Die Korrektur posttraumatischer Deformitäten am Unterschenkel mit dem „Taylor Spatial Frame“

Krappinger, Dietmar; Zegg, Michael; Smekal, Vinzenz; Huber, B.

doi:10.1007/s00064-013-0233-8

Cited by 11 publications

(3 citation statements)

References 14 publications

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“…La calidad ósea y el estado de las partes blandas son esenciales para el éxito del tratamiento, es importante el procedimiento quirúrgico, pero también lo es el posoperatorio que requiere un seguimiento y la prevención de cualquier dificultad que pueda surgir. [13][14][15] conclusIones El método Ilizarov es excelente para el tratamiento de rescate de las secuelas postraumáticas de la tibia. La planificación minuciosa y el compromiso del paciente han sido factores determinantes en el resultado obtenido.…”

Section: Discussionunclassified

Utilización del método Ilizarov para el tratamiento de desejes y discrepancias postraumáticas de la tibia. Serie de casos.[Use of the Ilizarov method for the treatment of post-traumatic deformity and discrepancies of the tibia]

Vivas¹,

Cordano²

2019

Rev. Asoc. Arg. Ort. y Traumatol

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Introducción: Las secuelas postraumáticas de la tibia representan un problema común al que nos enfrentamos los ortopedistas día a día. El método Ilizarov, mediante una planificación minuciosa, ha dado grandes resultados.Objetivo: Valorar el resultado del tratamiento de desejes y discrepancias postraumáticas de la tibia mediante el fijador circular de tipo Ilizarov.Materiales y Métodos: Se evaluó a 13 pacientes mediante criterios clínicos y radiográficos durante un seguimiento mínimo de 24 meses. Los resultados fueron buenos y excelentes, y se logró la consolidación ósea en todos los pacientes.Conclusión: El método Ilizarov es útil y versátil para resolver cualquier tipo de secuela postraumática de la tibia, sin necesidad de injertos o sustitutos óseos. ABSTRACTIntroduction: Posttraumatic sequelae of the tibia is a common problem faced by orthopedics every day. The Ilizarov method, through careful planning, has achieved great results.Objective: To assess the outcome of the treatment of desires and posttraumatic discrepancies of the tibia treated with the circular fixator of the Ilizarov type.Materials and Methods: 13 patients were evaluated by clinical and radiographic criteria during a minimum follow-up of 24 months. The results were good and excellent in all cases, and bone consolidation was achieved in all patients.Conclusion: The Ilizarov method is useful and versatile to solve any type of post-traumatic sequelae of the tibia, without the need for grafts or bone substitutes.

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Section: Discussionunclassified

Utilización del método Ilizarov para el tratamiento de desejes y discrepancias postraumáticas de la tibia. Serie de casos.[Use of the Ilizarov method for the treatment of post-traumatic deformity and discrepancies of the tibia]

Vivas¹,

Cordano²

2019

Rev. Asoc. Arg. Ort. y Traumatol

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“…Although lots of studies have shown excellent deformity correction of the TSF [10][11][12][13][14][15], there is little published data demonstrating the clinical outcomes of fractures [8,9,16]. As more general orthopedic surgeons are becoming familiar with this versatile device, the TSF is gaining popularity in acute tibial shaft fracture care.…”

Section: Introductionmentioning

confidence: 99%

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

Liu

Yushan

et al. 2021

Preprint

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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.

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“…xator that consists of 2 rings or partial rings connected by 6 telescopic struts at special universal joints 1,2 .Considering the advantages of stability, reliability and the versatility of correcting translation, angulation and rotation deformities in the coronal, sagittal and axial planes simultaneously by adjusting the lengths of struts based on the electronic prescription, this system was played an important role over the years in the treatment of bone nonunion, bone fracture and correction of deformity [3][4][5][6][7][8][9] .This kind of hexapod external xator allow the surgeon correct complex multi-planar deformities without the need to alter the frame construct 8,10−12 . Deformity, mounting and frame parameters are needed to enter into a computer-based software when applying the TSF. The deformity and mounting parameters were measured on the basis of the digital radiography according to its instruction.…”

Section: Introductionmentioning

confidence: 99%

Application of Elliptic Registration and Three-Dimensional Reconstruction in Postoperative Precise Measurement of Taylor Spatial Frame Parameters

Liu

Yushan

Liu

et al. 2020

Preprint

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Background The Taylor spatial frame offered the ability of simultaneous correction of the multidirectional deformities without the need of change the frame, and it was widely used for limb lengthening, deformity correction and fracture reduction in recent years. There are still some inherent limitations which can affect the accuracy of correction, especially for the measurement of the mounting and rotational parameters. The purpose of our study was to perform precise postoperative measurement of Taylor spatial frame (TSF) parameters by application of elliptic registration and three-dimensional reconstruction.Methods This retrospectively study included 28 trauma patients who suffered tibial fracture treated by the TSF at our institution from January 2016 to January 2018, including 25 males and 3 females with a mean age of 43 years (range 14–70 years). We conducted standard full-length anteroposterior and lateral X-rays of the injured extremity and the computed tomographic scans of the bilateral extremities after operation. Elliptic registration and 3D reconstruction were used to calculated the parameters by two types of software Mimics and CorelDRAW. Correction of the deformity was conducted by adjusting the struts of the TSF according to the electronic prescription. The standard anteroposterior and lateral X-rays after correction were taken to evaluate the effectiveness.Results All patients acquired functional reduction which was evaluated by digital radiography. The mean coronal plane translation(1.9 ± 2.2 mm), coronal plane angulation(1.2 ± 1.0°), sagittal plane translation(2.7 ± 2.1 mm) and sagittal plane angulation(1.2 ± 1.0°) after correction were all less than those(5.5 ± 4.6 mm, 4.9 ± 3.9°, 4.7 ± 4.0 mm, 2.7 ± 2.3°) before correction.Conclusions The TSF system can precise correct the 6-axis deformities simultaneously with the accurate parameters. Application of elliptic registration and three-dimensional reconstruction can precisely measure the TSF parameters, especially for the mounting and the rotational parameters.

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Die Korrektur posttraumatischer Deformitäten am Unterschenkel mit dem „Taylor Spatial Frame“

Cited by 11 publications

References 14 publications

Utilización del método Ilizarov para el tratamiento de desejes y discrepancias postraumáticas de la tibia. Serie de casos.[Use of the Ilizarov method for the treatment of post-traumatic deformity and discrepancies of the tibia]

Utilización del método Ilizarov para el tratamiento de desejes y discrepancias postraumáticas de la tibia. Serie de casos.[Use of the Ilizarov method for the treatment of post-traumatic deformity and discrepancies of the tibia]

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

Application of Elliptic Registration and Three-Dimensional Reconstruction in Postoperative Precise Measurement of Taylor Spatial Frame Parameters

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