SummaryThe Taylor Spatial Frame is a modern multiplanar external fixator that combines ease of application plus computer accuracy in the reduction of acute long-bone fractures. Indirect reduction of fractures is achieved by realigning one fracture end to the other through a spatial point of rotation. One to six axes of deformity between bone ends can be corrected sequentially or simultaneously by adjusting six connecting struts between two circular rings that are fixed externally to the bone fragments. The spatial frame is applied easily during the acute fracture period. The accuracy of fracture reduction is dependent on analyzing anteroposterior and lateral radiographs of the fracture afterward. Inputting 13 parameters into a computer software program provides the proper adjustments needed to reduce the fracture. Adjustments during the postoperative period are possible without modifying the fixator because the fracture site can be manipulated by changing the strut length. Fifty-four acute fractures have been treated with the Taylor Spatial Frame. A 93% union rate with only 1 refracture (2%) and 2 nonunions (4%) occurred; 1 patient died. The three failures were treated successfully with a second procedure. Anatomic alignment was achieved in 96% of patients. The Taylor Spatial Frame is a valuable tool in the arsenal of a fracture surgeon. It is an effective definitive method of fracture care using external fixation.