泰勒支架说明书.pdf

©2002 J. Charles Taylor M.D. 12-05-02 J. Charles Taylor, M.D. Memphis, Tennessee Correction of General Deformity with The Taylor Spatial Frame Fixator TM Abstract The Taylor Spatial Frame TM , a unique external fi xation system, can treat a variety of fractures, nonunions, and malunions. In conjunction with a software program, the Spatial Frame can correct the simplest to the most complex skeletal deformity utilizing the same frame. Different methods of correction may be utilized. 1 - Acute fractures may be stabilized with the Spatial Frame using traditional methods of traction and arched olive wires for direct reduction. 2 - Alternatively, fracture fragments can be attached to Spatial rings with interconnecting FastFx TM struts. After fragment fi xation the fragments are reduced manually and the FastFx TM struts are locked in position. 3 - Malunions and congenital deformities may be treated by adjusting a frame to exactly mimic a defor- mity prior to mounting. As the frame is returned to its neutral position the deformity is corrected. 4 - Rings may be attached to each fragment prior to conventional strut attachments (or utilizing FastFx TM struts in the unlocked position) for fractures or chronic deformities. As the struts are brought back to their neutral position the fracture or malunion will be reduced. After any of these four primary methods fragments may be further reduced by one of the two secondary methods, either the original Residual Deformity Correction or the more recently developed Total Residual Deformity Correction. Introduction The Ilizarov system utilizes hinge and translation mechanisms which are specifi cally oriented for a given case. Complex deformities are addressed by frames which include hinge (rotation) and translation mechanisms in series or stages. The Taylor Spatial Frame fi xator consists of two rings or partial rings connected by 6 telescopic struts at special universal joints. (Fig. 1) By adjusting only strut lengths