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General Orthopaedics

MANAGEMENT OF TIBIAL FRACTURES USING THE TAYLOR SPATIAL FRAME

The British Limb Reconstruction Society (BLRS) Annual Meeting 2022, Brighton, England, 24–25 March 2022.



Abstract

Introduction

The use of the Taylor Spatial Frame (TSF) in the management of tibial fractures and deformity correction is well established in the literature, however the majority of published papers are small in patient number. The aim of the project was to evaluate clinical and radiographic outcomes of patients with tibial fractures treated with a TSF.

Materials and Methods

A retrospective analysis of patient records and radiographs was performed to obtain patient data, information on injury sustained, the operative technique used, frame construct, time duration in frame, union rates and complications of treatment.

Results

In total, 111 tibial fractures managed with a TSF between 2009 and 2020 were reviewed. 55 were open fractures and 56 were closed. Overall union rate was 93.5%. Average time spent in the frame was 27.9 weeks. Complications included 4.6% deep infection rate, 3.7% of patients required component exchange and 8.3% required frame adjustment in theatre.

Conclusions

The TSF is an effective way of managing tibial fractures. Our data has found high union rates when used in the management of both closed and open injuries with a low complication rate. Further data collection and analysis will help to aid the patient experience and clinical practice.