The document introduces hyprocure® extra-osseous talotarsal stabilization (EOTTS) as a treatment solution for preventing the abnormal motion and dislocation of the talus in the foot, which can lead to various foot and body symptoms. It describes the impact of talotarsal dislocation syndrome (TTDS) and the benefits of the hyprocure® stabilization device in restoring proper alignment and function. The goal of this treatment is to provide an effective, minimally invasive option for correcting foot deformities and improving overall mobility.

1. HyProCure®Extra-Osseous TaloTarsalStabilization (EOTTS)Your Guide to Treatmentwww.hyprocure.com

2. EOTTSExtra-Osseous (outside the bone)Restores normal amount of motionPrevents excessive motion between two or more bonesIs different from Interosseous or Intraosseous stabilization.www.hyprocure.com

3. HyProCure® SolutionInternal Extra-osseousExtra-articularBone stabilization device.www.hyprocure.com

4. Talus acting on the articulations with the calcaneus and navicularTaloTarsal MechanismTalusNavicularSpring LigamentCalcaneuswww.hyprocure.com

5. Normal Talotarsal Alignmentwww.hyprocure.com

6. Normal to abnormal alignmentmisalignment of the talus on the tarsal mechanismwww.hyprocure.com

7. Normal to abnormal alignmenttalus drops forward and downwww.hyprocure.com

8. Normal to abnormal alignmentsinus tarsi partially collapseswww.hyprocure.com

9. Normal to abnormal alignmentNavicular drops leading to lowering of the arch of the footwww.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

11. Abnormal Talotarsal Alignmentwww.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.TalusAnterior/Middle FacetSynoviumCalcaneusTalusSynoviumCalcaneusPosterior Facetwww.hyprocure.com

14. Normal and Abnormal TaloCalcaneal ArticulationsNormalAbnormalwww.hyprocure.com

15. The articulations of thetalus on the tarsal mechanismWith the TTM in SUPINATED POSITIONwww.hyprocure.com

16. The articulations of thetalus on the tarsal mechanismWith the TTM in NEUTRAL POSITIONwww.hyprocure.com

17. The articulations of thetalus on the tarsal mechanismWith the TTM in PRONATED POSITIONwww.hyprocure.com

18. The articulations of thetalus on the tarsal mechanismWith the TTM in Dislocation-Partial of the TTMwww.hyprocure.com

19. This is a dynamic deformity.With every step takenexcessive abnormal forces are acting on thejoints, ligaments, muscles, tendons, & neurovascular structureswww.hyprocure.com

20. TaloTarsal Dislocation SyndromeTTDSAs 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 footBunions HammertoesHeel Pain/Plantar fasciopathyTarsal Tunnel SyndromePosterior tibial tendon dysfunctionAbnormal gait patternShin splintsAbnormal shoe wearGrowing painswww.hyprocure.com

23. Effect of TTDS to the bodyThe 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. TREATMENTWhat 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 Devicewww.hyprocure.com

28. HyProCure® Internally Stabilizes the talus to prevent the dislocation.www.hyprocure.com

29. HyProCure allows thenormal amount of motion to occur. The talus glides over HyProCure.www.hyprocure.com

30. Beforewww.hyprocure.com

31. HyProCured™www.hyprocure.com

32. Beforewww.hyprocure.com

33. HyProCured™www.hyprocure.com

34. HyProCure®Internal Permanent Solution not dependent on shoegear. www.hyprocure.com

35. Before/After

36. 2 Weeks Post-OpThe Knees

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

38. Physician’s Treatment GoalsEarly ambulationEffective correctionLeast amount of down timeLeast amount of complicationsReturn to normal functionDo no harmWhy wait until major rearfoot reconstructive surgery is the only option?

39. “Changing Lives, One Step at a Time”www.hyprocure.comView our on-line trainingwww.hyprocuredoctors.com