The Taylor spatial frame or simply spatial frame is a type of external fixation. To be precise, it is a fifth generation external fixator.
1. Indications of Taylor spatial frame
- External fixation
- Malunion; non-union
- Congenital deformities
2. Description of device
- Hexapod device
- Two or more aluminium or carbon fiber rings connected by six struts.
- Connected to bone by tensioned wire of half pins.
- Attached bone can be manipulated in three dimensions and 9 degrees of freedom.
- Can correct angular, translational, rotational and length deformities simultaneously.
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3. Application
- After aseptic painting and draping
- Insertion of rings
- Insertion of struts
- Presumptive correction of deformities.
4. Post-operative interventions after Taylor spatial frame application
- Input deformity values into software along with hardware parameters after X-rays.
- Advise the patient to adjust the struts daily on the basis of software analysis.
5. Sequalae
Bone deformity usually corrects within four weeks. Full bone healing takes more time. The device should be present until full healing. Dynamization is a must after bone heals. The construct must be removed only after dynamization.
6. Advantages
- Reduces infection
- Uses software for precise adjustments
7. Demerits
- Heavy cost
- High learning curve
- Pin track infection in 20%