There are many healthcare professionals addressing the symptoms of musculoskeletal disease to the few who are reducing or eliminating the underlying cause. View this slideshow to find out about the most powerful minimally invasive orthopedic solution.
9. Hyperpronation.com
“The Cause”
In order to achieve a greater long-term
success in the treatment of orthopedic
pathologies, we must discover the
underlying etiologic factors that have led to
the formation of secondary pathologies.
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Think Root-Cause!
Is that a diabetic ulcer? Or, is it
an ulcer that occurred in a
diabetic patient?
Not all diabetics end up with
foot ulcers? Why? Because
diabetes is a co-morbidity but
not the only etiologic factor.
Will this ulcer resolve with
better control of diabetes?
Or do you think there are
other contributing factors?
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What do you think the long-term
outcome will be?
Even the “average”
healthcare provider has a
pretty good chance to get
these ulcers to heal. The
successful provider will
reduce or eliminate the
excessive forces that are
acting on that specific
area.
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3 Basic Tenants of orthopaedia
What is deviated – make straight
What is unstable – make stable
Joint preservation over joint destruction
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It is osseous or joint
malformation and/or instability
that leads to soft tissue adaptation.
According to Davis’ Law
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In other words:
trying to “fix” the soft tissues
without addressing deviated
osseous structures or joint instability
will lead to recurrence of the soft
tissue pathology.
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The primary focus in the treatment of
orthopedic related deformities is to:
Realign and stabilize osseous structures,
while preserving a natural range of
motion, when possible.
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The only difference between the aligned verse
misaligned foot is:
TTJ is aligned. The talar facets
are in constant congruent
contact with the calcaneus and
navicular (tarsal mechanism).
TTJ is misaligned. The talar
facets are no longer in constant
congruent contact with the
calcaneus and navicular (tarsal
mechanism).
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Radiographic Proof-Evidence
• Open sinus tarsi
• Talar declination angle
(<21°)
• Cyma line
• Navicular position
• Aligned joint facets
• Talar 2nd Metatarsal Angle
(T2MA)
– Normal should be < 16
– Ideal is around 3-6
– Abnormal > 16
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See the difference?
• Obliterated sinus tarsi
• Dropped navicular
• Deviated Cyma line
• Displaced articular
facets
• Talar declination > 21
Aligned TTJ
Misaligned TTJ
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Arch – Supports/Foot Orthosis?
Where’s the evidence that something placed
below the calcaneus can realign and stabilize the
talus, on top of the calcaneus?
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Extra-Osseous TaloTarsal Stabilization
(EOTTS)
with HyProCure
This is scientifically and clinically supported.
HyProCure is a non-arthroereisis, non-joint
blocking/limiting sinus tarsi stent.
It maintains talotarsal joint alignment, while
allowing a normal TTJ range of motion.
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HyProCure Facts & Figures
• FDA cleared in 2004
• CE marked in 2006
• Currently used by leading foot & ankle
surgeons (orthopedic & podiatric) globally
• Tens of thousands of procedures
performed
• Routinely used in both pediatric and
adults
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EOTTS – HyProCure
Summary of Published Data
• Normalization of subtalar joint forces
• Radiographic normalization of TTJ alignment
• Most successful EOTTS sinus tarsi stent – lowest explantation rate
• Decreased strain to the plantar fascia, posterior tibial tendon, and
posterior tibial nerve.
• Decreased pressures within the tarsal tunnel and porta pedis
• Positive affect to navicular height
• Positive affect to plantar pressure distribution
• Positive functional outcome scores
• Minimal associated risks or complications
• Reversible treatment option
• Best anatomic and biomechanically designed sinus tarsi stent
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The time has come for the
orthopedic community to embrace a
proven solution to the root-cause of
many musculoskeletal condition.