Abstract
Abstract
We present here the results of a prospective follow-up study of radiological and functional outcome in 43 patients treated using the Taylor Spatial Frame (TSF) for definitive management of tibial fractures.
Patients & Methods
Over a five-year period data was collected from all patients completing treatment of a tibial fracture with the TSF. Residual deformity on x-ray and functional outcomes using the EQ-5D health status questionnaire, Iowa Knee and Ankle-Evaluation Rating System scores and Olerud & Molander Ankle Score (OMAS) were recorded one year following completion of frame treatment.
Results
No residual deformity greater than 10° was seen on AP or lateral radiographs and EQ-5D outcomes showed no statistically significant difference to data representative of the UK population as a whole.
“Good” or “excellent” outcome scores were recorded in 92.9% of our cohort on Iowa Knee scoring and in 79% on Ankle-Evaluation Rating System scoring (Mean scores 92 and 86.5). 93% of OMAS scores showed “good” or “excellent” outcomes (mean score 85).
These results demonstrate good return of isolated knee and ankle function within one year of completion of frame treatment but also, more significantly, a complete return to normal day-to-day “health status” as compared to the population at large.
Conclusion
As a result we conclude that in tibial fractures suited to treatment with a circular external fixator, use of the TSF has a number of technical advantages while producing good functional and radiological outcomes and an overall return of pre-injury “health status” levels.
