Abstract
Purpose
The treatment of severe foot deformities in children or adolescents is complex and demanding to the surgeon. This paper describes the technical strategy of using a Taylor spatial frame and reports on the functional outcome.
Methods
The Taylor spatial frame was used by a single surgeon in patients with severe foot deformities. Seven patients with eight severe deformities were treated. Mean patient age at surgery was 15.1 (9–29) years. A double Taylor spatial frame reconstruction was mounted to the limb. All patients had a midtarsal osteotomy and an additional inverse dome-shaped calcaneus osteotomy. Assessed measures were pre- and postoperative deformity and associated complications and clinical results according to Ferreira et al.
Results
Mean follow-up was 576.5 (359–987) days. The final functional outcome according to Ferreira was good in seven cases, fair in none, and poor in one. Early complications included pin-tract infection, temporary hypoesthesia, and temporary shortening of the tendon of the M. flexor digitorum. At follow-up there was no deformity recurrence.
Conclusion
In children or adolescents, the innovative treatment using the Taylor spatial frame and a double osteotomy allows joint-preserving correction of severe foot deformities. However, the complication rate is relatively high due to the severely deformed feet. Furthermore, the Taylor spatial frame is expensive. Thus, this treatment is only recommended for severe foot deformities and should be handled by experienced orthopedic surgeons.
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs00264-011-1269-8/MediaObjects/264_2011_1269_Fig1_HTML.gif)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs00264-011-1269-8/MediaObjects/264_2011_1269_Fig2_HTML.gif)
Similar content being viewed by others
References
Bradish CF, Noor S (2000) The Ilizarov method in the management of relapsed club feet. J Bone Joint Surg Br 82:387–391
Choi IH, Yang MS, Chung CY et al (2001) The treatment of recurrent arthrogrypotic club foot in children by the Ilizarov method. A preliminary report. J Bone Joint Surg Br 83:731–737
Cummings RJ, Davidson RS, Armstrong PF et al (2002) Congenital clubfoot. Instr Course Lect 51:385–400
Eidelman M, Bialik V, Katzman A (2006) Correction of deformities in children using the Taylor spatial frame. J Pediatr Orthop B 15:387–395
Eidelman M, Katzman A (2008) Treatment of complex foot deformities in children with the Taylor spatial frame. Orthopedics 31
Fadel M, Hosny G (2005) The Taylor spatial frame for deformity correction in the lower limbs. Int Orthop 29:125–129
Feldman DS, Shin SS, Madan S et al (2003) Correction of tibial malunion and nonunion with six-axis analysis deformity correction using the Taylor Spatial Frame. J Orthop Trauma 17:549–554
Ferreira RC, Costa MT, Frizzo GG et al (2007) Correction of severe recurrent clubfoot using a simplified setting of the Ilizarov device. Foot Ankle Int 28:557–568
Ferreira RC, Costo MT, Frizzo GG et al (2006) Correction of neglected clubfoot using the Ilizarov external fixator. Foot Ankle Int 27:266–273
Hosny GA (2002) Correction of foot deformities by the Ilizarov method without corrective osteotomies or soft tissue release. J Pediatr Orthop B 11:121–128
Kocaoglu M, Eralp L, Atalar AC et al (2002) Correction of complex foot deformities using the Ilizarov external fixator. J Foot Ankle Surg 41:30–39
Lamm BM, Standard SC, Galley IJ et al (2006) External fixation for the foot and ankle in children. Clin Podiatr Med Surg 23:137–166, ix
Lourenco AF, Morcuende JA (2007) Correction of neglected idiopathic club foot by the Ponseti method. J Bone Joint Surg Br 89:378–381
Nakase T, Kitano M, Kawai H et al (2009) Distraction osteogenesis for correction of three-dimensional deformities with shortening of lower limbs by Taylor Spatial Frame. Arch Orthop Trauma Surg 29(9):1197–1201
Naqui SZ, Thiryayi W, Foster A et al (2008) Correction of simple and complex pediatric deformities using the Taylor-Spatial Frame. J Pediatr Orthop 28:640–647
Paley D (1993) The correction of complex foot deformities using Ilizarov's distraction osteotomies. Clin Orthop Relat Res 97–111
Rodl R, Leidinger B, Bohm A et al (2003) Correction of deformities with conventional and hexapod frames–comparison of methods. Z Orthop Ihre Grenzgeb 141:92–98
Rogers MJ, McFadyen I, Livingstone JA et al (2007) Computer hexapod assisted orthopaedic surgery (CHAOS) in the correction of long bone fracture and deformity. J Orthop Trauma 21:337–342
Rozbruch SR, Segal K, Ilizarov S et al (2009) Does the Taylor Spatial Frame Accurately Correct Tibial Deformities? Clin Orthop Relat Res
Seybold D, Gessmann J, Ozokyay L et al (2009) [Deformity correction of post-traumatic tibial non-unions using the Taylor spatial frame]. Z Orthop Unfall 147:26–31
Sluga M, Pfeiffer M, Kotz R et al (2003) Lower limb deformities in children: two-stage correction using the Taylor spatial frame. J Pediatr Orthop B 12:123–128
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Waizy, H., Windhagen, H., Stukenborg-Colsman, C. et al. Taylor spatial frame in severe foot deformities using double osteotomy: technical approach and primary results. International Orthopaedics (SICOT) 35, 1489–1495 (2011). https://doi.org/10.1007/s00264-011-1269-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00264-011-1269-8