Extraosseous Talotarsal Stabilization Using HyProCure®: Preliminary Clinical Outcomes of a Prospective Case Series

• DOI: 10.1053/j.jfas.2012.11.013
• Publication Date: 2013-01-11T23:29:36Z
• Authors: Philip J. Bresnahan; Joel T. Chariton; Anuja Vedpathak
• Keywords: Adult; Joint Instability; Male; Adolescent; Joint Dislocations; Prostheses and Implants; Middle Aged; Tarsal Joints; 3. Good health; Young Adult; 03 medical and health sciences; 0302 clinical medicine; Recurrence; Surveys and Questionnaires; Humans; Female; Prospective Studies; Child; Aged; Pain Measurement

The present multicenter, prospective study evaluated the subjective outcomes in patients after extraosseous talotarsal stabilization using the HyProCure(®) stent as a standalone procedure for the treatment of recurrent and/or partial talotarsal joint dislocation (RTTD) in a population of pediatric and adult patients. RTTD has been cited as a possible etiology for a number of foot ailments and might contribute to the development of pathologic features localized more proximally in the weightbearing musculoskeletal chain. Correction of RTTD might, therefore, lead to the reduction of pathologic features associated with this deformity. A total of 46 feet in 35 patients were included in the present investigation. Subjective evaluation used the Maryland Foot Score assessment, which was obtained preoperatively and 1, 2, and 3 weeks, 1, 2, 3, and 6 months, and 1 year postoperatively. The mean overall scores improved from a preoperative value of 69.53 ± 19.56 to a postoperative value of 89.17 ± 14.41 at the 1-year follow-up. Foot pain decreased by 36.97%, foot functional activities improved by 14.39%, and foot appearance improved by 29.49%. The greatest magnitude of improvement occurred 4 weeks postoperatively, with gradual improvement continuing through to the 1-year follow-up. Implants were removed from 2 patients (2 feet, 4.35%). No unresolved complications were observed. The positive subjective outcomes resulting from the extraosseous talotarsal stabilization procedure suggest that the intervention employing the device we have described alleviates pain and improves foot function and appearance in patients with RTTD.