A. In general, playing soccer after 3-4 months should not be a problem. The tissues should be fully healed and the device should not displace. Typically, patients will be able to resume all normal activities after 2-3 months.

However, as everyone heals at their own rate, it would be best to consult with your HyProCure doctor prior to engaging in this activity.

A. While we do not know of a specific case of this procedure being performed on a ballerina, it has been performed on a competitive diver, who must also push off using their toes.

When HyProCure is placed properly, less than 3% of the weight of the body is on the device, regardless of foot position. Moreover, there has never been a reported case of fracture due to the implant. Therefore, the possibility of fracture due to any activity is virtually none.

A. Please contact our Corporate Office at 888-566-6459 or info@gramedica.com. Please include your location information for a faster response.

A. No. We are more than happy to work directly with you and your facility of choice if we do not have a rep in your area. Please call us 888-566-6459.

A. It is very possible that the talus is still dislocating during the gait cycle. Remember that traditional x-rays are taken with the patient standing on both feet, so it is possible that at this point the talotarsal mechanism is properly aligned. However, upon single limb maximum pronation the talus could displace on the tarsal mechanism placing excessive force on the navicular making the tibialis posterior muscle work harder to supinate the mid-foot. HyProCure will not increase calcaneal inclination angle and will not worsen the pes cavus deformity; however, It will stabilize the talus on the tarsal mechanism to decrease the strain on the posterior tibial tendon and the muscle belly won’t have to work as hard.

An interesting fact: what would happen if HyProCure was placed in a normal foot? Nothing, because the sinus tarsi is already in the open position. The same triplane motion would still occur.

So there really isn’t anything to lose, worse case HyProCure has to be removed.

A. Thank you for contacting us. Per our Frequently Asked Questions at http://hyprocure.com/faqs/ ---
"You will not need to premedicate prior to dental or other surgical procedures because the HyProCure stent is not embedded into the bone."

A. While it is up to the individual physician to determine appropriate coding for the procedures performed, we recommend procedure code 28585, “open treatment, talotarsal joint dislocation, with internal fixation, when performed.” This corresponds to diagnosis code 718.37, “other derangement of joint”, “recurrent dislocation of joint”, (within) “ankle and foot,” or chronic talotarsal dislocation.

HyProCure® is indicated for reducible/flexible talotarsal dislocation. The term dislocation in code 28585 covers both partial and full. HyProCure® is classified as an internal fixation device.

Insurance reimbursement levels are set by each insurer. You will need to check with the carrier for specific reimbursement values.

A. Please visit http://hyprocure.com/doctorlocator.php to find a doctor near you. The GIII credential listed under a physician's name gives some information on that surgeon’s level of experience with HyProCure®. You can then inquire of local doctors, or those closest to you, about the number of procedures they've done, etc., and schedule an appointment with your choice of doctor to be sure you are a candidate.