Hello, This is my hyprocure pre-post surgery and recovery blog!
Hello my name is Robert Macina and this is my hyprocure (http://www.hyprocure.com) surgery and recovery blog!
I received this surgery on October 2nd, 2019 on the left foot and will hopefully have positive things to say about the results.
I have a background in anatomy and physiology through studying massage therapy at the Swedish Institute in Manhattan, NY. I've been in practice for a year and recently have stumbled upon this surgery by looking into a flat foot Doctor located in Hopewell, NY. Doctor Christos Kyrou DPM has done over 300 of these surgeries and is a master surgeon in this technique. I researched it before my first visit with him and thought it might be what I need to fix my flat feet. After my first visit he thought I was a great candidate! He put my foot on a fluoroscopy and showed me the area of insertion for the hyprocure device. Since I have flexible flat feet I can reproduce an arch which opens up the sinus tarsi, this is where it will go (see below on the subtalar joint). When I lay all my weight on my feet without creating an arch the sinus tarsi (subtalar joint space) is obliterated and this the heart of the problem with flat feet (it being collapsed).
The name Hyprocure must come from the medical vocabulary for flat feet 'hyperpronated' feet.
HyPerPronation = HyProCure
The goal of the surgery is to achieve 1 to 3 degrees of rear foot eversion. It has been around since 2004. Since the ankle bone is loosing its normal alignment and stability, the focus of forces are acting on the mid and forefoot.
Within HyProCure's website there are numerous studies you can read about what is happening with a foot that has pes planus (flat feet). Flat feet are the collapse of the sinus tarsi which is unlocking the hind and midfoot joints adding extra strain here and unequal weight distribution throughout the body i.e. "The ankle bone loses it's normal alignment and stability by abnormally closing the sinus tarsi. This unlocks the hind and midfoot joints. The forces that should be passing through the back of the heel are now acting on the mid and forefoot. This pushes the 1st metatarsal bone away from the 2nd metatarsal when walking and standing. Overpronation is not an arch issue its an ankle bone alignment issue."
If we focus on 3 important bones
Ankle Bone = Talus
Heel Bone = Calcaneous
Sesamoid Bone = Navicular
This is where excessive strain is happening.
I can feel this pain on my foot medially and it can be excruciating at times. The device is placed and the calcaneous and subtalar joints are moved into alignment which opens the sinus hole and then it is put deeply within subtalar joint. According to a hyprocure video after 3-4 weeks of healing time, a displacement is at 1%.
Video is here with explanation because I'm no foot surgeon.
https://www.youtube.com/watch?v=kCMfTrOL3ik
The name Hyprocure must come from the medical vocabulary for flat feet 'hyperpronated' feet.
HyPerPronation = HyProCure
The goal of the surgery is to achieve 1 to 3 degrees of rear foot eversion. It has been around since 2004. Since the ankle bone is loosing its normal alignment and stability, the focus of forces are acting on the mid and forefoot.
Within HyProCure's website there are numerous studies you can read about what is happening with a foot that has pes planus (flat feet). Flat feet are the collapse of the sinus tarsi which is unlocking the hind and midfoot joints adding extra strain here and unequal weight distribution throughout the body i.e. "The ankle bone loses it's normal alignment and stability by abnormally closing the sinus tarsi. This unlocks the hind and midfoot joints. The forces that should be passing through the back of the heel are now acting on the mid and forefoot. This pushes the 1st metatarsal bone away from the 2nd metatarsal when walking and standing. Overpronation is not an arch issue its an ankle bone alignment issue."
If we focus on 3 important bones
Ankle Bone = Talus
Heel Bone = Calcaneous
Sesamoid Bone = Navicular
This is where excessive strain is happening.
I can feel this pain on my foot medially and it can be excruciating at times. The device is placed and the calcaneous and subtalar joints are moved into alignment which opens the sinus hole and then it is put deeply within subtalar joint. According to a hyprocure video after 3-4 weeks of healing time, a displacement is at 1%.
Video is here with explanation because I'm no foot surgeon.
https://www.youtube.com/watch?v=kCMfTrOL3ik
In this picture below you can see the ligaments inside the subtalar space - sinus tarsi (circled look at 2). These interosseous ligaments (2) will be cut and healed onto the Hyprocure titanium stent. I'm pretty sure the cervical ligament will not be touched and it is only the interosseous ligament.
I've had flat feet since I can remember and haven't had that much of a problem till my late teens and 20's. I became an athlete and ran my first marathon at the age of 24 prior I just ran since high school up to 10 miles a week but gradually increased especially in college. I also am pretty obsessed with playing tennis at a recreational competitive level. I worked hospitality jobs before attending massage therapy school which I was on my feet for over 8 hours a day. I studied music in my undergrad and could notice standing or walking long periods of time wasn't getting easier. I also sing a chorus and recently toured England, sometimes standing was difficult for concerts and exploring around the country. I needed to find an alternate way to fix flat feet than just traditional orthotics for my shoes. Now I'm 29 and ready for a solution and I hope this surgery heals the problem.
This surgery is cleared by the FDA and is covered with insurance making it easier to consider.
-Robert Macina
linkedin.com/in/robert-macina-204463157/
Comments
Post a Comment