Abstract
The purpose of this retrospective study was to determine long-term functional outcomes
and device tolerance achieved in adult patients who chose to undergo an extraosseous
talotarsal stabilization procedure HyProCure® for the treatment of flexible talotarsal joint deformity. Eighty-three adult patients
participated in this study. Postoperative subjective assessment of device performance
was evaluated using Maryland Foot Scores, which were collected at a mean follow-up
period of 51 months. The mean postoperative Maryland Foot Score was 88 out of 100;
postoperatively, 52% of cases reported complete alleviation of foot pain, 69% of cases
had no limitations on their foot functional abilities, and 80% of cases reported complete
satisfaction with the appearance of their feet. The implant was removed in 7 out of
117 cases (removal rate: 6%) due to prolonged pain of the anterior talofibular ligament
(4 cases), psychogenic reaction (2 cases), and postoperative infection (1 case). The
long-term positive subjective outcomes and excellent patient satisfaction obtained
in this study may imply that extraosseous talotarsal stabilization was effective in
stabilizing the talotarsal joint complex and eliminating excessive abnormal pronation,
thus reducing pain and improving quality of life of the patients; it represents a
possible treatment option for partial talotarsal dislocation in cases with flexible
and reducible deformity.
Level of Clinical Evidence
Keywords
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Article info
Footnotes
Financial Disclosure: This study was funded by GraMedica, LLC (Macomb, MI).
Conflict of Interest: Michael E. Graham is the inventor of HyProCure®. He is the sole owner of GraMedica, LLC, the company that manufacturers and distributes HyProCure®.
Identification
Copyright
© 2012 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Extraosseous Talotarsal StabilizationThe Journal of Foot and Ankle SurgeryVol. 52Issue 5
- PreviewWe appreciated Dr Graham et al's 2 recent articles on arthroereisis [Graham ME, Jawrani NT, Chikka A. Extraosseous talotarsal stabilization using HyProCure® in adults: a 5-year retrospective follow-up. J Foot Ankle Surg 51(1):23–29, 2012; Graham ME, Jawrani NT. Extraosseous talotarsal stabilization devices: a new classification system. J Foot Ankle Surg 51(5):613–619, 2012]. Articles and research are needed to validate collective findings that this is an important procedure for flexible flatfoot and talotarsal dislocation.
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