Application of a Double- and Triple-Stacked Hexapod (Taylor Spatial Frame) for High-Energy Segmental Tibial Fractures.

Segmental open tibia fractures from high-energy trauma present significant challenges in achieving stability, alignment, as well as soft tissue preservation. Conventional internal fixation methods often pose risks of infection, non-union, and soft tissue compromise. The Taylor Spatial Frame (TSF), a hexapod-based external fixator, offers multi-planar correction and gradual deformity control, which can prove instrumental in complex segmental fractures. This technical note details the application of double- or triple-stacked TSFs to treat multi-level tibial fractures, ensuring independent correction of each segment while maintaining limb stability. The technique includes wire and pin placement strategies, frame synchronization, and computational correction. It provides a versatile and adaptable solution for managing challenging segmental tibia fractures.