Extra-Osseous TaloTarsal Fixation Device

“Changing Lives, One Step at a Time” ®

TaloTarsal Dislocation

HyProCured®

Extra-Osseous TaloTarsal Fixation Device

HyProCure® is an internal extra-osseous, extra-articular talotarsal fixation device. It is used in pediatric and adult patients with flexible/reducible talotarsal joint dislocation.

The medially anchored HyProCure® device, unlike laterally placed arthroereisis plugs, truly stabilizes the talus on the tarsal mechanism at the cruciate pivot point. The talus glides over HyProCure®, thereby restoring the normal triplane motion of the talotarsal mechanism. HyProCure® does not “block” the normal amount of motion.

Talotarsal dislocation is a very common, under-treated pathologic condition adversely affecting people of all ages. When the talus is not stabilized on the tarsal mechanism, the resulting talotarsal dislocation creates excessive abnormal joint forces. These excessive forces can lead to cumulative traumatic disorders or secondary conditions, such as:

Secondary Conditions - The Effects of TaloTarsal Dislocation

Soft Tissue Strain

Plantar FasciopathyPosterior Tibial Tendon

DysfunctionTarsal Tunnel Syndrome

Tibialis Posterior NeuropathyAchilles Tendonitis

PathoMechanics

Calcaneal ValgusAbductory Twist

“Too Many Toes” SignProlonged Period of Pronation/Over-pronation/Hyperpronation

Osseous Deformities

Metatarsus Primus VarusHallux Abductovalgus

Tailor’s BunionetteNavicular Drop/SagFlexor Stabilization

Hammertoes

Surgical Technique

Step One: Inject long-lasting anesthetic superficially, then deep into canalis.

Step Two: Make incision over the center of the sinus tarsi.

Step Four: Trial size to obtain three to four degrees of talotarsal motion.

Step Five: Insert HyProCure® ensuring that the threads are placed within the canalis tarsi.

Step Six: Close skin.

The HyProCure® online training is highly interactive and provides the expertise necessary to be successful with the HyProCure® procedure. Topics include Normal/Abnormal TaloTarsal Biomechanics, Clinical Signs & Symptoms of TaloTarsal Dislocation, Why HyProCure®, Indications and Contra-indications, Surgical Technique and Post-op Protocol.

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Step Three: Decompress both portions of the sinus tarsi.

OnlinE TraininG availablE!

normal abnormal HyProCured®

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The HyProCure® instrument set includes trial sizers, HyProCure® driver and guide wires.

Also available are the HyProCure® sinus tarsi decompression scissors. These scissors, made of German stainless steel, allow for easy access and decompression of the sinus tarsi.

888-566-6459586-677-9600

16137 Leone DriveMacomb, MI 48042

www.GraMedica.com

Made in the U.S.A.

© 2011 GraMedica® ISO 13485:2003

REV. HYPPHY 9.21.11