Does the Taylor Spatial Frame Accurately Correct Tibial Deformities?

Rozbruch, S. Robert; Segal, Kira L.; Ilizarov, Svetlana; Fragomen, Austin T.; Ilizarov, Gabriel

doi:10.1007/s11999-009-1161-7

Cited by 101 publications

(93 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the ISKD group 50% of patients had A quality and 17% had C quality at 8 weeks. Not all studies use a standardized method of assessing the quality of bone regenerate during distraction; however, some have described the risk of development of poor regenerate bone [7,8,11,12,18,22,24] with a lengthening rate faster than 1 mm per day. Kenawey et al [10] proposed other risk factors associated with poor bone regenerate from their analysis of 37 femoral ISKD lengthenings for which insufficient bone regenerate developed in eight patients (23%).…”

Section: Discussionmentioning

confidence: 99%

“…Mahboubian, M. Seah, A. T. Fragomen, S. R. Rozbruch (&) Limb Lengthening and Complex Reconstruction Service, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA e-mail: Srroz@optonline.net; rozbruchsr@hss.edu lengthening was developed, the complication rates have diminished with time and the development of new technology [16,[18][19][20]. However, the time required to wear the external fixator can be lengthy [17] and cumbersome for patients [14,21,22]. Modern methods such as lengthening over a nail (LON) and internal lengthening devices (eg, the ISKD, [Intramedullary Skeletal Kinetic Distractor: Orthofix Inc, McKinney, TX, USA]) have been developed to decrease or eliminate the time required for a patient to wear a frame [4].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Femoral Lengthening with Lengthening over a Nail has Fewer Complications than Intramedullary Skeletal Kinetic Distraction

Mahboubian

Seah

Fragomen

et al. 2012

Clinical Orthopaedics &Amp; Related Research

Self Cite

View full text Add to dashboard Cite

Background Lengthening over a nail and internal lengthening nails have been developed to minimize or eliminate patients' time wearing a frame during femur lengthening. However it is unclear whether either of these two approaches results in faster times to union or fewer complications over the other. Questions/purposes We asked which technique better achieved: (1) the lengthening goals, (2) the distraction rate control, (3) quality of the regenerate bone, (4) fewer complications, and (5) SF-36 and AAOS LLM scores also were compiled. The minimum followups for the ISKD and the lengthening over nail cohorts were 62 months (average, 76 months; range, 62-93 months) and 13 months (average, 27 months; range, 13-38 months), respectively. Results We observed no difference in achieving the lengthening goals between the two procedures. Distraction was not well controlled in the ISKD group; the distraction rates were 1.7 mm per day for the fast group (distraction rate greater than 1 mm/day) and 0.84 mm per day for the slow group (less than 1 mm/day). The lengthening over nail group had an average distraction rate of 0.88 mm per day. One of 20 of the patients who had lengthening over a nail had complications requiring additional unanticipated surgeries whereas six of 12 patients who had femoral lengthening in the ISKD group had such complications. Conclusions Based on our observations, we believe the lengthening over nail technique for femoral lengthening is associated with fewer complications than the ISKD. Level of Evidence Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Femoral Lengthening with Lengthening over a Nail has Fewer Complications than Intramedullary Skeletal Kinetic Distraction

Mahboubian

Seah

Fragomen

et al. 2012

Clinical Orthopaedics &Amp; Related Research

Self Cite

View full text Add to dashboard Cite

show abstract

“…Traditional Ilizarov-type external fixators require the sequential correction of each component of the deformity due to the limited mobility of the device. Some spatial fixators require an initial correction based on mounting following residual deformity correction [21,22]. Smart Correction software is intended to correct all deformities in one step, regardless of the mounting parameters.…”

Section: Discussionmentioning

confidence: 99%

Comparative clinical study on deformity correction accuracy of different external fixators

Eren

Eralp

Kocaoğlu

2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose In this study, the correction accuracy of Smart Correction spatial fixators and of Ilizarov-type external fixators are compared in terms of deformity complexity. Methods Seventy-seven (40 male, 37 female) bone segments of 57 patients treated with a Smart Correction device were compared with 94 (51 male, 43 female) segments of 68 patients treated with an Ilizarov fixator. Mean age of the Smart Correction group was 20.69±12.94 years, and or the Ilizarov group 22.45±12.18 years. Patients were categorised according to limb lengthening and the number of deformity planes.

show abstract

“…TSF can also be used to treat malunion or nonunion [7] as well as fractures [18]. However, these studies concluded that the combination of a stable external fixation device and the accuracy of the computer-based technology make the treatment suitable for precise correction of skeletal deformities [4,19]. Ferreira et al [8,9] reported on the Ilizarov external fixator for multiplanar foot deformities.…”

Section: Discussionmentioning

confidence: 99%

Taylor spatial frame in severe foot deformities using double osteotomy: technical approach and primary results

Waizy

Stukenborg-Colsman

Floerkemeier

2011

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Does the Taylor Spatial Frame Accurately Correct Tibial Deformities?

Abstract: Background Optimal leg alignment is the goal of tibial osteotomy. The Taylor Spatial Frame (TSF) and the Ilizarov method enable gradual realignment of angulation and translation in the coronal, sagittal, and axial planes, therefore, the term six-axis correction.

Cited by 101 publications

References 43 publications

Femoral Lengthening with Lengthening over a Nail has Fewer Complications than Intramedullary Skeletal Kinetic Distraction

Femoral Lengthening with Lengthening over a Nail has Fewer Complications than Intramedullary Skeletal Kinetic Distraction

Comparative clinical study on deformity correction accuracy of different external fixators

Taylor spatial frame in severe foot deformities using double osteotomy: technical approach and primary results

Contact Info

Product

Resources

About