Extra-Osseous TaloTarsal Stabilization Devices

Extra-Osseous TaloTarsal Stabilization Devices from GraMedica, GIII

Doctors and Patients Resolve Back, Knee, Hip and Foot Pain

Learn more at www.AlignMyFeet.com.

Consider your Feet before Back Surgery

Common Misconception:

Back surgery is all it takes and I’ll be as good as new.

It is true that in some cases back surgery will indeed be inevitable if the damage to the tissues has been considerable. However, even if the patient does indeed require one of these highly invasive procedures, they will only be addressing the symptoms. If the cause for the tissue damage to the back is a body imbalance originating in the feet as a result of partial talotarsal dislocation, the symptoms will inevitably return and worsen until the cause is addressed. This is why we often see cases where further back surgeries are needed some time after the initial one was performed. The imbalance coming from the feet will simply shift to a different weakest link time and time again, until the source of the imbalance at the foot level is corrected.

Learn more by reading Understanding Back Pain.

Pediatric Extra-osseous TaloTarsal Stabilization Testimonial

Pediatric HyProCure Testimonial from GraMedica, GIII

GraMedica®'s HyProCure® is Scientifically Proven to Stabilize Fallen Arches

The findings showed that once the ankle bone was repositioned back to its normal position on the heel bone and stabilized by HyProCure^®, there was restoration of arch height. Furthermore, the correction to the inner arch was maintained over time. Read full article here. >>>


Find a specialist near you on the Doctor Locator at www.HyProCure.com.

Foot and ankle surgeons are invited to learn more about the HyProCure^® implant and minimally invasive procedure at www.GraMedica.com, where they can also train online and find a live surgical training seminar in their area.

Learn more about HyProCure^® and osteo-WEDGE_™, GraMedica^®’s latest innovative Bone Locking System at www.gramedica.com; follow updates on www.Facebook.com/HyProCure.

Back Pain: Common Misconceptions

Back pain is one of the most common musculoskeletal complaints in people of all ages. There are many types of back pain, affecting different parts of the back in different ways and with varying intensity.

We invite you to learn more about understanding your back pain, about talotarsal displacement and about HyProCure^®, a permanent, minimally invasive solution that corrects the problem at its root.

Common Misconceptions about back pain:

I have back pain because everyone in my family has had it, so it’s normal.
The fact that your family members had problems with their back may not be a sign of congenital back problems. Rather, it’s much more likely that it’s a sign of congenital partial talotarsal dislocation. Genetic deformities in the back itself are possible but they are very rare, while hereditary foot problems are far more common. Your back pain — and that of your relatives — may very well be caused by a foot imbalance and the solution may be readily available to you through HyProCure^®.

Back surgery is all it takes and I’ll be as good as new.
It is true that in some cases back surgery will indeed be inevitable if the damage to the tissues has been considerable. However, even if the patient does indeed require one of these highly invasive procedures, they will only be addressing the symptoms. If the cause for the tissue damage to the back is a body imbalance originating in the feet as a result of partial talotarsal dislocation, the symptoms will inevitably return and worsen until the cause is addressed. This is why we often see cases where further back surgeries are needed some time after the initial one was performed. The imbalance coming from the feet will simply shift to a different weakest link time and time again, until the source of the imbalance at the foot level is corrected.

Back Pain - The Foot Connection from GraMedica, GIII

Paying for our Healthcare

How to save the nation billions in healthcare costs from GraMedica, GIII

What are the Direct Effects of TaloTarsal Displacement?

The most common reason for misaligned feet is partial talotarsal dislocation, or talotarsal displacement. This condition affects people of all ages. It occurs when the ankle bone displaces off of its normal position and its contact points on the hindfoot bones — in other words, when the balance of the ankle bone on the heel bone is lost. This 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 in the foot and also in the rest of the body.

When partial talotarsal dislocation occurs, it creates a damaging misalignment of forces in the foot, as well as throughout the entire body.

Learn what symptoms and secondary conditions may be caused by talotarsal displacement here.

Can I still get MRIs, CT scans, etc. with HyProCure® in my foot?

There should be no problem as titanium is not reactive to these imaging modalities, unlike stainless steel. However, you should inform your doctor of the implant and follow their recommendation.

Learn more at www.HyProCure.com.

Patient Testimonials - "No more foot pain!"

Take the opportunity to review our case studies and testimonials to learn how the HyProCure^® solution has helped others resolve their pain. Hear firsthand from our patients and physicians what the HyProCure^® procedure is like, the results they have found and how it has changed their quality of life.

Learn more at www.HyProCure.com.

Plantar Fasciitis - A Real Solution

Plantar Fasciitis - The Real Solution Revealed from GraMedica, GIII

Visit www.GraMedica.com for more information.

Knee Pain

Knee Pain from GraMedica, GIII

Learn more at www.HyProCure.com.

Truth about Flat Feet

What actually makes a foot fall out of alignment? What can be done to help realign the foot?


For more information please visit www.HyProCure.com.

GraMedica®'s HyProCure® is Scientifically Proven to Stabilize Fallen Arches

Minimally Invasive Foot Implant by GraMedica^® Offers Innovative Treatment Option for Faulty Foot Mechanics.

The findings of a recent study on the HyProCure^® talotarsal fixation device have been published in the Journal of Foot & Ankle Surgery (JFAS 50 (2011) 551-557). The purpose of this research, “Radiographic Evaluation of Navicular Position in the Sagittal Plane- Correction Following an Extra-osseous Talotarsal Stabilization Procedure,” was to evaluate the effect of HyProCure^® on stabilizing the inner arch of the foot. A secondary question was also answered by this study as to whether collapse of the arch occurs as a direct result of the ankle bone (talus) dislocating on the hindfoot bones or if it is the other way around, the ankle bone dislocates due to the drop of the inner arch. The findings of this study showed that once the ankle bone was repositioned back to its normal position on the heel bone and stabilized by HyProCure^®, there was restoration of arch height. Furthermore, the correction to the inner arch was maintained over time. The data for the study was collected by a retrospective x-ray analysis by Dr. Michael E. Graham, podiatric surgeon and inventor of the HyProCure^® device.

“When the arch of the foot collapses, this places tremendous strain on the ligaments and tendons on the inner-side of the foot. Eventually these structures become painful, indicating that something is wrong. Previous treatments were mainly aimed at decreasing the pain to the ligaments or tendons and, of course, trying to decrease the strain placed on these structures,” said Graham. “Arch supports are commonly used to try to decrease the amount of arch drop but there is little evidence to show arch supports are actually able to maintain the arch.” Where external devices such as arch supports remain questionable in offering a cure, internally placed HyProCure^® has now provided that evidence.

HyProCure^® effectively improved the anatomic alignment of the ankle bone on the hindfoot bones. In addition, HyProCure^® showed statistically significant improvement in the maintenance of arch height in the foot. This theoretically represents a decrease of excessive forces acting on the ligaments and tendons. More research on the reduction of forces acting on those tissues has been performed and is awaiting publication.

Read more at http://hyprocure.com/publications/research-articles/.

HyProCure® Before & After TaloTarsal Stabilization

HyProCure^® is an internal talotarsal stabilization device. It restores the "joint" aligment of the talus on the hind-foot bones thus re-aligning the foot.



For more information please visit www.HyProCure.com.

Extra-osseous Talotarsal Stabilization - HyProCure®

Extra-osseous Talotarsal Stabilization - HyProCure: The Scientific Evidence is HERE! from GraMedica, GIII

Animation of the Minimally Invasive HyProCure® Surgery

Learn more about the HyProCure^® procedure and how it is the permanent solution for talotarsal displacement and hyperpronation. Narrated by Dr. Michael E. Graham, podiatric surgeon and inventor of HyProCure^®.

Will there be a visible scar after my HyProCure® procedure?

The incision is less than an inch long and slender and this part of the skin heals remarkably well. With time, the scar should become virtually invisible, in most cases.

Learn more at www.HyProCure.com

EOTTS Type II - Non-arthroeresisis: HyProCure®

The Power of HyProCure® - one girl's story told in sand

HyProCure® Doctor Locator

Find a HyProCure^® trained specialist in your area on the Doctor Locator. Search by zip code, address and more.

New EOTTS Classification System Identifies HyProCure® as Having Better Design and Patient Outcomes

A recent study, Extra-Osseous Stabilization Devices: A New Classification System published in The Journal of Foot and Ankle Surgery, Volume 51, Issue 5, Pages 613-619, September 2012, provides a systematic approach to classifying the differences in design features and biomechanical function of Extra-Osseous TaloTarsal Stabilization (EOTTS) devices.

Read more >>>

To read the abstract of this study and find further research on the positive outcomes of EOTTS with HyProCure® visit the library section of http://www.GraMedica.com/.

HyProCure® Stabilization Procedure Proven Effective in Restoring Normal Range of Motion

The Journal of Foot & Ankle Surgery recently published a study on radiographic outcomes following the correction of talotarsal displacement using HyProCure^® in adult patients. The article, Surgical Treatment of Hyperpronation Using an Extra-Osseous TaloTarsal Stabilization Device: Radiographic Outcomes in Adult Patients, JFAS Volume 51, Issue 5, Pages 548-555, September 2012, indicated a stabilization of the talotarsal joint complex and elimination of hyperpronation, which may lead to reduced pain, improved foot function and high levels of patient satisfaction.

Read More >>>

Young Patient Says HyProCure® was Life- Changing

23-year-old patient from Ottawa, Canada shares her journey from suffering with chronic pain to finding a life-changing solution.

View her two videos and a clip from her surgeon at http://hyprocure.com/patient-testimonials/testimonials-adult/.

Leading Chinese Foot and Ankle Surgeon Bestowed Title of GIII® 2012 “Game Changer”

The Game Changer Award is an esteemed recognition given by GIII^® and GraMedica^® to an individual who demonstrates a strong dedication and passion to improve the quality of life for patients suffering from the ill-effects of foot pathologies and who helps elevate the field of foot and ankle surgery.


GIII^® and GraMedica^® are pleased to recognize Dr. Zhang for his hard work and will continue to support his future endeavors to educate Chinese foot and ankle specialists on the treatment of foot and ankle conditions.

Read more.

Chinese Surgeons Trained in use of HyProCure® at 2012 TongRen Foot and Ankle Symposium

Specialists in attendance at China’s leading Foot and Ankle Symposium gained valuable education on the Extra-Osseous TaloTarsal Stabilization Procedure.

“The room was packed with surgeons, all with their cameras and video cameras, eager for their first foot cadaver course,” said Michael E. Graham, DPM, FACFAS, FAENS, founder of GraMedica^® and creator of HyProCure^®. “It was amazing to be involved in such a ground-breaking event.” Read more.

Changing Lives, One Step at a Time: HyProCure® Marks 8 Years

Over the past eight years, HyProCure^®, a Type II Extra-Osseous TaloTarsal Stabilization (EOTTS) device, has become the leading solution for patients suffering with the symptoms and secondary conditions resulting from partial talotarsal dislocation. TaloTarsal Displacement is a foot imbalance that throws both the foot and the entire body out of alignment. It affects people of all ages and is often the direct or contributing cause of overpronation, bunions, plantar fasciitis, knee pain, hip pain, back pain, and even problems in the neck and shoulders. Read more.

Creator of HyProCure® Educates Foot & Ankle Specialists Across China

In a recent journey throughout China, innovator of the life changing HyProCure^® procedure took time to educate surgeons, meet with patients and share his skills. Read more.

Will HyProCure® set off the metal detector at the airport?

The HyProCure^® implants are made of titanium and therefore should not set off the metal detector at the airport.

Learn more at www.HyProCure.com. 

Is it Possible for HyProCure® to Displace?

Displacement / migration of the implant
Even though HyProCure^® is inserted correctly at the time of surgery, it is possible for it to shift or displace. Every sinus tarsi is different and HyProCure^® may need to “seek its own position.” The stent is only pushed into the sinus tarsi; it is not drilled or cemented. If displacement of the implant does occur, it almost always will happen within the first four weeks post-op. Although it is possible for it to displace after the four-week period, this is extremely rare.

If slight displacement does occur, the implant is holding correction, and the patient has no pain or discomfort, a revision is not needed. If there is loss of correction, the implant will have to be repositioned and the patient will have to be careful with the way he/she walks, etc., during the four to six weeks it takes for the tissues to hold the stent in place. It is possible that even with ideal placement surgically, along with optimum patient compliance, the implant will still displace and migrate. This is due to anatomical variations within the sinus tarsi and inability of the soft tissues to hold the implant in place.

Learn more here.

Have Questions about the HyProCure® procedure?

The best thing to do is consult with a HyProCure^® Specialist. Find one today on our Doctor Locator.

Have general questions? Visit our website and fill out our Contact Form.

Can You Play Sports and Live an Active Life After HyProCure®?

A commonly asked question is whether there are any limitations, as far as sports go, after this procedure?

Once the tissues surrounding the stent are healed, there should be no limitation. The abnormal motion is no longer present and normal motion will occur. Usually, there is a significant improvement in running, jumping – any activity involving propulsion from the foot.

There have been patients from all activity levels undergo the procedure. Some even say that if they were not as active before, they are more active now.

Learn more about Life After HyProCure^® Here.

Do I Need HyProCure® If I Don't have Any Symptoms Yet?

If a deformity is present, the sooner it is treated the less damage will occur. You don’t want to wait for pain. At that point there may be irreversible damage. We don’t wait until our car tires are worn to balance them!

Learn more at www.HyProCure.com.

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

New Published Research on the EOTTS with HyProCure^® Procedure.

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.

Key Conclusions:

• 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 (HyProCure^®) 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 (HyProCure^®) devices in decreasing the effects of or even eliminating secondary pathologies.

Evidence for Surgical Treatment of Hyperpronation Using HyProCure® Device

New Published Research on the EOTTS with HyProCure^® Procedure.

The Journal of Foot & Ankle Surgery Article, September 2012
Surgical 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.

Key Conclusions:

• 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.

German Female Athlete Gets Back in Action, Thanks to HyProCure®

HyProCure^®, a sinus tarsi stent made by GraMedica^®, a global orthopedic medical device company, is gaining traction worldwide. In an article published in the most recent edition of Orthopädie & Rheuma (Orthopedic & Rheumatology), a German medical journal, Dr. Axel Schroth described the importance of stabilizing the talotarsal mechanism for the treatment of flexible flat feet and the benefits of HyProCure^® over other treatment options.

Dr. Axel Schroth is an orthopedic surgeon specializing in foot and ankle surgery. Dr. Schroth practices at the Orthopaedic Specialist Center Weilheim / Garmisch-Partenkirchen / Starnberg (OFZ) in Weilheim, Bavaria, Germany. He is a member of the German Orthopaedic Foot and Ankle Society (DAF) and the German Association for Foot Surgery (GFFC).

Read full article here.

Find a HyProCure® Trained Physician Near You.

The Graham International Implant Institute is committed to elevating the standard of care in the arena of Extra-Osseous TaloTarsal Stabilization (EOTTS) through education. In addition, we continue to look for and represent other innovative, revolutionary products that help solve foot disorders at their root and don't just ameliorate the symptoms.

Find a specialist near you today! http://hyprocure.com/doctor-locator/

Guide to Foot Pain

Guide to Foot Pain from GraMedica, GIII

Learn more at www.HyProCure.com.

23-year-old HyProCure® Patient

“I have worn orthotics in my shoes since the age of 6 and have experienced continually worsened chronic foot, ankle, knee, hip and back pain. I had never realized that orthotics were simply a “Band-Aid” solution – then I heard about HyProCure^®…

This has been a life-changing surgery for me. My knee pain has disappeared completely, and my hip is no longer sore and causing me to limp. I feel better every day as my body adjusts to its new alignment – I am SO excited to be free of my chronic pain, and to be walking normally for the first time in my life, at the age of 23.

I am SO THANKFUL for this surgery, and would recommend it to anyone experiencing chronic pain from flat feet!!!”

View more HyProCure^® testimonials at www.HyProCure.com.

HyProCure® Pediatric Testimonial

More testimonials available here.

Flat Feet - Dr. Robert Hoover

Dr. Robert Hoover, of Foot and Ankle Associates of Florida shares information on treating patients with flat feet in a video posted by FloridaFootDocsLive.



Dr. Hoover is a Master HyProCure^® surgeon. To find a HyProCure^® specialist near you visit http://hyprocure.com/doctor-locator/.

Flatfoot versus Talotarsal Displacement

Flatfoot versus Talotarsal Displacement from GraMedica, GIII

Learn more at www.HyProCure.com.

Doctor Ivar Roth rebuilt Horn's arch with HyProCure®

25-year-old finds solution to her flat feet, hip pain and knee pain via the simple, minimally invasive HyProCure® procedure.

Young Woman Wearing High Heels and Enjoying Every Step after Years of Foot Pain

At only twenty-five years old, Martina Hasenleitner, from Altmünster, Austria had been suffering with pain caused by her misaligned feet for most of her life. After undergoing a failed surgical procedure, she turned to her orthopedic surgeon who was hopeful that HyProCure^® would be the perfect solution for her.  

“I now can do sports, like going to the gym or cycling. I can wear high heels. I can go out with friends and have a good time without pain,” she shared. “Most importantly, I can go anywhere and I enjoy every step. It really changed my quality of life,” said Martina. “I would recommend HyProCure® to others. The surgery is very minimal and the result is fantastic!”

The HyProCure^® EOTTS device instantly stabilizes the hindfoot bones, stopping the continued trauma to the foot and body, and even possibly leading to the reversal of associated effects. HyProCure^® represents a real solution for patients suffering from this condition.

Learn more about HyProCure at www.HyProCure.com.

Hear More Patient Stories here.
Read More on Martina here.

Will I Still Have to Wear My Orthotics After the HyProCure® Procedure?

If the orthotics were dispensed to treat hyperpronation then you will no longer need them. Learn more at www.HyProCure.com.

However, there are other reasons for orthotics to be worn. Orthotics can be used to off-weight prominent areas to the bottom of the foot. If those areas are not surgically addressed, then orthotics may still be required after the procedure.

Fix Foot Pain at It's Root with the HyProCure® Solution

HyProCure^® represents a real solution for 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 flat feet, overpronation/hyperpronation, plantar fasciitis (heel pain), knee pain, hip pain, back pain and many others, both in children and adults.

In order to understand this breakthrough solution, let’s first take a look at the problem. Partial talotarsal dislocation occurs when the ankle bone (talus) displaces off of its natural alignment with the calcaneus (a hindfoot bone) and/or the navicular (a midfoot bone). As a result of this abnormal motion, the natural space between these three bones, called the sinus tarsi, collapses. The sinus tarsi is at the apex of the foot’s ability to distribute weight and motion evenly. When it collapses, the foot twists into an unnatural position and shape, creating an imbalance throughout the entire body.

HyProCure^® is an internal stabilization device that is placed inside the foot, into the collapsing space. It acts as a stent to keep the space in its natural, open position. Immediately upon placement, the ankle and hindfoot bones will be situated into their proper alignment. The procedure instantly stabilizes and re-aligns the hindfoot, which in turn also helps to correct the imbalances created in the rest the body.

The HyProCure^® device is simply pushed into place. There is no drilling or screwing involved. Thanks to its unique, anatomical design, the HyProCure^® device slides right into its natural corrective placement. The tissues inside the space will attach and hold it in place during the healing process.

Find a Specialist Today at www.HyProCure.com.

The procedure is minimally invasive and is usually performed under local anesthesia or twilight sedation. The time to full recovery for all associated symptoms varies from patient to patient. Typically, most patients are back to normal walking within a few weeks.

Young HyProCure® Patient Shares Her Story

Find more patient testimonials at www.HyProCure.com.

Are You a HyProCure® Candidate?

Potential surgical candidates can find out more about GraMedica^®’s pioneering product, HyProCure^® and the devastating effects of partial talotarsal dislocation at www.HyProCure.com. Find a local HyProCure^® specialist through the physician locator at http://hyprocure.com/doctor-locator/.

HyProCure® Brochure Available in 9 Languages

HyProCure^® Patient Brochure Available in 9 Languages

HyProCure^® represents a real solution for talotarsal displacement and its effects throughout the body. HyProCure^® has been scientifically proven to instantly correct the problem at its root, rebalancing the forces of the foot. It has also been scientifically shown to improve and even reverse many of the symptoms and secondary conditions resulting from this condition.

Download the patient brochure >>>

Diagnosis and Treatment of Flatfoot

Renaissance Foot & Ankle Center provides in depth information on the diagnosis and treatment of flatfoot.

"Do you think you have a flatfoot? What is it and how can you treat it?"

Renaissance Foot & Ankle Center, PC located in Greenbelt, Maryland is dedicated to providing quality foot and ankle care to all of our patients, in a caring and open environment.
www.renaissancefac.com

Understanding Knee Pain: The Foot Connection

The knee is a very complex joint with many functions, including bending, straightening, twisting and rotating. It is comprised of bones, ligaments, tendons and cartilage that have to work in proper balance and synchronicity in order to meet the intense demands placed upon them.

There are many reasons for knee pain, but they can all be classified into three main groups. The first one is accident or injury, which happens as a consequence of impact or forceful action in the area. The second one is hereditary malfunction, which involves abnormal development of one or more of the tissues that comprise the knee structure. And the third and by far most common one is damage or deformity caused by improper motion due to leg misalignment. In this last case, both the source of the problem and the solution can be found in a faulty foot structure, due to a very common condition called partial talotarsal dislocation.

The treatments available to address knee pain range from creams and massages to complex surgeries and everything in-between. However, for the majority of patients who suffer from knee pain as a consequence of a leg misalignment, any of these treatments will only address the symptoms and will not resolve the real cause of their problem. Any permanent solution for these patients needs to include addressing the source of the abnormal forces acting on the structures of the knee, namely the excessive motion of the ankle bone on the hindfoot bones. Until the underlying cause for these conditions is addressed, the problems are bound to reappear and continue to worsen.

We invite you to learn more about your knee pain, about talotarsal dislocation and about HyProCure^®, a permanent, minimally invasive solution that corrects the problem at its root.

Helpful Resources:

• Knee Pain Video

• The Ankle Bone is Connected to the Knee Bone…by Houston Foot Specialists

• HyProCure^® Website

Talotarsal Displacement Treatment Options

HyProCure^® Compared

There are a number of alternative solutions that have been tried over the years to address partial talotarsal dislocation and its immediate symptoms. Unfortunately, until HyProCure^®, nothing has been truly effective and sustainable. Let’s take a look at some alternatives.

Learn about available treatment options...

Find a HyProCure® Surgeon

The best way to know if HyProCure^® is the right solution for your condition is to consult with a HyProCure^® Specialist near you. Use our Doctor Locator feature at www.HyProCure.com to find a HyProCure^® Specialist today.

HyProCure^® is available in over 26 countries and we are constantly looking to expand our reach through education. If you are a surgeon interested in HyProCure^® training and certification, please visit www.GraMedica.com.

Plantar Fasciitis/Heel Pain

Plantar fasciitis is primarily caused by excessive hindfoot motion, which is a direct consequence of partial talotarsal dislocation, a misalignment of the ankle bone on the hindfoot bones. This abnormal and excessive motion of the rear-foot causes the plantar fascia to over-stretch, eventually creating the micro-ruptures that lead to the painful tearing, inflammation and resulting pain.

Learn more...

It is easy to self-check for talotarsal displacement

HyProCure® Surgeon Shares His Experience

Nicholas Pagano, DPM and Master HyProCure^® Surgeon

Plymouth Meeting, PA
(484) 681-9485
www.barkingdogspodiatry.com

"I started using HyProCure^® in my practice because I liked the design. It goes into the sinus and canalis, which is more of an anatomical fit. I like the ease of use and how you only have one incision. I also enjoy the quick recovery for my patients. As a surgical procedure, it is a great valid option over other procedures that could be performed for a failure of the talotarsal mechanism." Read more...

Find a HyProCure^® Specialist Near You!

Suffering with Fallen Arches, Foot Pain, Back Pain, Knee Pain or Hip Pain? Consult with a Surgeon Near You.

Learn about talotarsal displacement and its devastating effects throughout the body.

Find a HyProCure^® trained specialist in your area on our Doctor Locator. Search by Zip code, address and more.

How Does a Doctor Determine if You Have Partial TaloTarsal Dislocation?

The diagnosis of partial talotarsal dislocation is best made by a foot and ankle specialist who will examine the foot with and without weight being applied, and also by watching the person walk.

Ultimately, the best way to diagnosis the presence of talotarsal displacement is through radiographic examination, which officially confirms the presence and severity of the condition.

Traditionally, most specialists will order a series of standing radiographs, that is, x-rays of the foot while the person is standing. These should be taken with the foot in its relaxed position (full weight applied) and also with the hind-foot bones in their balanced “neutral” or ideal position.

In addition, your specialist may perform further movement tests, as well as some computer-aided exams like gait pattern analysis, if deemed necessary.

All of these diagnostic methods are completely painless and non-invasive. They are safe, fast and are simple routine processes for your doctor. Make an appointment today with a HyProCure^® specialist near you!

HyProCure® Recognized as the Most Powerful Minimally Invasive Procedure in Foot & Ankle Surgery

In an article published by the International Federation of Podiatrists, evidenced based medicine supports a claim regarding EOTTS with HyProCure^®

HyProCure^®, an extra-osseous talotarsal stabilization (EOTTS) device made by GraMedica^®, a global orthopedic medical device company, is increasingly recognized worldwide as the premier treatment option for partial talotarsal dislocation. In a recent publication from The International Federation of Podiatrists (FIP), HyProCure^® was distinguished as the only EOTTS device proven to restore the normal alignment of the articular facets of the talotarsal joint, thus eliminating abnormal excessive motion while preserving the normal range of motion. Dr. Bryan Bullard of Amarillo, TX, USA, described the evidence-based research behind EOTTS with HyProCure^® and said it “is an incredibly powerful technique which should be in the armamentarium of any foot and ankle surgeon which deals with the life changing complications associated with chronic talotarsal displacement.”

Read more here.

Common Secondary Conditions of Talotarsal Displacement

As a result of talotarsal displacement many symptoms and secondary conditions may occur. The most common conditions that patients experience because of partial talotarsal dislocation are:

Flat Feet
Overpronation/Hyperpronation
Plantar Fasciitis/Heel Pain
Knee Pain
Hip Pain
Back Pain

If one or more of these conditions is affecting your life or the life of someone close to you, discover how HyProCure^® can stop and even reverse your symptoms, and how it can help you take back your quality of life.

Will HyProCure® Cure All Your Pain?

Will this implant get rid of all of the pains in my body?

No one can completely predict the outcome of any surgical procedure, but this solution will improve your entire body’s alignment, and in many cases it will even fully correct it, provided there are no other skeletal defects in other parts of the body. As a consequence, reduction and relief of many pains caused by the foot imbalance will also be reduced or eliminated. However, it is possible that some of the joints and soft tissues in the body may have already suffered irreversible wear and tear, and in those cases other treatments or procedures might be necessary. In either case, correcting the root of the problem is still essential to stopping any further damage and to allowing for any additional therapies (if necessary) to be long lasting.

Learn more about the HyProCure^® Solution.

HyProCure® on Facebook

On our Facebook page we post the most current information on HyProCure^®, including videos, photos, news and product updates. Like us to get the latest information and interact with us by sharing your HyProCure^® story.

Like HyProCure^® on Facebook.

Alternatives to HyProCure

There are a number of alternative solutions that have been tried over the years to address partial talotarsal dislocation and its immediate symptoms. Unfortunately, until HyProCure^®, nothing has been truly effective and sustainable.

Take a look at some alternatives on the HyProCure^® website.

HyProCure Brochure: 9 Languages Available

The HyProCure^® patient brochure is available in 9 languages.
Download a copy today.

Pediatric Symptoms of Partial Talotarsal Dislocation

Below is a list of common symptoms found in children suffering from talotarsal displacement (i.e. hyperpronation).

See the complete list and descriptions here.

• Growing pains
• Flattened arch
• Out-toed walking
• Tip-toe walking
• Structural deformities
• Not wanting to wear shoes
• Abnormal shoe patterns
• Shoe laces coming untied
• Always wanting to be held or will sit down frequently when walking
• Poor posture
• Knee, hip, back and neck symptoms
• Inactive child

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Back Pain - The Foot Connection

Back pain is one of the most common musculoskeletal complaints in people of all ages. There are many types of back pain, affecting different parts of the back in different ways and with varying intensity.

Click here to learn more about understanding your back pain, about talotarsal displacement and about HyProCure^®, a permanent, minimally invasive solution that corrects the problem at its root.

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Locate a HyProCure® Specialist Near You

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Self-check for TaloTarsal Displacement

Typically, talotarsal displacement is overlooked or ignored until painful symptoms or side effects show up, including overpronation/hyperpronation, fallen arches, bunions, plantar fasciitis (heel pain), knee pain, hip pain, back pain and even problems in the neck and shoulders.

If you or someone close is suffering from the effects of partial talotarsal dislocation and a self-check confirms the presence of the condition, we strongly encourage you to make an appointment with a specialist near you to learn more about HyProCure^® and discover how this solution can significantly improve your quality of life.