The Ilizarov-Taylor Spatial Frame (TSF; Smith and Nephew, Memphis,
Tennessee) is a powerful tool for correcting tibial
A specialized feature of the TSF is its virtual hinge, which allows for the
simultaneous gradual correction of multiplanar deformities and
limb-lengthening through one osteotomy site. The power of the spatial frame
lies in its precise control over the final limb length and alignment and in
its ability to correct a residual deformity. The stability of this multiplanar
circular fixator permits early weight-bearing and provides an ideal
environment for both new-bone formation and soft-tissue healing. The classic
principles of the Ilizarov method are followed to ensure proper frame
application. The TSF web-based software is user-friendly and has greatly
simplified the planning of the correction of an oblique plane deformity by
utilizing standard anterior-posterior and lateral radiographic measurements.
Computer-generated schedules and easy-to-read struts have greatly simplified
patient involvement, which is crucial to the success of this technique.