In principle, anyone older than 3 years of age suffering from the effects of talotarsal dislocation can and should be considered for the HyProCure procedure. The requirement is that the individual has a flexible[explain what this means to the audience] deformity versus a rigid one. This can be determined by moving the foot and artificially forcing back the ankle bone back to its normal position on the hind-foot bones (see video below). If able to do so, then the HyProCure procedure is possible. If the ankle bone can be repositioned back to its normal alignment on the hind-foot bones, then HyProCure can be inserted to maintain that alignment. Fortunately, the vast majority of people suffering from talotarsal dislocation do indeed have a flexible deformity and are perfect candidates to benefit from the HyProCure solution. However, the longer this deformity goes untreated, the more likely it is to become a rigid, non-reducible deformity.

Click here to watch a foot with flexible deformity, the ideal candidate for the HyProCure procedure.
It is often possible that other deformities, such as deviated metatarsal bones, ligamentous or tendon laxity or contractures, can be present which may or may not need to be addressed along with the HyProCure procedure. Your foot and ankle specialist will be able to determine this during your examination.
Some people may have a partially flexible or rigid deformity. Unfortunately, these patients are not good candidates to benefit from HyProCure, because their feet lack the necessary flexibility to adopt the corrected shape. These patients will need other types of treatment in order to improve their condition.
The vast majority of people affected with talotarsal dislocation are candidates for the HyProCure procedure. In order to confirm if you are a candidate, all you need to do is check and make sure that your foot is flexible and not rigid. Simply stand with your feet flat on the floor and then turn your ankles outwards, as if forcing a more pronounced arch. If you are able to do so and your hind-foot is realigned, then congratulations, you have a flexible case of talotarsal dislocation and you are likely a candidate for the HyProCure stabilization procedure.