HomeArchiveVolume 7Volume 7, issue 2Correction of all deformities in a single planned session with the application of a spider frame fixator
Mehmet S. Saygılı1, Ali Ç. Tekin1*, Müjdat Adaş1, Mustafa B. Ayaz1, Tuğrul Ergün2, İsmail Kalkar3, Cem Z. Esenyel4, Hakan Gürbüz1
1PROF. DR. CEMIL TAŞÇIOĞLU CITY HOSPITAL, DEPARTMENT OF ORTHOPEDICS AND TRAUMATOLOGY, İSTANBUL, TURKEY
2İSTINYE UNIVERSITY FACULTY OF MEDICINE, DEPARTMENT OF ORTHOPEDICS AND TRAUMATOLOGY, İSTANBUL, TURKEY
3TASKÖPRÜ STATE HOSPITAL, DEPARTMENT OF ORTHOPEDICS AND TRAUMATOLOGY, KASTAMONU, TURKEY
4GIRESUN UNIVERSITY FACULTY OF MEDICINE, DEPARTMENT OF ORTHOPEDICS AND TRAUMATOLOGY, GIRESUN, TURKEY
Abstract
Objectives. This study aimed to demonstrate the simultaneous correction of all deformities with the Spider Frame computer-assisted external fixation system, to determine the characteristics of the application technique, and to evaluate its effectiveness, complications and results. Materials and Methods. The evaluation was performed on 22 patients treated with a spider frame between 2012 and 2014. The lengthening amount, union status and bone angles were evaluated radiologically on the pre and postoperative orthoroentgenograms. In the preoperative evaluation, the Paley difficulty scale was used; the postoperative bone and functional results were evaluated according to the Paley criteria. The external fixator index and distraction index were evaluated. Results. The mean score of the Paley difficulty scale applied preoperatively, was 4.5 (range, 1-10). The mean duration of the fixator was 199 days (range, 104-300 days). The mean external fixator index was 105.3 day/cm (range, 38-300 day/cm). The mean distraction index was 11.4 day/cm (range, 7-22 day/cm). According to the Paley criteria, excellent and good results were obtained in 75% and moderate results in 25% of cases involving the femur. In the tibia cases, excellent and good functional results were obtained in 83.3% and excellent and good bone results in 91.6% patients. Conclusion. In cases of deformity, acute fracture and non[1]union, the computer-assisted external fixator system (spider frame® ) without any modification provides single-stage correction by allowing postoperative intervention to the deformity. It is a new generation external fixator system which has shown successful functional results, and can therefore be considered for use.
Cite this article:
Vancouver
Saygılı MS, Tekin AÇ, Adaş M, Ayaz MB, Ergün T, Kalkar İ, Esenyel CZ, Gürbüz H. Correction of all deformities in a single planned session with the application of a spider frame fixator. J Clin Investig Surg. 2022 November 25;7(2):117-123. Available from: https://www.proscholar.org/jcis/archive/vol.7/iss.2/1/ doi: 10.25083/2559.5555/7.2.1
NLM
Saygılı MS, Tekin AÇ, Adaş M, Ayaz MB, Ergün T, Kalkar İ, Esenyel CZ, Gürbüz H. Correction of all deformities in a single planned session with the application of a spider frame fixator. J Clin Investig Surg. 2022 November;7(2):117-123. doi: 10.25083/2559.5555/7.2.1.
AMA
Saygılı MS, Tekin AÇ, Adaş M, Ayaz MB, Ergün T, Kalkar İ, Esenyel CZ, Gürbüz H. Correction of all deformities in a single planned session with the application of a spider frame fixator. J Clin Investig Surg. 2022;7(2):117-123.
MLA
Saygılı, Mehmet S., et al. “Correction of all deformities in a single planned session with the application of a spider frame fixator.” Journal of Clinical and Investigative Surgery 7.2 (2022): 117-123. doi:10.25083/2559.5555/7.2.1.
APA
Saygılı, M. S., Tekin, A. Ç., Adaş, M., Ayaz, M. B., Ergün, T., Kalkar, İ., Esenyel, C. Z., & Gürbüz, H. (2022). Correction of all deformities in a single planned session with the application of a spider frame fixator. Journal of Clinical and Investigative Surgery, 7(2), 117-123.
ISO 690
Saygılı
, Mehmet S., et al. Correction of all deformities in a single planned session with the application of a spider frame fixator. Journal of Clinical and Investigative Surgery, 2022, 7.2: 117-123.