Extra-Osseous TaloTarsal Stabilization (EOTTS)Arthroereisis vsHyProCure®<br />There is a difference.<br />Don’t be fooled....
Arthroereisis<br />First of all it is pronounced<br />r-throw-ear-e-sis<br />“operative limiting of the motion in a joint ...
Arthroereisis<br />“operative limiting of the motion in a joint that is abnormally mobile from paralysis”<br />limiting of...
Arthroereisis<br />This is a procedure to “block” or limit joint motion.<br />J Bone Joint Surg Am. 1928;10:261-267.<br />...
Subtalar Joint Arthroereisis <br />This is a procedure to either block/limit or lift up the lateral process of the talus.<...
Subtalar Joint Arthroereisis <br />Prior to STJ arthroereisis this was the only other option.<br />
Subtalar Joint Arthroereisis  <br />This technique is focused on lifting and/or blocking the lateral process of the talus....
Subtalar Joint Arthroereisis<br />The goal is to stop the anterior progression of lateral process by some method within th...
Arthroereisis<br />Historically , it was performed but cutting and inserting a bone graft into the calcaneus in front of t...
Long-term Results?<br />These methods usually failed due to the forces acting on the bone graft material and also since th...
Evolution of Subtalar Arthroereisis<br />Later, “newer” materials were used intra-osseously and inter-osseously to restric...
Arthroereisis Implements<br />Arthroereisis devices act solely within the lateral half of the tarsal sinus.<br />
Subtalar Arthroereisis<br />The end result usually lead to failure due to: <br />Its poor anatomic design <br />limitation...
SubtalarArthroereisisExtra-Osseous Devices.<br />Due to the previously described limitations and need for something better...
Subtalar Arthroereisis<br />This device was a titanium version with enhancements of a polymer device.<br />However, they w...
Arthroereisis Placement<br />This device is inserted so that the tip “touched” the bisection of the talus. These are place...
Function<br />This device acts as an anterior extension of the lateral process of the talus.<br />
Talar Supination<br />There is no limitation of supinatory motion as the talus supinates.<br />
Talar Pronation<br />As the talus moves from a supinated to pronated position the anterior extension of the talus hits aga...
Lateral Arthroereisis Devices<br />Longer term results showed about a 40% removal rate due to device loosening along with ...
Subtalar Arthroereisis Device Evolution<br />The device had a cylindrical design.<br />It should be noted that the outer s...
Subtalar Arthroereisis<br />Unfortunately, the new designs did little <br />to decrease the overall removal rate.<br />
Now its time to learn about a major evolutionary leap.<br />
Extra-Osseous TaloTarsal Stabilization with HyProCure®.<br />
Arthroereisis implants act here.<br />
Arthroereisis implants act here.<br />HyProCure®stabilizes the talotarsal mechanism here.<br />HyProCure®is not an arthroe...
Do you see the difference?If not, go back and take another look.<br />
HyProCure®is a talotarsal fixation device.That is how HyProCure®is classified with the Food & Drug Administration.<br />
Arthroereisis Implants<br />
This is where HyProCure®is placed.<br />This is where arthroereisis devices are placed.<br />HyProCure®does not act as an ...
HyProCure®is placed deeper into the sinus tarsi.<br />
HyProCure®transforms the abnormal “negative” sinus tarsi space into the normal “positive” space.<br />
Tissues within the canalis grow and adhere onto the threads to lock HyProCure in place. <br />HyProCure®is medially anchor...
The leading edge of arthroereisis devices come into contact with the calcaneus here.<br />HyProCure internally stabilizes ...
HyProCure®stabilizes the talus at the cruciate pivot point to restore the talotarsal axis of motion back to normal.<br />
See the difference?It may not seem so different but it is the difference between success and failure.<br />
Normal amount of pronation and supination is still available.<br />
HyProCure®stabilizes the talus on the tarsal mechanism while still allowing the normal range of motion to occur.<br />
If a wire, staple or screw is used to stabilize the talotarsal mechanism, there will be a complete limitation of motion.<b...
This is different from arthroereisis devices that abruptly stops talar motion or arthrodesis which completely eliminates t...
Because of the unique anatomic design combined with the improved biomechanic function, HyProCure®has a significant less ch...
Arthroereisis devices are like an octagonal tire.It kind of works and is better than no tire.Just doesn’t work so good and...
On the other hand…<br />
HyProCure®is like putting a round tire on your car.<br />
You’ve heard the saying“form follows function”?<br />
A round tire is meant to roll.<br />
HyProCure®is designed to stabilize the talus while still allowing the normal functions to occur.<br />This presents a revo...
It works.Significantly lower removal rate.(nearly 6% compared to nearly 40%)Just makes sense.Leads to better outcomes.<br />
Many are fooled into believing that HyProCure®is “just another arthroereisis device”…<br />
IT IS NOT!<br />
HyProCure’seffect can benefit not only the foot but it can lead to improvement up the MSK chain.<br />
HyProCure®truly “fixes” one thing…<br />
TaloTarsal Dislocation<br />Dislocation- “the displacement of any part, more especially of a bone”-Dorlands.<br />
TaloTarsal Dislocation (TTD)<br />This is the pathologic displacement (removal from the normal position) of the talus on t...
TTD<br />Does not “fix” itself<br />
TTD<br />It is a progressive disease…it only gets worse and the signs and symptoms are far reaching.<br />
TTD<br />This is an internal deformity occurring above the calcaneal (heel bone) and above the bottom of the foot.<br />
Internal deformity = Internal Solution<br />HyProCure®<br />
www.HyProCure.com<br />
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HyProCure is not Arthroereisis

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HyProCure is not an "arthroereisis" device. It's design and function are completely different from "arthroereisis" devices. Take a look at this presentation so you too can see the difference. For more information visit www.HyProCure.com

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HyProCure is not Arthroereisis

  1. 1. Extra-Osseous TaloTarsal Stabilization (EOTTS)Arthroereisis vsHyProCure®<br />There is a difference.<br />Don’t be fooled.<br />
  2. 2. Arthroereisis<br />First of all it is pronounced<br />r-throw-ear-e-sis<br />“operative limiting of the motion in a joint that is abnormally mobile from paralysis.”<br />Dorlands Medical Dictionary<br />
  3. 3. Arthroereisis<br />“operative limiting of the motion in a joint that is abnormally mobile from paralysis”<br />limiting of motion <br />in a joint (an articulation; the place of union or junction between two or more bones of the skeleton, especially a junction that admits of more or less motion of one or more bones)<br />that is abnormally mobile<br />from paralysis (loss or impairment of motor function in a part due to lesion of the neural or muscular mechanism)<br />
  4. 4. Arthroereisis<br />This is a procedure to “block” or limit joint motion.<br />J Bone Joint Surg Am. 1928;10:261-267.<br />G. NOVÉ-JOSSERAND<br />
  5. 5. Subtalar Joint Arthroereisis <br />This is a procedure to either block/limit or lift up the lateral process of the talus.<br />
  6. 6. Subtalar Joint Arthroereisis <br />Prior to STJ arthroereisis this was the only other option.<br />
  7. 7. Subtalar Joint Arthroereisis <br />This technique is focused on lifting and/or blocking the lateral process of the talus. <br />Plantar view of talus<br />
  8. 8. Subtalar Joint Arthroereisis<br />The goal is to stop the anterior progression of lateral process by some method within the outer half of the sinus tarsi.<br />
  9. 9. Arthroereisis<br />Historically , it was performed but cutting and inserting a bone graft into the calcaneus in front of the lateral process.<br />
  10. 10. Long-term Results?<br />These methods usually failed due to the forces acting on the bone graft material and also since the bone remodeled and therefore failed to restrict lateral process motion.<br />
  11. 11. Evolution of Subtalar Arthroereisis<br />Later, “newer” materials were used intra-osseously and inter-osseously to restrict talocalcaneal motion. <br />
  12. 12. Arthroereisis Implements<br />Arthroereisis devices act solely within the lateral half of the tarsal sinus.<br />
  13. 13. Subtalar Arthroereisis<br />The end result usually lead to failure due to: <br />Its poor anatomic design <br />limitation in material<br />inadequate biomechanical function<br />
  14. 14. SubtalarArthroereisisExtra-Osseous Devices.<br />Due to the previously described limitations and need for something better combined with improved biomaterials, the first extra-osseous titanium device was inserted into the lateral portion of the sinus tarsi.<br />
  15. 15. Subtalar Arthroereisis<br />This device was a titanium version with enhancements of a polymer device.<br />However, they were still placed in the same spot and had the same function- lateral arthroereisis<br />
  16. 16. Arthroereisis Placement<br />This device is inserted so that the tip “touched” the bisection of the talus. These are placed in a lateral-to-medial orientation.<br />
  17. 17. Function<br />This device acts as an anterior extension of the lateral process of the talus.<br />
  18. 18. Talar Supination<br />There is no limitation of supinatory motion as the talus supinates.<br />
  19. 19. Talar Pronation<br />As the talus moves from a supinated to pronated position the anterior extension of the talus hits against the posterior aspect of the anterior facet to block further pronation.<br />
  20. 20. Lateral Arthroereisis Devices<br />Longer term results showed about a 40% removal rate due to device loosening along with other factors. <br />
  21. 21. Subtalar Arthroereisis Device Evolution<br />The device had a cylindrical design.<br />It should be noted that the outer sinus tarsi shaped is conical not cylindrical. <br />Newer devices were designed with that in mind as well as other features with ways to make device removal easier.<br />
  22. 22. Subtalar Arthroereisis<br />Unfortunately, the new designs did little <br />to decrease the overall removal rate.<br />
  23. 23. Now its time to learn about a major evolutionary leap.<br />
  24. 24. Extra-Osseous TaloTarsal Stabilization with HyProCure®.<br />
  25. 25. Arthroereisis implants act here.<br />
  26. 26. Arthroereisis implants act here.<br />HyProCure®stabilizes the talotarsal mechanism here.<br />HyProCure®is not an arthroereisis device.<br />
  27. 27. Do you see the difference?If not, go back and take another look.<br />
  28. 28. HyProCure®is a talotarsal fixation device.That is how HyProCure®is classified with the Food & Drug Administration.<br />
  29. 29. Arthroereisis Implants<br />
  30. 30. This is where HyProCure®is placed.<br />This is where arthroereisis devices are placed.<br />HyProCure®does not act as an anterior extension of the lateral process.<br />
  31. 31. HyProCure®is placed deeper into the sinus tarsi.<br />
  32. 32. HyProCure®transforms the abnormal “negative” sinus tarsi space into the normal “positive” space.<br />
  33. 33. Tissues within the canalis grow and adhere onto the threads to lock HyProCure in place. <br />HyProCure®is medially anchored by the tissues within the canalis portion of the sinus tarsi.<br />
  34. 34. The leading edge of arthroereisis devices come into contact with the calcaneus here.<br />HyProCure internally stabilizes the talus at the cruciate pivot point here.<br />Top view of the calcaneus<br />HyProCure®does not block or limit motion.<br />
  35. 35. HyProCure®stabilizes the talus at the cruciate pivot point to restore the talotarsal axis of motion back to normal.<br />
  36. 36. See the difference?It may not seem so different but it is the difference between success and failure.<br />
  37. 37. Normal amount of pronation and supination is still available.<br />
  38. 38. HyProCure®stabilizes the talus on the tarsal mechanism while still allowing the normal range of motion to occur.<br />
  39. 39. If a wire, staple or screw is used to stabilize the talotarsal mechanism, there will be a complete limitation of motion.<br />
  40. 40. This is different from arthroereisis devices that abruptly stops talar motion or arthrodesis which completely eliminates talotarsal motion.<br />
  41. 41. Because of the unique anatomic design combined with the improved biomechanic function, HyProCure®has a significant less chance for removal. <br />
  42. 42. Arthroereisis devices are like an octagonal tire.It kind of works and is better than no tire.Just doesn’t work so good and doesn’t last too long.<br />
  43. 43. On the other hand…<br />
  44. 44. HyProCure®is like putting a round tire on your car.<br />
  45. 45. You’ve heard the saying“form follows function”?<br />
  46. 46. A round tire is meant to roll.<br />
  47. 47. HyProCure®is designed to stabilize the talus while still allowing the normal functions to occur.<br />This presents a revolutionary breakthrough.<br />It is a paradigm “shifter”.<br />
  48. 48. It works.Significantly lower removal rate.(nearly 6% compared to nearly 40%)Just makes sense.Leads to better outcomes.<br />
  49. 49. Many are fooled into believing that HyProCure®is “just another arthroereisis device”…<br />
  50. 50. IT IS NOT!<br />
  51. 51. HyProCure’seffect can benefit not only the foot but it can lead to improvement up the MSK chain.<br />
  52. 52. HyProCure®truly “fixes” one thing…<br />
  53. 53. TaloTarsal Dislocation<br />Dislocation- “the displacement of any part, more especially of a bone”-Dorlands.<br />
  54. 54. TaloTarsal Dislocation (TTD)<br />This is the pathologic displacement (removal from the normal position) of the talus on the tarsal mechanism.<br />
  55. 55. TTD<br />Does not “fix” itself<br />
  56. 56. TTD<br />It is a progressive disease…it only gets worse and the signs and symptoms are far reaching.<br />
  57. 57. TTD<br />This is an internal deformity occurring above the calcaneal (heel bone) and above the bottom of the foot.<br />
  58. 58. Internal deformity = Internal Solution<br />HyProCure®<br />
  59. 59. www.HyProCure.com<br />

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