Hypertension as a complication of Taylor spatial frame.

Circular external fixators in children are widely used for limb lengthening, deformity correction and the treatment of fractures. We report a case of successful management of hypertension in a 13-year-old treated with a Taylor spatial frame after a road traffic accident and a tibial fracture. A heightened awareness of the association of hypertension and external fixators is required to improve patient outcomes. Outcomes are improved by prompt diagnosis and treatment of hypertension, preventing hypertensive end-organ damage, choice of an appropriate first line antihypertensive treatment, and not subjecting children to invasive investigations looking for an alternative secondary cause of hypertension.