{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:04:25Z","timestamp":1763463865851,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We evaluated the effectiveness of the Taylor spatial frame (Smith &amp; Nephew, Memphis, TN, USA) in the treatment of complex lower extremity deformities. \\r\\nMethods: The Taylor spatial frame (TSF) was applied to 29 bone segments of 25 patients (12 females, 13 males; mean age 17 years). Indications for the TSF were congenital disorders (n=12), rickets (n=6), physeal injuries (n=4), stiff nonunions (n=3), malunions (n=3), and sequela from septic arthritis of the knee (n=1). Applications involved the tibia (n=15), femur (n=9), foot (n=4), and knee (n=1) with (n=24) or without (n=5) osteotomies. Following acute correction with the use of the TSF and internal osteosynthesis by plating or nailing, the fixator was removed in six cases. The chronic mode was used in six cases who underwent acute correction. The remaining deformities were gradually corrected using the \u201ctotal residual mode\u201d. The follow-up period ranged from eight months to 42 months (mean 29 months).\\r\\nResults: The mean duration of external fixator was 24.5 weeks (range 18 to 37 weeks) in 13 tibial and five femoral segments. In all cases, correction was applied until the mechanical axis reached normal limits. Complete consolidation was achieved in all osteotomized segments, including three cases of nonunion. A plantigrade foot was obtained in all foot deformities. Recurrence was seen in one case in which knee contracture and subluxation were treated with soft tissue distraction without osteotomy.\\r\\nConclusion: The Taylor spatial frame is a safe and practical method with excellent results in the treatment of nonunions and deformities complicated especially by translation and rotation providing correct clinical data are derived and used.\n\n\u00d6zet\n\nAma\u00e7: Bu \u00e7al\u0131\u015fmada Taylor uzaysal \u00e7er\u00e7evenin (Smith &amp; Nephew, Memphis, TN, ABD) kompleks alt ekstremite deformitelerinin tedavisindeki etkinli\u011fi incelendi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: Taylor uzaysal \u00e7er\u00e7eve (TSF) 25 hastan\u0131n (12 kad\u0131n, 13 erkek; ort. ya\u015f 17) 29 kemik segmentinde kullan\u0131ld\u0131. Uygulama nedenleri, do\u011fu\u015ftan deformite (n=12), ra\u015fitizm sekeli (n=6), fiz hasar\u0131 (n=4), sert ps\u00f6doartoz (n=3), k\u00f6t\u00fc pozisyonda kaynama (n=3) ve diz septik artrit sekeli (n=1) idi. Uygulamalar\u0131n 15\u2019i tibia, dokuzu femur, d\u00f6rd\u00fc ayak, biri de dize y\u00f6nelik yap\u0131ld\u0131. Be\u015f TSF uygulamas\u0131 osteomisiz, di\u011ferleri osteotomili yap\u0131ld\u0131. Alt\u0131 olguda TSF ile deformite akut olarak d\u00fczeltildikten sonra ameliyat s\u0131ras\u0131nda internal osteosentez uygulanarak fiksat\u00f6r \u00e7\u0131kart\u0131ld\u0131. Akut d\u00fczeltme yap\u0131lan alt\u0131 olguda \u201ckronik program\u201d ile, geri kalan olgularda \u201c\u00f6nce halkalar y\u00f6ntemi\u201d ile tedrici d\u00fczeltme yap\u0131ld\u0131. Hastalar\u0131n takip s\u00fcresi 8-42 ay aras\u0131nda (ort. 29 ay) de\u011fi\u015fmekteydi.\\r\\nSonu\u00e7lar: D\u00fczeltme uygulanan 13 tibia ve be\u015f femur segmentinde eksternal fiksat\u00f6r s\u00fcresi ortalama 24.5 hafta (da\u011f\u0131l\u0131m 18-37 hafta) idi. B\u00fct\u00fcn olgularda mekanik eksen normal s\u0131n\u0131rlar i\u00e7erisine gelene kadar d\u00fczeltme yap\u0131ld\u0131. Ps\u00f6doartoz nedeniyle TSF uygulanan \u00fc\u00e7 olgu da dahil, osteotomi yap\u0131lan olgular\u0131n hepsinde tam konsolidasyon elde edildi. Ayak deformitelerinin hepsinde plantigrad ayak elde edildi. Diz fleksiyon kontrakt\u00fcr\u00fc ve posterior subluksasyonu osteotomisiz olarak d\u00fczeltilen bir olguda n\u00fcks g\u00f6r\u00fcld\u00fc.\\r\\n\u00c7\u0131kar\u0131mlar: Veriler do\u011fru hesaplan\u0131r ve do\u011fru kullan\u0131l\u0131rsa, ps\u00f6doartrozlar\u0131n ve \u00f6zellikle translasyon ve rotasyon ile komplike olmu\u015f deformitelerin tedavisinde TSF m\u00fckemmel d\u00fczelme sa\u011flayabilen g\u00fcvenli ve pratik bir sistemdir.<\/jats:p>","DOI":"10.3944\/aott.2009.001","type":"journal-article","created":{"date-parts":[[2009,3,18]],"date-time":"2009-03-18T10:27:50Z","timestamp":1237372070000},"page":"1-6","source":"Crossref","is-referenced-by-count":23,"title":["Correction of complex lower extremity deformities with the use of the IlizarovTaylor spatial frame"],"prefix":"10.5152","volume":"43","author":[{"given":"Metin","family":"Kucukkaya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ozgur","family":"Karakoyun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffi","family":"Armagan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Unal","family":"Kuzgun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2231\/2188","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:00:51Z","timestamp":1763463651000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2231"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2009,1,1]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.001","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}