Radler Christof
Abteilung für Kinderorthopädie und Fußchirurgie, Orthopädisches Spital Speising GmbH, Speisinger Str. 109, 1130, Wien, Österreich.
Orthopadie (Heidelb). 2023 Sep;52(9):710-718. doi: 10.1007/s00132-023-04419-w. Epub 2023 Jul 31.
The history and development of circular fixation is closely aligned with the history of limb lengthening. Gavriil A. Ilizarov not only developed his circular fixator, but he also was the first to research and publish on distraction osteogenesis. Progress and dissemination of the method was initially based on individual pioneers; a standardized nomenclature and annual courses led to a wider dissemination. The introduction of the Taylor spatial frame in 1997 was a game changer. Although various groups had already developed Hexapod-fixators, it was the TSF that hit the market and achieved market presence. After the patent for TSF expired, many companies developed hexapod fixators with various modifications. A new version of the TSF, the Smart TSF, which included an intuitive planning software, was introduced in Baltimore in 2021. The introduction of intramedullary lengthening nails at the beginning of the 2000s and the wide dissemination starting approximately 2013 rendered external fixation obsolete for certain indications. However, ring fixators are still the method of choice for complex reconstruction of deformity in traumatology, as well as in pediatric orthopedics in the presence of open growth plates.
环形固定的历史与发展与肢体延长的历史紧密相连。加夫里尔·A·伊里扎洛夫不仅研发了他的环形固定器，还率先对牵张成骨进行了研究并发表相关成果。该方法的进步与传播最初依赖于个别先驱者；标准化的命名法和年度课程促使其得到更广泛的传播。1997年泰勒空间框架的引入改变了局面。尽管多个团队已经研发出六足固定器，但正是泰勒空间框架进入市场并获得了市场份额。泰勒空间框架的专利到期后，许多公司开发了经过各种改进的六足固定器。2021年在巴尔的摩推出了新版泰勒空间框架——智能泰勒空间框架，它包含直观的规划软件。21世纪初髓内延长钉的引入以及大约从2013年开始的广泛应用，使外固定在某些适应症方面过时。然而，环形固定器仍是创伤学中复杂畸形重建以及儿童骨科存在开放生长板时的首选方法。
