Abstract
Purpose of the study
To use a simple way of manipulating Taylor Spatial Frame to achieve soft tissue closure by acute intentional deformation and then gradually achieving anatomical alignment of the fracture without complex deformity and frame parameters.
Methods and end results
10 consecutive cases of Gustillo III B open fractures of tibia and of soft tissue defect due to infected implant were treated with a new technique of acute intentional deformation using Taylor Spatial frame to successfully close the soft tissue defect without plastic surgery. We describe a new simple technique of achieving anatomical alignment of the fracture after creating complex deformity to close the soft tissue defect. We achieved complete full thickness cover of the exposed bone in all cases without plastic surgery and restored the bone to anatomical alignment. Only one patient needed additional Taylor Spatial Frame total residual prescription to correct minor residual deformity.
Conclusion
We describe a simple way of using Taylor Spatial Frame (TSF) for acute deformation of Gustilo IIIB tibial fractures and other tibial defects in order to close soft tissue defects and gradual correction to the anatomical alignment. We have used the Direct Scheduler Utility module of the web-based software for Taylor Spatial Frames (TSF) to successfully restore the anatomical alignment.
