HyProCure® Surgeon Training

Get qualified in GraMedica^® Products and Surgical Techniques or find a Lecture & Hands-on Workshop.

Through our training partner, the Graham International Implant Institute (GIII), we are committed to research, training, certification and support on implantology for foot physicians worldwide.

Learn more at www.GraMedica.com.

HyProCure®: A Life Changing Solution

HyProCure^® has been created to provide the best solution to a recurrent/flexible displacement of the talotarsal mechanism. This extra-osseous talotarsal stabilization device transposes the negative space of the sinus tarsi into a positive space. Due to the unique design of HyProCure®, utilizing both the canalis and sinus portion of the sinus tarsi, it restores normal triplane motion while eliminating the excessive motion of the talus on the calcaneus and helping to prevent weightbearing navicular drop. Learn more here.

HyProCure® Classified as a Type II Device: Improved Design and Function

The Journal of Foot & Ankle Surgery Article, September 2012

Extra-Osseous Stabilization Devices: A New Classification System. Visit http://www.jfas.org/article/S1067-2516(12)00242-6/abstract for the article abstract.

Clinical Significance & Conclusions

• The partial/recurrent dislocation of the talus on the tarsal mechanism is a triplane deformity. Displacement on any one of the four articular facets of the TTM leads to displacement at the other facets.

• The ideal method to stabilize the TTM is exactly at the axis of triplanar talotarsal motion. In the TTM, this is referred to as the “cruciate pivot point” and is generally located at the entrance of the canalis tarsi along the longitudinal talar bisection line.

• It has been acknowledged that a device that better matches the anatomical shape of the tarsal sinus and follows its natural orientation would allow for better biomechanical functioning.

• Only Type II devices meet the ideal parameters, which has an impact on their improved success rates.

• This improved design and function may also contribute to the success of Type II devices in decreasing the effects of or even eliminating secondary pathologies.

New Published Research on HyProCure®: Radiographic Outcomes in Adult Patients

The Journal of Foot & Ankle Surgery Article, September 2012Surgical Treatment of Hyperpronation Using an Extra-Osseous TaloTarsal Stabilization Device: Radiographic Outcomes in Adult Patients. Visit http://www.jfas.org/article/S1067-2516(12)00239-6/abstract for the article abstract.

Clinical Significance & Conclusions

• The results of the postoperative radiographic correction prove that transverse and sagittal plane normalization occurs. Since talotarsal motion is triplanar, correction of two of the three cardinal planes will result in triplane correction.

• EOTTS with HyProCure^® was effective in controlling motion in the desired planes without causing overcorrection or blocking in other planes.

• Stabilization of the TTM with HyProCure^® is effective in restoring the normal range of pronation and supination, which is essential for the reduction of strain and force on the soft tissues and osseous structures of the foot and ankle.

HyProCure®: A Real Solution for Flexible TaloTarsal Displacement

Talotarsal dislocation (partial) is a condition affecting people of all ages throughout the world. It occurs when the ankle bone displaces off of its normal position and its contact points on the hind-foot bones—in other words, when the balance and alignment of the ankle bone on the heel bone is lost. This displacement creates an abnormal, inward rotation of the ankle bone and outer rotation of the rest of the foot, which in turn creates a fundamental imbalance of forces and weight distribution both in the foot itself, as well as in the rest of the body.

When partial talotarsal dislocation occurs, it creates a damaging misalignment of forces both in the foot itself, as well as throughout the entire body. This is because the rear-foot is the center point of our body’s balance and weight distribution during walking and standing. As a consequence, talotarsal displacement can be the direct cause of numerous foot ailments, including low arches, plantar fasciitis or heel pain, overpronation, bunions, heel spurs, and more – as well as the direct cause of symptoms in the rest of the body such as knee pain, hip pain, back pain and even complications in the neck and shoulders.

HyProCure^® represents a real solution for flexible talotarsal displacement and its devastating effects throughout the body. It instantly corrects the problem at its root and immediately works on improving and even reversing many of the symptoms and secondary conditions resulting from this deformity. These include low arches, overpronation, plantar fasciitis or heel pain, knee pain, hip pain, back pain, and many others, both in children and adults.

Instantly following the HyProCure^® procedure, the ankle bone is stabilized. The arch may be more prominent and the overall balance and alignment will be improved.

The bones, tendons and ligaments throughout the foot and the rest of the body will continue to adapt to the new position over the following several months.

Learn more at www.GraMedica.com.

Why HyProCure®

Why HyProCure from GraMedica, GIII

HyProCure® Physician Testimonials

Testimonials from Doctors on the HyProCure^® Sinus Tarsi Stent.

Indications for the HyProCure® Procedure

HyProCure^® is a talotarsal stabilization device used in the treatment of talotarsal displacement and resulting sequela. The implant is designed to stabilize the talus on the tarsal mechanism to prevent excessive anterior, and/or medial and/or plantarflexion of the talus on the tarsal mechanism, while allowing normal talotarsal joint motion.






The ideal candidate:

• Exhibits partial talotarsal dislocation as evidenced by pathologic hindfoot motion and confirmed by radiographic analysis.

• Is older than three years of age.

• Has good protoplasm.

• Has a reducible/flexible deformity.

Learn the contra-indications and how to verify candidacy at www.GraMedica.com.

What is Talotarsal Joint Dislocation?

What is Talotarsal Joint Dislocation? from GraMedica, GIII

Talotarsal displacement is a pathologic condition that will not "fix" itself. This condition leads to excessive strain on the structures within the foot and ankle as well as to the knees, hips and back while standing, walking, or running. There are clear clinical and radiographic signs that are used to diagnose this disease as well as to show improvement after treatment. Unfortunately, this disease is usually ignored or over-looked while the focus of attention is aimed at the secondary symptoms rather than to the realignment of what lead to the development of those secondary symptoms.

Flatfoot versus Talotarsal Displacement

Flat feet are a common problem that traditionally have been ignored or treated with extensive surgery. It is possible that there is a dislocation of the ankle bone (talus) on the hindfoot bones leading to a mis-alignment. A new evidence-based procedure is available that is a real "game" changer. View this presentation to learn more.

Flatfoot versus Talotarsal Displacement from GraMedica, GIII