Hyprocure TM
New Treatment for Hyperpronated Feet : The Arthroeresis
Miss Emma Supple, Podiatrist & Podiatric Surgeon, now offers the most up-to-date treatment for the correction of “out-of-aligned” feet or hypermobile flexible flatfeet.
Previously, patients were managed for many years with insoles and orthotics and careful shoe choices and told that not much could be done for this unstable,potentially painful, condition of hyperpronation. This excessive rear foot motion is caused by abnormal motion between the heel (calcaneus) and ankle (talus) bones. Symptoms can include: shin splints, growing pains, leg cramping, knee, hip, and/or lower back pain, arch pain, and not being able to stand for long periods.
Past treatments included corrective shoes, custom-moulded inserts (orthotics), or extensive reconstructive foot surgery. This surgical procedure (subtalar arthroeresis) consists of inserting a specialized titanium stent into the foot that limits the excessive motion and restores normal motion of the talus. Effectively restoring the "key stone" to the arch of the foot and preventing the talus from hypermotion, ie tilting and rotating off its position at the top of the tripod that makes up a stable foot position.
The surgery is performed during a brief outpatient surgery mostly under local anaesthetic. The stent sits within the natural sinus tarsai canal and so there is no bone cutting or tendon transfers. In most cases, only a heavy bandage is applied and no casting is required. The procedure is usually performed on one foot at a time.
Normally, the stent will just stay in the foot and never has to be removed. This surgery is completely reversible. The stent can be removed and the foot will be return to the original position of hyperpronation. The results are immediate. The procedure can be performed on children and adults. Additional procedures such as achilles tendon lengthening and tendon transfers may need to be performed to achieve the best results. The surgery is currently not covered by most insurance companies.
In 2009 NICE issued a position statement on arthroeresis and has emphasised the requirement for informed consent in the use of this procedure.Southampton University is currently undertaking more research into this procedure.
Miss Supple has now had a Hyprocure® in her right foot and is delighted to have a stable, well arched flexible foot. You can read about the experience on her blog at emmasupple.blogspot.com
Call Supplefeet's Enfield Foot and Ankle Clinic today
to schedule your consultation - 020 8367 9292.