Taylor spatial frame in the treatment of neglected fractures.

ABSTRACT

BACKGROUND: The Taylor spatial frame (TSF, Smith and Nephew, Memphis, TN, USA) is a modern multiplanar external fixator that combines ease of application and computer accuracy. Many patients in our geographic area seek treatment for their fractures by traditional bonesetters and present in the middle of treatment with neglected malaligned fractures. These fractures were an average of 10 weeks old (range 6-14 weeks) fractures with callus that were allowed to heal in a poor position. The spatial frame is applied easily on the fracture bone fragments. The accuracy of fracture reduction and deformity correction is dependant on analyzing anteroposterior and lateral radiographs of the fracture. Our experience with this external fixator in the treatment of neglected fractures is summarized. METHOD: Over a period of 6 years, the TSF was used in 24 neglected fracture cases which were collected from our prospective external fixator data base. All cases were followed for a minimum of 3 years. The data base and radiographs were reviewed in order to obtain demographic data, malalignment parameters, final correction, time in the TSF, and complications. RESULT: The patients' ages ranged from 6 to 18 years. All were neglected fractures. The average delay in treatment was 10 weeks (range 6-14 weeks). All patients had closed osteoclasis. The time spent in the TSF varied according to the patient age and bone involved. Ten femoral and 14 tibial fractures were included. Ten patients had superficial pin site infections that resolved with oral antibiotics. Postoperatively, no patient was noted to be more than 5° malrotated on clinical examination and no functional leg length discrepancy was observed. All of the fractures united. CONCLUSION: Anatomic alignment was achieved in all tibial fracture patients. At the final follow-up, fracture angulation and shortening were fully corrected, and some translational malalignment persisted in 67% of femur fractures. The TSF is an effective definitive method for the treatment of neglected fractures. LEVEL OF EVIDENCE IV.