Here is a look at the HyProCure Extra-Osseous TaloTarsal Stabilization device. Learn more at www.GraMedica.com.

2. Changing Lives, One Step at a Time ®
HyProCure® provides internal correction to stabilize
excessive, abnormal motion of the hindfoot. It is
placed via a brief, minimally invasive out-patient
procedure and can be used in pediatric, adult and
geriatric individuals. This is your guide to HyProCure.

3. “Wisdom comes from truth,
truth comes from reality.”
TaloTarsal Dislocation
“A foot divided against itself cannot stand.”

4. Normal Abnormal
TaloTarsal Mechanism TaloTarsal Dislocation
“Wisdom comes from truth,
truth comes from reality.”
A normal talotarsal mechanism is one in Displacement (partial or complete) of
“A foot divided against itself cannot stand.” which the articular facets of the talus are the talar articular facets on the tarsal
aligned and remain in constant contact mechanism indicates a pathologic
with the calcaneus and navicular. The event. This is not a self-resolving
sinus tarsi, a naturally occuring space, is deformity, it requires physical-
in the “open” poisition. physician intervention. This dynamic
misalignment places excessive
abnormal strain on the supporting
structures of the foot and ankle.

5. “If you don’t know,
you don’t see.
If you don’t see, TaloTarsal Dislocation Syndrome
you don’t treat. Effects from the Cause
If you don’t treat,
the problems continue.”

6. TaloTarsal Dislocation Syndrome TaloTarsal Dislocation
Foot Implications Syndrome and the rest
Soft Tissue Strain Osseous Deformities Pathomechanics of the body
“If you don’t know, Plantar Fasciopathy Metatarsus Primus Varus/ Calcaneal Valgus
A dynamic chain reaction occurs when the talus
dislocates off its normal position on the tarsal
Hallux Abducto Valgus mechanism.
you don’t see. Posterior Tibial
Tendon Dysfunction Hallux Limitus
Abductory Twist
There is loss of talotarsal height, which immediately
“Too Many Toes” Sign pulls away the foundation from distal to proximal.
If you don’t see, Tarsal Tunnel Syndrome Tailor’s Bunionette
Prolonged Pronation The tibia twists abnormally on the femur, leading
Tibialis Posterior Navicular Drop/Sag
to knee strain and joint degeneration.
you don’t treat. Neuropathy
Adductovarus Toes
The head of the femur is pulled from the pelvis,
Achillies Tendonitis
leading to hip symptoms.
If you don’t treat, Flexor Stabilization Hammer Toes
The pelvis drops, leading to excessive tilt, which
the problems continue.” immediately places tremendous strain on the
vertebrae of the lower and upper back.
This leads to shoulder tilt, which the neck tries to
compensate for, resulting in a twisting of the skull.
Finally, the mandible is misaligned leading to
excessive unilateral muscle contraction and TMJ
disorders.

7. “Simplicity is achieving
maximum results with
Internal Deformity = Internal Solution
minimal effort.”

8. The Solution - HyProCure The Results - HyProCured
What is HyProCure? An extra-osseous, extra-articular, internal bone fixation device.
“Simplicity is achieving
maximum results with
minimal effort.”
HyProCure – made entirely of medical grade titanium, is
simply pushed into the naturally occurring space between
the ankle and heel bone, once the joints are properly
realigned. The normal amount of motion is restored.
HyProCure offers the best anatomic design and bio-
mechanical function.
Before After Before After

9. When external
measures are not
enough and
traditional
reconstructive To learn more please visit
surgery is too
HyProCure.com
aggressive, think...

10. Indications: Potential Complications:
Obliteration (partial/full) of the sinus tarsi Prolonged pain, edema, stiffness, discomfort
Abnormal talar deviation on the calcaneus and walking difficulty
Flexible and reducible deformity Migration/Displacement of the device
Older than 3 years of age Need for revision/removal of the device
Under/Overcorrection
Contra-Indications: Synovitis/Bursitis
Rigid non-reducible deformity Infection
Less than 3 years of age Other risks associated with surgery
Active local infection
Very poor bone stock

11. Will I feel the device in my foot?
Frequenty Asked Questions: You should not be able to feel the device after the procedure. Sometimes, for the first few months, a hard substance
may be felt in the area of the surgery. This is scar tissue and should dissipate over time.
Will there be a visible scar?
How do I know if I am a candidate for this procedure? The incision is rather small and located below the outer ankle bone. This part of the skin heals remarkably well.
There must be a flexible deformity. If the hindfoot can be manually positioned back to its normal alignment Depending on your skin type, your scar should continue to fade and in some cases completely disappears.
then this should work, however, an examination by a foot specialist is required.
After the HyProCure procedure, will I need to be on antibiotics prior to dental treatment
Are there any limitations, as far as sports go, after this procedure? or other future surgical procedures?
Once the tissues surrounding the device are healed, there should be no limitation. The abnormal motion is Due to the size, position and location of the HyProCure device in the foot, there is no need to premedicate prior
no longer present and normal motion will occur. Usually, there is a significant improvement in walking, to dental or other surgical procedures.
running and related activities.
Can I still get MRIs, CT scans, etc. with the device in my foot?
What are the chances of getting an allergic reaction to this device? Yes, titanium is not reactive to these imaging modalities, unlike stainless steel, though there may be a “star-burst”
Titanium is the choice material to be used in the body since it is the least reactive. effect surrounding the device.
Does the device set off the metal detector at the airport? Will this device get rid of all of the pains in my body?
HyProCure is made of titanium and should not set off the metal detector at the airport. No one can predict the outcome of any surgical procedure, but it is a fact that this solution should improve your
body's alignment. As a result, reduction and relief of many pains caused by the foot imbalance will also be reduced
Should I have this surgery even though I don't have any symptoms? or eliminated. However, it is possible that some of the joints and soft tissues in the body may have already suffered
If a deformity is present, the sooner it is treated the less damage will occur. You don't want to wait for pain. irreversible wear and tear, and in those cases other treatments or procedures might be necessary. In either case,
At that point, there may be irreversible damage. We don't wait until our car tires are worn to balance them. correcting the root of the problem is still essential to stopping any further damage and to allow for any additional
therapies (if necessary) to be long lasting.
Is there drilling or bone cutting involved in this procedure?
The device is simply slid into the natural space inside the foot without any drilling or bone cutting involved. Will I still have to wear arch supports after the procedure?
HyProCure is designed to maintain the natural space that already exists inside the foot, therefore no Arch supports have a hard time stabilizing the ankle bone on the heel bone and if that was the sole reason to wear
invasive force is needed to insert it. The threads on the device allow the tissues to hold HyProCure in place. the arch supports you shouldn’t need them anymore. On the other hand, there maybe other associated foot
deformities that may require the use of arch supports.
If this procedure is performed on a child, does it have to be replaced later in life?
Most likely not, it is intended to last for life. What causes this condition?
It is most commonly caused by hereditary or genetic factors.
Do I need this procedure even if I have a mild case?
That depends. If you have symptoms and other forms of conservative therapy, including arch supports, Are there limitations to this procedure?
haven't been able to provide you with relief, then this procedure may be helpful. Yes, every surgical procedure has its limitations. In severe cases of dislocation, other surgical procedures may be
necessary to achieve optimal correction or possibly a combination of procedures.

12. GraMedica
16137 Leone Drive
Macomb, MI 48042
Toll-free: 888.566.6459
Phone: 586.677.9600
www.HyProCure.com
®
Made in the USA
© GraMedica 2011 HYP PT Cure / Rev. 05.15.11