HyProCure®

Extra-Osseous TaloTarsal Stabilization

Before & After

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“Simplicity is achieving maximum results

with minimal effort”

What exactly can be achieved with HyProCure®?

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HyProCure® is a very valuable effective tool.

Let’s take a closer look.

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Once the talus is stabilized on the talotarsal mechanism many things will happen.

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There will be a significant decrease in strain on many important structures of the foot and ankle!

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Forefoot valgus- reduced.

“Too many toes” sign, abductory twist, posterior tibial tendon dysfunction, over-pronation, adductovarus hammertoes.

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Forefoot Valgus- reduced.

“Too many toes” sign no longer present.

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Forefoot Valgus- reduced.

Abductory twist – decreased shear forces to the ball of the foot.

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Forefoot Valgus- reduced.

Over-pronation is decreased.

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Forefoot Valgus- reduced.

Adductovarus/flexor stabilization digital deformities are also significantly reduced.

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What do you see?

Significant medial talar head bulging, increased pressure and tension on and within the tarsal tunnel decreasing blood flow, traumatizing the posterior tibial nerve, increased strain to posterior tibial tendon?

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What do you see?

Medial dislocation of the talar head, transverse plane deformity- internally stabilized with HyProCure .

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Hind-foot Effects?

Think about the strongest supinator of the foot. The medial bands of the Achilles tendon have a significantly increased strain. The Gastro-Soleal complex has to

overcome the hyperpronatory forces to bring the hind-foot back to neutral position along with the tibialis posterior to supinate the foot during the gait cycle.

Pre & Post EOTTS with HyProCure®

Patient fully weightbearing in relaxed stance position. This post-op photo is 3 weeks post-HyProCure placement.

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Pre & Post EOTTS with HyProCure®

The height of the navicular is maintained therefore stabilizing the arch.

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Pre & Post HyProCure®

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Pre & Post HyProCure®

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Pre & Post HyProCure®

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Let’s again think about what is occurring in the pre-op foot.

The tibialis posterior tendon is being abnormally stretched with every step taken and while standing due to talotarsal dislocation.

Immediately upon the insertion of HyProCure this strain is eliminated.

Finally the body has a chance to heal the diseased tendon.

Can we all agree that this foot has alignment issues?

Talus is dislocating on the talotarsal mechanism.

This foot is mechanically

disadvantage.

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3 Days after being HyProCured.

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3 Days after being HyProCured.

This foot not internally corrected.

We don’t have to worry about patient compliance.

Excessive strain is eliminated.

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3 Days HyProCured.

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Which foot would you rather have?

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Let’s take a look at what happens

inside.

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What’s Normal

Talus is sitting on top of the calcaneus

Articulating facets are in complete contact

Sinus tarsi is in an “open” position

Cyma Line normal Navicular elevated

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What’s Abnormal

Talus not sitting on top of the calcaneus

Articulating facets are partially displaced

Sinus tarsi is partially collapsed/obliterated

Anterior deviated Cyma Navicular has dropped.

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Comparison

Normal Abnormal

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Repositioning of the talus on the tarsal mechanism.

HyProCure stabilizes the talus to prevent anterior dislocation. Maintains the articular facets, keeps the sinus open.

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Talar declination decreased and brought back to normal alignment.

HyProCure restores talar position on the tarsal mechanism.

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Navicular Drop

The navicular is forced out of position due to the excessive abnormal forces from the talar displacement. Stabilization of the talus internally prevents navicular drop.

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What is wrong with this picture.

• Plantarflexed talus• Anterior deviation of

cyma• Navicular drop• Sustentaculum drop• This is not a “flat” foot

look at the calcaneal inclination angle.

• Talotarsal subluxation

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There are so many things realigned.

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Pediatric Case

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Weightbearing AP Fluoroscopyshowing transverse plane correction

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Talar Second Metatarsal Angle

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Talar Calcaneal Divergence

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TaloNavicular Articulation

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2 Weeks Post-OpThe Knees

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If we stabilize the TTM than we can also help the rest of the body.

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“Changing Lives, One Step at a Time”