title: Taylor spatial frame in severe foot deformities using double osteotomy: technical approach and primary results.
abstract: OBJECTIVE
  The treatment of severe foot deformities in children or adolescents is complex and demanding to the surgeon. This paper describes the technical strategy of using a Taylor spatial frame and reports on the functional outcome.
  
  
  METHODS
  The Taylor spatial frame was used by a single surgeon in patients with severe foot deformities. Seven patients with eight severe deformities were treated. Mean patient age at surgery was 15.1 (9-29) years. A double Taylor spatial frame reconstruction was mounted to the limb. All patients had a midtarsal osteotomy and an additional inverse dome-shaped calcaneus osteotomy. Assessed measures were pre- and postoperative deformity and associated complications and clinical results according to Ferreira et al.
  
  
  RESULTS
  Mean follow-up was 576.5 (359-987) days. The final functional outcome according to Ferreira was good in seven cases, fair in none, and poor in one. Early complications included pin-tract infection, temporary hypoesthesia, and temporary shortening of the tendon of the M. flexor digitorum. At follow-up there was no deformity recurrence.
  
  
  CONCLUSIONS
  In children or adolescents, the innovative treatment using the Taylor spatial frame and a double osteotomy allows joint-preserving correction of severe foot deformities. However, the complication rate is relatively high due to the severely deformed feet. Furthermore, the Taylor spatial frame is expensive. Thus, this treatment is only recommended for severe foot deformities and should be handled by experienced orthopedic surgeons.
authors: Orthopaedic Department, Hannover Medical School, Hannover, Germany. hwaizy@yahoo.com
authors: Hazibullah
authors: H
authors: Waizy
authors: Henning
authors: H
authors: Windhagen
authors: Christina
authors: C
authors: Stukenborg-Colsman
authors: Thilo
authors: T
authors: Floerkemeier
references: Int Orthop. 2005 Apr;29(2):125-9
references: 15703937
references: J Bone Joint Surg Br. 2001 Jul;83(5):731-7
references: 11476315
references: J Pediatr Orthop. 2008 Sep;28(6):640-7
references: 18724200
references: J Pediatr Orthop B. 2006 Nov;15(6):387-95
references: 17001243
references: Z Orthop Ihre Grenzgeb. 2003 Jan-Feb;141(1):92-8
references: 12605337
references: J Orthop Trauma. 2007 May;21(5):337-42
references: 17485999
references: Z Orthop Unfall. 2009 Jan-Feb;147(1):26-31
references: 19263309
references: Foot Ankle Int. 2006 Apr;27(4):266-73
references: 16624216
references: J Bone Joint Surg Br. 2007 Mar;89(3):378-81
references: 17356154
references: Clin Orthop Relat Res. 2010 May;468(5):1352-61
references: 19911244
references: Clin Podiatr Med Surg. 2006 Jan;23(1):137-66, ix
references: 16598913
references: J Bone Joint Surg Br. 2000 Apr;82(3):387-91
references: 10813175
references: J Foot Ankle Surg. 2002 Jan-Feb;41(1):30-9
references: 11858604
references: J Pediatr Orthop B. 2002 Apr;11(2):121-8
references: 11943985
references: J Orthop Trauma. 2003 Sep;17(8):549-54
references: 14504575
references: Arch Orthop Trauma Surg. 2009 Sep;129(9):1197-201
references: 18784931
references: Clin Orthop Relat Res. 1993 Aug;(293):97-111
references: 8339516
references: J Pediatr Orthop B. 2003 Mar;12(2):123-8
references: 12584497
references: Orthopedics. 2008 Oct;31(10):
references: 19226012
references: Instr Course Lect. 2002;51:385-400
references: 12064128
references: Foot Ankle Int. 2007 May;28(5):557-68
references: 17559762