We report our initial experience with the Universal Mini External Fixator (UMEX) frame for the treatment of complex congenital foot deformities. This new frame is simple to apply and manage. It provides for multiplanar deformity correction in one stage.

The application of external fixators for the correction of foot deformities can be a complex procedure for the surgeon and cumbersome for the patient. Currently, five patients (mean age 10 years, range 4–18) have undergone application of this frame and have completed treatment. We illustrate the ease of its application, potential complications and the early clinical outcomes.