Equinovarus Deformity Correction With the Taylor Spatial Frame

The Ilizarov method has gained much popularity over the years in the treatment of fractures, limb-length discrepancy, nonunion, bone defects, deformity (malunion), soft-tissue contracture, and osteomyelitis. More recent developments have been made in designing a multiplane external fixator, the Taylor Spatial Frame (Smith & Nephew, Memphis, TN), to treat these complex deformities. This versatile device allows gradual deformity correction using a system of 6 articulated struts, tibial rings, a foot-plate, half-pins and wires. The use of this system requires an understanding of basic Ilizarov principles and technique. The Taylor Spatial Frame corrects both osseous and soft-tissue deformities. Treatment of equinovarus is well suited for gradual correction. At our institution, we routinely use circular external fixation for correction of complex forefoot, hindfoot, ankle, and tibia deformities. Judicious use of the Taylor Spatial Frame allows for correction of deformity and preservation of limb length. Our goal in the treatment of equinovarus deformities is to achieve a painless, plantigrade, and functional foot. In this article, we share our surgical approach in treating equinovarus deformity contractures with the Taylor Spatial Frame.