An Introduction to the Taylor Spatial Frame for Foot and Ankle Applications

The Taylor Spatial Frame (TSF; Smith & Nephew Memphis, TN) is an advanced orthopaedic modality that uses the Ilizarov priciples to correct deformities via an external hexapod. Typically, it is used to correct severe deformities that are not amenable to other methods of acute correction or fixation. Historically, these complex deformities have been corrected with the Ilizarov principles and components. Currently, advances in deformity planning, hardware, and software analysis have made correcting severe foot and ankle deformities much easier. This article gives an overview of the indications and contraindications of the TSF, it reinforces the basic principles of deformity planning, and it introduces the different designs of the TSF available.