HyProCure Before & After

HyProCureExtra-Osseous TaloTarsal Stabilization : 

HyProCureExtra-Osseous TaloTarsal Stabilization Before & After

What exactly can you achieve with HyProCure? : 

What exactly can you achieve with HyProCure? “Simplicity is achieving maximum results with minimal effort”

HyProCure is a very valuable effective tool. : 

HyProCure is a very valuable effective tool. Let’s take a closer look.

Once the talus is stabilized back on the talotarsal mechanism many things will happen. : 

Once the talus is stabilized back on the talotarsal mechanism many things will happen. At first glance it may not appear significant but on further evaluation there are many things that have improved.

What do you see? : 

What do you see? Sometimes what is occurring on the inside isn’t as noticeable as what is occurring on the inside.

What do you see? : 

What do you see? “Too many toes” sign, abductory twist, posterior tibial tendon dysfunction, over-pronation, adductovarus hammertoes.

What do you see? : 

What do you see? Significant medial malleolar bulging, increased pressure and tension on and within the tarsal tunnel decreasing blood flow, traumatizing the posterior tibial nerve, increased strain to posterior tibial tendon?

What do you see? : 

What do you see? Think about the strongest supinator of the foot. The medial bands of the Achilles tendon have a significantly increased strain. The Gastro-Soleal complex has to overcome the hyperpronatory forces to try and bring the foot back to neutral position with PT to supinate the foot.

Do you see what I mean? : 

Do you see what I mean? Let’s continue.

Pre & Post EOTTS with HyProCure : 

Pre & Post EOTTS with HyProCure Patient fully weightbearing in relaxed calcaneal stance position. The post-op photo is 3 weeks post-HyProCure placement. Let’s take a closer look.

Pre & Post EOTTS with HyProCure : 

Pre & Post EOTTS with HyProCure Obviously there is an increase in arch height. Due to the hypertrophy of the medial soft tissues (abductory hallucis, etc.) it could take up to a year to clinically see a significant change in arch height, as compared to radiographic correction.

Pre & Post HyProCure : 

Pre & Post HyProCure

Pre & Post HyProCure : 

Pre & Post HyProCure

Pre & Post HyProCure : 

Pre & Post HyProCure Let’s again think about what is occurring in the pre-op foot. The Tibialis Posterior Tendon is being abnormally stretched with every step taken and every second while standing due to the abnormal talotarsal articulations. Immediately upon the insertion of HyProCure this strain is eliminated. Finally the body has a chance to heal the tendon disease if the condition isn’t beyond the point of irreversible tissue damage.

Can we all agree that this is not a normal talotarsal alignment? : 

Can we all agree that this is not a normal talotarsal alignment?

3 Days after being HyProCured. : 

3 Days after being HyProCured.

3 Days after being HyProCured. : 

3 Days after being HyProCured. There is so much correction in so many parts of the foot. We haven’t even looked at what we have done to the rest of her musculoskeletal structures. 10 minute procedure has stabilized her talotarsal Mechanism.

3 Days HyProCured. : 

3 Days HyProCured.

Can you tell which foot was HyProCured! : 

Can you tell which foot was HyProCured!

Let’s take a look at what happens inside. : 

Let’s take a look at what happens inside.

What’s Normal : 

What’s Normal Talus is sitting on top of the calcaneus Articulating facets are in complete contact Sinus tarsi is in an “open” position Cyma Line normal Navicular elevated

What’s Abnormal : 

What’s Abnormal Talus not sitting on top of the calcaneus Articulating facets are partially displaced Sinus tarsi is partially collapsed/obliterated Anterior deviated Cyma Navicular has dropped.

Comparison : 

Comparison Normal Abnormal

Repositioning of the talus back on the tarsal mechanism. : 

Repositioning of the talus back on the tarsal mechanism. HyProCure stabilizes the talus to prevent anterior dislocation. Maintains the articular facets, keeps the sinus open.

Talar Declination Decreased and brought back to normal alignment with the first ray. : 

Talar Declination Decreased and brought back to normal alignment with the first ray. HyProCure won’t all the talus to plantarflex on the tarsal mechanism. A plantarflexion of the talus leads to anterior deviation of the pelvis by pulling the head of the femur out of pelvis which immediately places a strain on the spine.

Navicular Drop : 

Navicular Drop The navicular is forced out of position due to the excessive abnormal forces from the talar displacement. Stabilization of the talus internally prevents navicular drop.

What is wrong with this picture. : 

What is wrong with this picture. Plantarflexed talus Anterior deviation of cyma Navicular drop Sustentaculum drop This is not a “flat” foot look at the calcaneal inclination angle. Talotarsal subluxation

There are so many things realigned. : 

There are so many things realigned.

Pediatric Case : 

Pediatric Case

Weightbearing AP FluoroscopyRCSP showing transverse plane correction : 

Weightbearing AP FluoroscopyRCSP showing transverse plane correction

Talar Second Metatarsal Angle : 

Talar Second Metatarsal Angle

Talar Calcaneal Diverenge : 

Talar Calcaneal Diverenge

TaloNavicular Articulation : 

TaloNavicular Articulation

How many more do you need to see to be convinced that this is the right thing to do. : 

How many more do you need to see to be convinced that this is the right thing to do.

What have we seen? : 

What have we seen? Multiple sagittal plane deformities corrected by HyProCure. Multiple transverse plane corrections. Talotarsal joint functions in all 3 planes. If we can show correction in 2 planes that means we have corrected in all 3 cardinal planes. There will be planal dominant deformities, ie Sagittal > transverse or Transverse > sagittal However, HyProCure will only bring the mechanism back to normal in any and each of the 3 planes without over correcting in any single plane.

HyProCure will only bring the TTM mechanism back to normal in any and each of the 3 planes without over correcting in any single plane. : 

HyProCure will only bring the TTM mechanism back to normal in any and each of the 3 planes without over correcting in any single plane. Think about this statement a little as this is very important.

2 Weeks Post-OpThe Knees : 

2 Weeks Post-OpThe Knees

If we stabilize the TTM than we can also help the rest of the body. : 

If we stabilize the TTM than we can also help the rest of the body. www.hyprocure.com

www.alignmyfeet.com : 

www.alignmyfeet.com For more information and to find a HyProCure Specialist near you.