Correction of Proximal Tibial Deformities using Ilizarov-Taylor Spatial Frame | ||
| International Journal of Medical Arts | ||
| Article 1, Volume 5, Issue 7, July 2023, Pages 3387-3396 PDF (1.02 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ijma.2023.203632.1660 | ||
| Authors | ||
| Bassem Abd Elmottaleb Hamid Elfeky* ; Samir Ahmed El-Shoura; Osman Abdellah Mohamed; Mohamed Abdallah Hassan | ||
| Department of Orthopedic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt | ||
| Abstract | ||
| Background: The Taylor Spatial Frame [TSF] is a circular external fixation system that attaches through screws and uses the same principles of correction as the Ilizarov device. Aim of the work: To assess the Ilizarov-Taylor Spatial Frame in the correction of the Proximal tibial Deformities. Patients and Methods: The present study comprised a sample of 15 patients, with a total of 20 tibiae, who underwent surgical tibial osteotomy for the purpose of correcting proximal tibial deformities by using the TSF. According to the treatment goal, patients were grouped into: group 1; mechanical axis deviation [MAD] center within 5 mm medial or lateral, group 2; MAD overcorrection from 6 mm to 12 mm medial or lateral, and group 3; MAD improvement with femoral origin residual deformity. Results: For patients with a goal of a MAD central [group 1], tibial origin varus deformity with preoperative average MAD of 48 mm medial to the midline, this improved to a range of 5 mm medial and 5 mm lateral to midline. For patient with tibial and femoral origins varus deformity and with preoperative MAD 104 mm medial to midline, this improved to 2 mm medial to midline. Statistical analysis for all proximal tibial angles and MAD showed significant improvement with P value < 0.05. The most common complication encountered was pin site infection. Six patients [30%] complained from superficial wire site infection that improved with wire removal in the outpatient clinic. Conclusion: The TSF can be used to treat severe tibial abnormalities with minimal risk of complications. | ||
| Keywords | ||
| Tibia; Ilizarov Technique; External Fixators | ||
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