HyProCure is an internal talar stabilization device. Through a minimally invasive procedure HyProCure is sized and inserted. Instantly the ankle bone is stabilized which realigns the hindfoot.

1. HyProCure®
Extra-Osseous TaloTarsal Stabilization
Before & After

2. “Simplicity is
achieving maximum results
with minimal effort”

3. What exactly can be achieved
with HyProCure®
?

4. HyProCure®
is a very valuable effective tool.
Let’s take a closer look.

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

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

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

8. Forefoot Valgus- reduced.
“Too many toes” sign no longer present.

9. Forefoot Valgus- reduced.
Abductory twist –
decreased shear forces to the ball of the foot.

10. Forefoot Valgus- reduced.
Over-pronation is decreased.

11. Forefoot Valgus- reduced.
Adductovarus/flexor stabilization digital deformities
are also significantly reduced.

12. 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?

13. What do you see?
Medial dislocation of the talar head,
transverse plane deformity- internally stabilized with
HyProCure®
.

14. Hind-foot Effects?
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.

15. Pre & Post EOTTS with HyProCure®
Patient fully weightbearing in relaxed stance position.
This post-op photo is 3 weeks post-HyProCure®
placement.

16. Pre & Post EOTTS with HyProCure®
The height of the navicular is maintained
therefore stabilizing the arch.

17. Pre & Post HyProCure®

18. Pre & Post HyProCure®

19. Pre & Post HyProCure®
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.

20. Can we all agree that this foot has
alignment issues?
Talus is dislocating on the
talotarsal mechanism.
This foot is mechanically
disadvantage.

21. 3 Days after being HyProCured.

22. 3 Days after being HyProCured.
This foot now internally
corrected.
We don’t have to worry about
patient compliance.
Excessive strain is eliminated.

23. 3 Days HyProCured.

24. Which foot would you rather have?

25. Let’s take a look
at what happens
inside.

26. 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

27. 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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28. Comparison
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29. HyProCure stabilizes the talus to prevent anterior dislocation.
Maintains the articular facets, keeps the sinus open.
Repositioning of the talus on the tarsal
mechanism.

30. Talar declination decreased and brought
back to normal alignment.
HyProCure restores talar position on the tarsal
mechanism.

31. 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.

32. 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 joint
displacement

33. There are so many things realigned.

34. Pediatric Case

35. Weightbearing AP Fluoroscopy
showing transverse plane correction

36. Talar Second Metatarsal Angle

37. 2 Weeks Post-Op
The Knees

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

39. “Changing Lives, One Step at a Time”