Pediatric and Adolescent Applications of the Taylor Spatial Frame

• Published in: Orthopedics (Thorofare, N.J.) Vol. 35; no. 6; pp. 518 - 527
• Main Authors: PALOSKI, Michael, TAYLOR, Benjamin C, IOBST, Christopher, PUGH, Kevin J
• Format: Journal Article
• Language: English
• Published: Thorofare, NJ Slack 01-06-2012; SLACK INCORPORATED
• Subjects: Adolescent; Biological and medical sciences; Child; Child, Preschool; Diseases of the osteoarticular system; Equipment Failure Analysis; Female; Fractures; Humans; Ilizarov Technique - instrumentation; Infant; Infant, Newborn; Leg Length Inequality - surgery; Male; Medical sciences; Orthopedics; Pediatrics; Prosthesis Design; Software; Treatment Outcome; Human; Pediatrics; Child; Orthopedics; Adolescent
• ISSN: 0147-7447; 1938-2367
• DOI: 10.3928/01477447-20120525-11

Limb deformity can occur in the pediatric and adolescent populations from multiple etiologies: congenital, traumatic, posttraumatic sequelae, oncologic, and infection. Correcting these deformities is important for many reasons. Ilizarov popularized external fixation to accomplish this task. Taylor expanded on this by designing an external fixator in 1994 with 6 telescoping struts that can be sequentially manipulated to achieve multiaxial correction of deformity without the need for hinges or operative frame alterations. This frame can be used to correct deformities in children and has shown good anatomic correction with minimal morbidity. The nature of the construct and length of treatment affects psychosocial factors that the surgeon and family must be aware of prior to treatment. An understanding of applications of the Taylor Spatial Frame gives orthopedic surgeons an extra tool to correct simple and complex deformities in pediatric and adolescent patients.