Department for Pediatric Orthopaedics, Orthopaedic Hospital Vienna Speising, Speisinger Strasse 109, 1130 Vienna, Austria.
Int Orthop. 2010 Jun;34(5):723-30. doi: 10.1007/s00264-009-0839-5. Epub 2009 Jul 24.
Twenty-five post-traumatic leg length discrepancies combined with axial deviation in 22 patients were treated with the Taylor spatial frame. We retrospectively analysed the accuracy of correction, the complication rate and the clinical outcome including the duration of treatment. The cases were divided into three sub-groups according to the level of the osteotomy. The mean age at operation was 22.7 years; the mean follow-up was 21.1 months. The patients presented uniplanar and multiplanar deformities in combination with leg length discrepancy. Twenty-one of 25 cases showed a frontal plane malalignment preoperatively. Only three of those 21 cases continued to show minimal malalignment postoperatively. The preoperative mechanical axis deviation present in 15 of 17 lower extremities was fully corrected in 13 extremities. The 25 lengthening and correction procedures were associated with a total of 61 difficulties, including 44 problems, seven obstacles and ten complications. In conclusion, the Taylor spatial frame allows accurate results in correction of complex post-traumatic deformities with minimal morbidity.
22 名患者的 25 例创伤后肢体长度差异合并轴向偏差采用 Taylor 空间框架治疗。我们回顾性分析了矫正的准确性、并发症发生率以及包括治疗持续时间在内的临床结果。根据截骨术的水平，病例分为三组。手术时的平均年龄为 22.7 岁；平均随访时间为 21.1 个月。患者表现为肢体长度差异的单平面和多平面畸形。25 例中 21 例术前存在额状面对线不良，其中仅 3 例术后仍存在微小对线不良。17 条下肢中 15 条术前机械轴偏差得到完全矫正，13 条下肢得到矫正。25 次延长和矫正手术共出现 61 次困难，包括 44 个问题、7 个障碍和 10 个并发症。总之，Taylor 空间框架可实现复杂创伤后畸形的精确矫正，且发病率低。
