Taylor Spatial Frame
Indications
Deformity correction
Deformity correction
Usually polytrauma
- 10% mortality
Aims
1. Volume replacement
2. Reduce pelvic ring
3. Stop exsanguination
- external stabilisation / surgery / embolisation
Arterial bleeders
Usually young patients
- 15 - 40
15% compound
High velocity injury
- MBA
- MVA
- pedestrian v car
- fall from height
EMST principles
- need for transfusion not uncommon
Like elbow arthrodesis, knee arthrodesis is an option of last resort
Example
- cannot sit on airplane toilet with door closed
Coapt 2 coplanar cancellous surfaces under compression with rigid fixation
Septic arthritis
Salvage failed TKR / infected TKR
Tumour
Charcot Join
PFFD