Morbidly Obese Teenager with Significant Blount’s Treated with Taylor Spatial Frame

Options for bony deformity correction in a skeletally mature patient include acute or gradual correction with internal or external fixation. Whereas a significant multi-planar deformity may not be amenable to acute correction, external fixation allows for gradual, precise correction of concomitant deformities. As an additional benefit in a morbidly obese patient, external fixation can allow for immediate postoperative weight bearing and joint mobilization. This article describes the surgical treatment of a morbidly obese teenager with a significant multi-planar knee deformity resulting from Blount’s disease. A circular external fixator (Taylor Spatial Frame) was used to gradually and simultaneously correct significant varus, internal torsion, and procurvatum.