Intended for Healthcare ProfessionalsIntroducing
SMART28® PCFD!

SMART28 PCFD is the world's first AI-enabled, pre-operative plan for progressive collapsing flatfoot deformity. SMART28 PCFD allows surgeons to measure what matters in PCFD cases, the peritalar subluxation, and plan a personalized patient surgical plan in 3D.

SMART28® PCFD

3D Surgical Planning System

 

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

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AI-Powered Planning for Progressive Collapsing Foot DeformityFeature Highlights

Measure What Matters
  • Conventional measurements do not track the markers that do contribute to patient reported outcomes…the peritalar subluxation.
  • SMART28 PCFD measures the peritalar markers that did correlate with patient reported outcomes, not just the angles that did not.
Plan For A 3D Procedure In 3D
  • SMART28 PCFD automates 3D measurements from WBCT, plus peritalar distance and coverage maps for the anterior, middle and posterior facets and sinus tarsi…all in 3D.
Automated Personalized Patient Plan
  • The software is a dosing engine and provides a triple osteotomy plan that corrects all four deformities in three methods, software suggested, semi-automated and manual.

Software Description

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.

Patient-Specific Foot & Ankle SolutionAdvanced 3D Anatomical Analysis

Preoperative Measurements

Automatically segment and conduct shape analysis of the weight-bearing CT images to show preoperative and postoperative states in the following views:

  • Hindfoot Moment Arm (Posterior)
  • Talonavicular Angle (Axial)
  • Meary’s Angle (Axial)
  • Meary’s Angle (Sagittal)
  • Peritalar Distances and Coverages
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Personalized Case Report

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

  • Correction magnitude for MDCO, and implant selection for LCL and Cotton
  • Fixation hardware listing for each osteotomy
  • Whether the plan was software suggested or user-adjusted
  • Shareable with the patient to make the pre-operative conversation concrete
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Software Modes

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.

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Software Suggested Mode

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.

Assisted Mode

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

Manual Mode

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

Tailored resources for your patients.

Find videos, articles, and interactive content to guide your patients throughout their surgical journey on ReadyPatient.com, our dedicated patient recovery site.

Legal Disclaimer

All content herein is protected by copyright, trademarks and other intellectual property rights, as applicable, owned by or licensed to Zimmer Biomet or its affiliates unless otherwise indicated, and must not be redistributed, duplicated or disclosed, in whole or in part, without the express written consent of Zimmer Biomet.

This material is intended for health care professionals. Distribution to any other recipient is prohibited.

For product information, including indications, contraindications, warnings, precautions, potential adverse effects and patient counseling information, see the instructions for use or contact your local representative; search this website for additional product information. To obtain a copy of the current Instructions for Use (IFU) for full prescribing and risk information, please visit labeling.zimmerbiomet.com. For product related questions, please call 1-800-348-2759.

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