2. 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. www.hyprocure.com
3. HyProCure® Solution Internal Extra-osseous Extra-articular Bone stabilization device. www.hyprocure.com
4. Talus acting on the articulations with the calcaneus and navicular TaloTarsal Mechanism Talus Navicular Spring Ligament Calcaneus www.hyprocure.com
6. Normal to abnormal alignmentmisalignment of the talus on the tarsal mechanism www.hyprocure.com
7. Normal to abnormal alignmenttalus drops forward and down www.hyprocure.com
8. Normal to abnormal alignmentsinus tarsi partially collapses www.hyprocure.com
9. Normal to abnormal alignmentNavicular drops leading to lowering of the arch of the foot www.hyprocure.com
10. 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. www.hyprocure.com
12. Normal to abnormal alignmentthe talus is repositioned on the tarsal mechanism and there is realignment of the osseous structures. www.hyprocure.com
13. TaloCalcaneal Articulationsexcessive motion at the posterior TC facet translates into excessive at the anterior/middle and TN facet. Talus Anterior/Middle Facet Synovium Calcaneus Talus Synovium Calcaneus Posterior Facet www.hyprocure.com
14. Normal and Abnormal TaloCalcaneal Articulations Normal Abnormal www.hyprocure.com
15. The articulations of the talus on the tarsal mechanism With the TTM in SUPINATED POSITION www.hyprocure.com
16. The articulations of the talus on the tarsal mechanism With the TTM in NEUTRAL POSITION www.hyprocure.com
17. The articulations of the talus on the tarsal mechanism With the TTM in PRONATED POSITION www.hyprocure.com
18. The articulations of the talus on the tarsal mechanism With the TTM in Dislocation-Partial of the TTM www.hyprocure.com
19. This is a dynamic deformity. With every step taken excessive abnormal forces are acting on the joints, ligaments, muscles, tendons, & neurovascular structures www.hyprocure.com
20. 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. www.hyprocure.com
21. 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? www.hyprocure.com
22. 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 www.hyprocure.com
23. 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. www.hyprocure.com
24. This translates to excessive motion that can potentially affect theneckspinepelvishipskneefar more than just the foot. www.hyprocure.com
25. TREATMENT What is the best way to fix this pathologic deformity? www.hyprocure.com
26. How can something located on the bottom of the foot/tarsal mechanism control/stabilize something above it? Does it make sense to you? www.hyprocure.com
27. HyProCure- Extra Osseous Talotarsal Extra Articular Internal Stabilization Device www.hyprocure.com
37. If we stabilize the TTM than we can also help the rest of the body. www.hyprocure.com
38. Physician’s Treatment Goals Early ambulation Effective correction Least amount of down time Least amount of complications Return to normal function Do no harm Why wait until major rearfoot reconstructive surgery is the only option?
39. “Changing Lives, One Step at a Time” www.hyprocure.com View our on-line training www.hyprocuredoctors.com