HyProCure®Extra-Osseous TaloTarsal Stabilization

(EOTTS)

Your Guide to Treatment

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EOTTS

• Extra-Osseous (outside the bone)

• Restores normal amount of motion

• Prevents excessive motion between two or more bones

• Is different from Interosseous or Intraosseous stabilization.

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HyProCure® Solution

• Internal • Extra-osseous• Extra-articular• Bone

stabilization device.

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Talus

Navicu

lar

Calcaneus

Spring Ligament

TaloTarsal Mechanism Talus acting on the articulations with the

calcaneus and navicular

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Normal Talotarsal Alignment

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Normal to abnormal alignmentmisalignment of the talus on the tarsal mechanism

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Normal to abnormal alignmenttalus drops forward and down

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Normal to abnormal alignmentsinus tarsi partially collapses

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Normal to abnormal alignmentNavicular drops leading to lowering of the arch of the foot

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This is NOT normal. Its not that the “arch” gave way and the talus has fallen out of position. The talus is partially dislocated off the talotarsal articulations

and that is what leads to the lowering of the arch. If the talus is repositioned than the navicular bone will

raise indicating normalization of the arch of the foot.

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Abnormal Talotarsal Alignment

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Normal to abnormal alignmentthe talus is repositioned on the tarsal mechanism and there is

realignment of the osseous structures.

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TaloCalcaneal Articulationsexcessive motion at the posterior TC facet translates into excessive at

the anterior/middle and TN facet.

Talus

Talus

Synovium

Synovium

Anterior/Middle Facet

Posterior FacetCalcaneus

Calcaneus

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Normal and Abnormal TaloCalcaneal Articulations

Normal Abnormal

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The articulations of thetalus on the

tarsal mechanismWith the TTM in

SUPINATED POSITION

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The articulations of thetalus on the

tarsal mechanismWith the TTM in

NEUTRAL POSITION

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The articulations of thetalus on the

tarsal mechanismWith the TTM in

PRONATED POSITION

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The articulations of thetalus on the

tarsal mechanismWith the TTM in

Dislocation-Partial of the TTM

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This is a dynamic deformity.

With every step takenexcessive abnormal forces are acting on the

joints, ligaments, muscles, tendons, & neurovascular structures

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TaloTarsal Dislocation SyndromeTTDS

As a result of the excessive abnormal forces acting on the structures of the foot and ankle combined with the fact the average person takes 6,000 to 10,000 steps a day. Something will eventually become damaged.

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TaloTarsal Dislocation Syndrome (TTDS)

• Symptoms from this deformity will present at the weakest link in the chain.

• Are you covering up the symptom or curing the underlying problem?

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Symptoms of TTDS in the foot

• Bunions • Hammertoes• Heel Pain/Plantar fasciopathy• Tarsal Tunnel Syndrome• Posterior tibial tendon dysfunction• Abnormal gait pattern• Shin splints• Abnormal shoe wear• Growing pains

Effect of TTDS to the body

• The body of the talus is locked into the ankle joint.

• When the talus slips off the tarsal mechanism that immediately forces the ankle joint to turn inward and downward.

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This translates to excessive motion that

can potentially affect the

neck

spine

pelvis

hips

knee

far more than just the foot.

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TREATMENT

What is the best way to fix this pathologic deformity?

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How can something located on the bottom of the foot/tarsal mechanism control/stabilize something above it?

Does it make sense to you?

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HyProCure-

Extra Osseous Talotarsal Extra Articular

Internal Stabilization Device

HyProCure® Internally

Stabilizes the talus to prevent the dislocation.

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HyProCure allows thenormal amount of

motion to occur. The talus glides over HyProCure.

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Before

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HyProCured™

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Before

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HyProCured™

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HyProCure®Internal Permanent Solution not dependent on shoegear.

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Before/After

2 Weeks Post-OpThe Knees

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

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Physician’s Treatment Goals

Early ambulationEffective correctionLeast amount of down timeLeast amount of complicationsReturn to normal functionDo no harm

Why wait until major rearfoot reconstructive surgery is the only option?

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View our on-line training

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“Changing Lives, One Step at a Time”