complication ◽  
Lower Complication Rate

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.

scholarly journals Growth-Friendly Implants With Rib Clawing Hooks as Proximal Anchors in Early-Onset Scoliosis

2019 ◽  
Vol 10 (4) ◽  
pp. 370-374
Author(s):  
Alaaeldin Azmi Ahmad ◽  
Loai Aker ◽  
Yahia Hanbali ◽  
Yousef Arafat
Keyword(s):  
Cobb Angle ◽  
Early Onset ◽  
Deformity Correction ◽  
Neurological Complications ◽  
Good Choice ◽  
Early Onset Scoliosis ◽  
Rib Fixation ◽  
Lower Complication ◽  
Lower Complication Rate

Study Design: Retrospective study. Objectives: This study retrospectively evaluates the outcome of the surgical treatment of early-onset scoliosis with proximal clawing rib fixation in hybrid growing-rod constructs. The study examines spinal deformity correction with spinal growth maintenance, and the complications associated with this technique. Method: A hybrid rib construct surgery with serial lengthening was utilized for the treatment of 71 patients. Mean age at surgery was 66.6 months and mean time for follow-up was 43.9 months. Results: The coronal Cobb angle in patients fell from 63.1° preoperatively to 51.6° at the last follow-up, with a correction of 16.8%. The sagittal Cobb angle fell from 66.7° preoperatively to 38° at the last follow-up, with a correction of 42.6%. Coronal balance fell from 22.8° preoperatively to 22.3°, and sagittal balance fell from 35.4 mm preoperatively to 24.39 mm. T1-S1 spine height increased from 248.7 mm preoperatively to 282.4 mm, with a mean change of 1.13 cm per year. No neurological complications were detected. Conclusion: Surgical management for early-onset scoliosis using proximal clawing rib fixation technique is a good choice in terms of safety, ease of placing the proximal anchors, ability to use more than one form of instrumentation, and a lower complication rate.

scholarly journals Talo-calcaneal smile osteotomy as a treatment of rigid residual equinus deformity

2021 ◽  
Vol 9 (2) ◽  
pp. 52-59
Author(s):  
Sameh S Alsafty ◽  
◽  
Hassan Saqlain ◽  
Kareem S Khalil ◽  
Gamal A Hosny ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Invasive Technique ◽  
Foot Deformities ◽  
Foot Deformity ◽  
Fair Result ◽  
Ring Fixator ◽  
Ilizarov Ring Fixator ◽  
Ilizarov Fixator ◽  
Equinus Deformity

Foot deformities are usually complex. Equinus deformity can be a residual foot deformity element or isolated. A rigid type is the most difficult for treatment. The aim of work is the treatment of rigid equinus deformity by a minimally invasive technique using Ilizarov fixator to restore plantigrade foot and to prevent further recurrence. 17 feet in 14 patients with stiff ankles and rigid equinus after failed surgical correction of club feet, with mean age 6.6 years (4 to 10 years), all treated by smile talocalcaneal osteotomy and Ilizarov ring fixator with a mean follow up 20.9 months (5 to 30 months). 5 feet (29.9%) had excellent results, 8 (47.1%) had good results, 1(5.9%) had a fair result and 3 feet (17.6%) had poor results and underwent revision surgery. In conclusion, our technique Talo-calcaneal smile osteotomy based on distraction osteogenesis method appears to provide similar or better results compared to other literature results without discrimination of foot size, provide some range of motion and plantigrade foot. Keywords: Clubfoot- equinus- rigid -deformity, Ilizarov- Smile osteotomy.

scholarly journals Congenital Pseudarthrosis of the Tibia with Complex Deformity and Multiple Previous Surgeries Treated by Taylor Spatial Frame at Age of 16 Years

2010 ◽  
Vol 17 (1) ◽  
pp. 67-78
Author(s):  
Lutf A. Abumunaser ◽  
Mohammed J. Alsayyed
Keyword(s):  
Demineralized Bone Matrix ◽  
Treatment Options ◽  
Bone Matrix ◽  
Deformity Correction ◽  
Taylor Spatial Frame ◽  
University Hospital ◽  
Congenital Pseudarthrosis ◽  
Spatial Frame ◽  
King Abdulaziz University ◽  
Pediatric Orthopedic

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.

Management of feline tibial diaphyseal fractures using orthogonal plates performed via minimally invasive plate osteosynthesis

2017 ◽  
Vol 20 (1) ◽  
pp. 6-14 ◽  
Author(s):  
Andrew Craig ◽  
Philip G Witte ◽  
Tristram Moody ◽  
Karen Harris ◽  
Harry W Scott
Keyword(s):  
Minimally Invasive ◽  
Bone Healing ◽  
Plate Osteosynthesis ◽  
Plate Fixation ◽  
Major Complication ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Lower Complication ◽  
Lower Complication Rate ◽  
Diaphyseal Fractures

Objectives The objective was to assess the medium- and long-term outcomes (radiographic and owner questionnaire) of feline tibial diaphyseal fractures with orthogonal plate fixation via a minimally invasive plate osteosynthesis (MIPO) approach. Methods Medical records and radiographs of cats that had tibial diaphyseal fractures stabilised with orthogonal plates were obtained (2012–2016). Immediate postoperative radiographs were reviewed to assess the construct configuration and follow-up radiographs (where available) were used to assess bone healing and implant-related complications. An owner-completed questionnaire (feline musculoskeletal pain index [FMPI]) was used at a minimum of 6 months following surgery to assess the cats’ ability to perform normal activities. Results Eight feline tibial diaphyseal fractures met the inclusion criteria. One major complication was observed, most likely due to an operative technical error. There were no further complications following revision surgery. Six of the eight cases that had radiographic follow-up either had clinical bone union or showed evidence of bone healing. All cases were classified as successful according to FMPI. Conclusions and relevance Orthogonal plating of feline tibial diaphyseal fractures via an MIPO approach resulted in successful outcomes and a lower complication rate compared with previously reported techniques.

The Application of the Taylor Spatial Frame for Deformity Correction at the Lower Extremity

2020 ◽  
Vol 158 (04) ◽  
pp. 414-416
Author(s):  
Heiko Baumgartner ◽  
Leonard Grünwald ◽  
Marc-Daniel Ahrend
Keyword(s):  
Lower Extremity ◽  
Deformity Correction ◽  
Taylor Spatial Frame ◽  
Spatial Frame

ZusammenfassungDer Taylor Spatial Frame (TSF) dient u. a. zur Behandlung von Knocheninfekten, Knochendeformitäten oder Rekonstruktionen mittels Segmenttransport. Vorteile sind die von Beginn an hohe Stabilität des Systems und die Möglichkeit, dass eine Vollbelastung während der Fixateurbehandlung durchgeführt werden darf. Die korrekte Konstruktion und Anlage des TSF spielt für den Therapieerfolg eine entscheidende Rolle, sodass ein möglichst stabiles Frame-Konstrukt angelegt werden sollte, um Fehlkorrekturen, Pseudarthrosenbildung und Pinlockerungen zu vermeiden. Gerade für unerfahrene Operateure ist die TSF-Anlage sehr komplex und die Röntgeninterpretation häufig durch die zahlreiche Hardware erschwert. Im Video wird detailliert und schrittweise die Anlage eines TSF am achsdeformierten Kunstknochen präsentiert. Hierdurch soll neben der Erklärung der korrekten Anlage des TSF auch das Verständnis des TSF-Aufbaus gelehrt werden.

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