Taylor Spatial Frame in the Treatment of Pediatric and Adolescent Tibial Shaft Fractures

Abstract: The Taylor Spatial Frame (TSF) is a modern multiplanar external fixator that combines ease of application plus computer accuracy in the reduction of fractures. A retrospective review of our experience in using this device for treating unstable tibia fractures in pediatric and adolescent patients was carried out to determine the effectiveness and complications of TSF in the treatment of these fractures. Ten tibia fractures were included. All patients were boys with an average age of 12 years (range 8-15 years). Mean duration of follow-up was 3.1 years. These fractures included 5 open fractures. All fractures healed over a mean of 18 weeks. All patients were doing well and involved in sports when last seen. Postoperative complications included pin tract infection in 5 patients. TSF is an effective definitive method of tibia fracture care with the advantage of early mobilization and ability to postoperatively manipulate fracture into excellent alignment.

[1]  D. Templeman,et al.  Decision Making Errors in the Use of Interlocking Tibial Nails , 1997, Clinical orthopaedics and related research.

[2]  J. Greiff,et al.  Fractures of the tibia in children. , 1976, Acta orthopaedica Scandinavica.

[3]  Harold J P van Bosse,et al.  Correction of Tibia Vara With Six-Axis Deformity Analysis and the Taylor Spatial Frame , 2003, Journal of pediatric orthopedics.

[4]  S. Sabharwal,et al.  Principles of external fixation of the femur. , 2005, American journal of orthopedics.

[5]  V. Tolo.  External fixation in multiply injured children. , 1990, The Orthopedic clinics of North America.

[6]  V. M. Oppers,et al.  Crural fractures in children. A study of the incidence of changes of the axial position and of enhanced longitudinal growth of the tibia after the healing of crural fractures. , 1971, Archivum chirurgicum Neerlandicum.

[7]  F. L. McCullough.  Skeletal Trauma in Children , 1989, Orthopedic nursing.

[8]  A. Crawford,et al.  Open Fracture of the Tibia in Children* , 1996, The Journal of bone and joint surgery. American volume.

[9]  P. Schoenecker,et al.  A comparison of monolateral and circular external fixation of unstable diaphyseal tibial fractures in children , 2003, Journal of pediatric orthopedics. Part B.

[10]  M. Strong,et al.  External Fixation Maintained Until Fracture Consolidation in the Skeletally Immature , 1992, Journal of pediatric orthopedics.

[11]  M. Bell,et al.  External fixation of children's fractures: use of the Orthofix Dynamic Axial Fixator. , 1997, Journal of pediatric orthopedics. Part B.

[12]  H L Tucker,et al.  Management of unstable open and closed tibial fractures using the Ilizarov method. , 1992, Clinical orthopaedics and related research.

[13]  A. Schuh,et al.  Ergebnisse und Erfahrungen der Remobilisation von Hüftarthrodesen , 2005, Der Orthopäde.

[14]  V. Tolo.  External Skeletal Fixation in Children's Fractures , 1983, Journal of pediatric orthopedics.

[15]  P. Schoenecker,et al.  Pin site care during external fixation in children: results of a nihilistic approach. , 2000, Journal of pediatric orthopedics.

[16]  V. Schwartsman,et al.  Tibial fractures. The Ilizarov alternative. , 1992, Clinical orthopaedics and related research.

[17]  D. Skaggs,et al.  Secondary fractures associated with external fixation in pediatric femur fractures. , 1999, Journal of pediatric orthopedics.

[18]  R. Gustilo,et al.  OTD classic article review - Gustillo RB, Anderson JT (1976) Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses , 2002, The Journal of bone and joint surgery. American volume.

[19]  D. N. Williams,et al.  Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. , 1984, The Journal of trauma.

[20]  J. C. Binski.  Taylor Spatial Frame in Acute Fracture Care , 2002 .

[21]  L. Weiner,et al.  Treatment of type II and type III open tibia fractures in children. , 1997, Journal of orthopaedic trauma.

[22]  M. Soudry,et al.  Treatment of Open Tibial Fractures With Primary Suture and Ilizarov Fixation , 1997, Clinical orthopaedics and related research.

[23]  V. Vécsei,et al.  External Fixation of Lower Limb Fractures in Children , 1998, European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie.

[24]  P. Gregory,et al.  Early complications with external fixation of pediatric femoral shaft fractures. , 1996, Journal of orthopaedic trauma.

[25]  W. Cole,et al.  Open fractures of the tibia in children. , 1992, The Journal of bone and joint surgery. British volume.

[26]  M. Maloney,et al.  Flexible Titanium Nailing for the Treatment of the Unstable Pediatric Tibial Fracture , 2004, Journal of pediatric orthopedics.

[27]  S. Nehrer,et al.  Lower limb deformities in children: two-stage correction using the Taylor spatial frame , 2003, Journal of pediatric orthopedics. Part B.

[28]  R. Sanders,et al.  Fractures of the Proximal Third of the Tibial Shaft Treated With Intramedullary Nails and Blocking Screws , 2001, Journal of orthopaedic trauma.

[29]  T. Miner,et al.  Outcomes of external fixation of pediatric femoral shaft fractures. , 2000, Journal of pediatric orthopedics.

[30]  A. Shannak.  Tibial Fractures in Children: Follow‐Up Study , 1988, Journal of pediatric orthopedics.

[31]  E. Mayr.  [Tibial fractures]. , 2002, Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen.

[32]  H. Kreder,et al.  A review of open tibia fractures in children. , 1995, Journal of pediatric orthopedics.