Abstract
Purpose
Evaluation of the advantages and limitations of the Taylor Spatial Frame (TSF) with regard to the healing index (HI), distraction–consolidation time (DCT), accuracy of correction complications, and cost of the device.
Methods
Comparison of results with the traditional Ilizarov apparatus and a unilateral Orthofix fixator in a consecutive patient series with 135 bony deformity corrections.
Results
The HI did not differ significantly between all three fixators and was 57 days/cm for all patients. The DCT was significantly shorter for the TSF (148 days) compared to the Ilizarov fixator (204 days) and the Orthofix device (213 days). The accuracy of deformity correction was higher for the TSF than the other devices. The mean values of the measured angles after correction did not differ, but the variance of the results was the lowest. Also, the total rate of complications was considerably lower for the TSF. The Orthofix device showed a high rate of angular deformity during treatment, whereas both ring fixators had a relatively higher number of pin-related problems.
Conclusions
The findings in our patient series suggest the use of the Orthofix apparatus for simple lengthening over short to median distances and the Ilizarov device for the correction of simple bony deformities and pure lengthening over long distances. The TSF allows multiplanar corrections and lengthenings without complex modifications of the device. But, due to the remarkably higher costs, it has not yet been established as our routine device.
Level of evidence
Level IV—case series. Therapeutic Study—Investigating the Results of Treatment.
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References
Fadel M, Hosny G (2005) The Taylor spatial frame for deformity correction in the lower limbs. Int Orthop 29:125–129
Rozbruch SR, Segal K, Ilizarov S, Fragomen AT, Ilizarov G (2010) Does the Taylor Spatial Frame accurately correct tibial deformities? Clin Orthop Relat Res 468:1352–1361
Feldman DS, Madan SS, Koval KJ, van Bosse HJ, Bazzi J, Lehman WB (2003) Correction of tibia vara with six-axis deformity analysis and the Taylor Spatial Frame. J Pediatr Orthop 23:387–391
Sluga M, Pfeiffer M, Kotz R, Nehrer S (2003) Lower limb deformities in children: two-stage correction using the Taylor spatial frame. J Pediatr Orthop B 12:123–128
Rozbruch SR, Pugsley JS, Fragomen AT, Ilizarov S (2008) Repair of tibial nonunions and bone defects with the Taylor Spatial Frame. J Orthop Trauma 22:88–95
Blondel B, Launay F, Glard Y, Jacopin S, Jouve JL, Bollini G (2009) Limb lengthening and deformity correction in children using hexapodal external fixation: preliminary results for 36 cases. Orthop Traumatol Surg Res 95:425–430
Iobst C (2010) Limb lengthening combined with deformity correction in children with the Taylor Spatial Frame. J Pediatr Orthop B 19:529–534
Eidelman M, Bialik V, Katzman A (2006) Correction of deformities in children using the Taylor spatial frame. J Pediatr Orthop B 15:387–395
Aronson J (1997) Limb-lengthening, skeletal reconstruction, and bone transport with the Ilizarov method. J Bone Joint Surg Am 79:1243–1258
Grill F (1989) Correction of complicated extremity deformities by external fixation. Clin Orthop Relat Res 241:166–176
Dahl MT, Gulli B, Berg T (1994) Complications of limb lengthening. A learning curve. Clin Orthop Relat Res 301:10–18
Noonan KJ, Leyes M, Forriol F, Cañadell J (1998) Distraction osteogenesis of the lower extremity with use of monolateral external fixation. A study of two hundred and sixty-one femora and tibiae. J Bone Joint Surg Am 80:793–806
Manner HM, Huebl M, Radler C, Ganger R, Petje G, Grill F (2007) Accuracy of complex lower-limb deformity correction with external fixation: a comparison of the Taylor Spatial Frame with the Ilizarov ring fixator. J Child Orthop 1:55–61
Stanitski DF, Bullard M, Armstrong P, Stanitski CL (1995) Results of femoral lengthening using the Ilizarov technique. J Pediatr Orthop 15:224–231
Rödl R, Leidinger B, Böhm A, Winkelmann W (2003) Correction of deformities with conventional and hexapod frames—comparison of methods. Z Orthop Ihre Grenzgeb 141:92–98
De Bastiani G, Aldegheri R, Renzi-Brivio L, Trivella G (1987) Limb lengthening by callus distraction (callotasis). J Pediatr Orthop 7:129–134
Aldegheri R (1997) Femoral callotasis. J Pediatr Orthop B 6:42–47
Fischgrund J, Paley D, Suter C (1994) Variables affecting time to bone healing during limb lengthening. Clin Orthop 301:31–37
Paley D (1990) Problems, obstacles, and complications of limb lengthening by the Ilizarov technique. Clin Orthop Relat Res 250:81–104
Donnan LT, Saleh M, Rigby AS (2003) Acute correction of lower limb deformity and simultaneous lengthening with a monolateral fixator. J Bone Joint Surg Br 85:254–260
Ilizarov GA (1990) Clinical application of the tension–stress effect for limb lengthening. Clin Orthop Relat Res 250:8–26
Bonnard C, Favard L, Sollogoub I, Glorion B (1993) Limb lengthening in children using the Ilizarov method. Clin Orthop Relat Res 293:83–88
De Bastiani G, Aldegheri R, Renzi Brivio L (1984) The treatment of fractures with a dynamic axial fixator. J Bone Joint Surg Br 66:538–545
Rozbruch SR, Fragomen AT, Ilizarov S (2006) Correction of tibial deformity with use of the Ilizarov–Taylor Spatial Frame. J Bone Joint Surg Am 88:156–174
Paley D, Herzenberg JE, Tetsworth K, McKie J, Bhave A (1994) Deformity planning for frontal and sagittal plane corrective osteotomies. Orthop Clin North Am 25:425–465
Sakurakichi K, Tsuchiya H, Kabata T, Yamashiro T, Watanabe K, Tomita K (2005) Correction of juxtaarticular deformities in children using the Ilizarov apparatus. J Orthop Sci 10:360–366
Aldegheri R (1999) Distraction osteogenesis for lengthening of the tibia in patients who have limb-length discrepancy or short stature. J Bone Joint Surg Am 81:624–634
Leyes M, Noonan KJ, Forriol F, Cañadell J (1998) Statistical analysis of axial deformity during distraction osteogenesis of the tibia. J Pediatr Orthop 18:190–197
Tetsworth KD, Paley D (1994) Accuracy of correction of complex lower-extremity deformities by the Ilizarov method. Clin Orthop Relat Res 301:102–110
Gordon JE, Kelly-Hahn J, Carpenter CJ, Schoenecker PL (2000) Pin site care during external fixation in children: results of a nihilistic approach. J Pediatr Orthop 20:163–165
Tsuchiya H, Uehara K, Abdel-Wanis ME, Sakurakichi K, Kabata T, Tomita K (2002) Deformity correction followed by lengthening with the Ilizarov method. Clin Orthop Relat Res 402:176–183
Shtarker H, Volpin G, Stolero J, Kaushansky A, Samchukov M (2002) Correction of combined angular and rotational deformities by the Ilizarov method. Clin Orthop Relat Res 402:184–195
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Dammerer, D., Kirschbichler, K., Donnan, L. et al. Clinical value of the Taylor Spatial Frame: a comparison with the Ilizarov and Orthofix fixators. J Child Orthop 5, 343–349 (2011). https://doi.org/10.1007/s11832-011-0361-3
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DOI: https://doi.org/10.1007/s11832-011-0361-3