Eccentric Taylor spatial frame placement for the correction of femoral fracture deformity: a novel technique

The treatment of post-traumatic femoral deformity with circular frames can be difficult both for the patient and for the surgeon. Patients frequently suffer from residual knee stiffness, and the cumbersome location of the frame can even result in psychiatric problems such as depression and anxiety d...

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Bibliographic Details
Published in:European journal of orthopaedic surgery & traumatology 2020-07, Vol.30 (5), p.869-875
Main Authors: Sibbel, J., Abdulkarim, A., Fisher, R., Krkovic, M.
Format: Article
Language:English
Subjects:
Adult
External Fixators
Female
Femoral Fractures - complications
Femoral Fractures - surgery
Fracture Fixation - instrumentation
Fracture Fixation - methods
Fractures
Humans
Medicine
Medicine & Public Health
Original Article
Orthopedics
Recurrence
Surgery
Surgical Orthopedics
Surgical techniques
Traumatic Surgery
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Description
Summary:The treatment of post-traumatic femoral deformity with circular frames can be difficult both for the patient and for the surgeon. Patients frequently suffer from residual knee stiffness, and the cumbersome location of the frame can even result in psychiatric problems such as depression and anxiety during their treatment. Here we describe a novel technique of constructing the Taylor spatial frame (TSF) eccentrically from the femur to allow the same level of comfort as a monolateral external fixator, while applying trigonometric principles to successfully retain the utility of the TSF prescription software. Deformity correction and fracture compression can therefore still be achieved in a controlled and predictable manner on an outpatient basis.
ISSN:1633-8065
1432-1068
DOI:10.1007/s00590-020-02639-w