SMART28® PCFD is a cloud-based application designed for the diagnosis and surgical planning of Progressive Collapsing Foot Deformity (PCFD).
SMART28® PCFD software includes AI-powered algorithms and is intended to be used to support orthopedic healthcare professionals in the diagnosis and surgical planning of Progressive Collapsing Foot Deformity (PCFD) in a hospital or clinic environment.
The software combines three-dimensional mathematical models, radiographic measurements, surgical planning tools, and visualization technology into a single workflow using weight-bearing CT imaging

SMART28® PCFD assists in the planning of surgical corrections for patients with Progressive Collapsing Foot Deformity (PCFD). It estimates post-operative foot alignment using CAD planning with virtual osteotomies. Bone movements and measurement changes are based on MDCO size and LCL/Cotton graft or wedge geometry. The software then suggests a combination of MDCO, LCL and Cotton Osteotomy that will correct the patient’s deformity.
The system is built around automated three dimensional analysis, patient specific suggested correction, and surgeon control. Segmentation and shape analysis are performed automatically from the patient’s imaging, producing the measurements that define the deformity across all three planes.
Bone movements and measurement changes are modeled on MDCO displacement and on LCL and Cotton graft or wedge geometry, so the estimated correction is tied directly to the sizes the surgeon will implant.
The software proposes the combination of these procedures that bring estimated post-operative alignment closest to reference population values. Software Suggested, Assisted, and Manual modes allow the surgeon to accept the suggested correction plan, adjust one operation while the engine re-optimizes the others, or define all three magnitudes directly.
Each case concludes in a reviewable, downloadable case report documenting the pre-operative state, the estimated correction, and the selected operation combination.
Automatically segment and conduct shape analysis of the weight-bearing CT images to show preoperative and postoperative states in the following views:

Every approved case produces a downloadable PDF documenting the preoperative state, peritalar distances and coverages, the estimated postoperative state, and the selected operation combination.

The initial plan is generated automatically and displayed with the proposed combination of surgical operations, 3D visualizations, pre-op values, and target values. There are three separate modes that the surgeon can choose between, including the initial software-suggested mode.
Alternatively, the surgeon can use Assisted Mode or Manual Mode to fine-tune or alter the operative plan.

The initial plan is generated automatically and displayed with the proposed combination of surgical operations, 3D visualizations, pre-op values, and target values. All three operations are included, with small combined procedures prioritized over individual large ones.
The surgeon can unlock a single operation, set its magnitude on the slider, and the engine re-optimizes the remaining two so the combination brings estimated post-operative alignment closest to the pre-defined reference values
MDCO, LCL, and Cotton magnitudes can be set independently. Measurements and 3D visualizations update on demand. A notification appears if the MDCO magnitude would displace the calcaneus beyond half the bone’s total width
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