
06/14/2025
When rehabbing a T.I.T. (Trimmer Induced Tilt), also known as P3 rotation case, our top priority is usually to get the heels down as soon as possible. High heels are what prop P3 into a hyper-positive, rotated position.
When we take X-rays, we don’t worry too much about the separation at the front of P3—this area needs time to grow out naturally and can’t simply be trimmed away.
Instead, we focus on the back of P3, specifically the palmar processes (the “wings” of P3). Our goal is to realign P3 so that it becomes ground-parallel.