Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Application	Content	Paragraph Number	Notes	Modified
		Content		Paragraph Number	Notes	Any Field
View Edit Delete	VIL-12	In one embodiment in a next step in the method 1400, a user may secure 1410 the proximal tether end within the bone tunnel 862. In one embodiment, the user may couple the distal end 844 of the tether 840 to a tether locking feature 832 and hold the tether 840 tight while moving the tether locking feature 832 along the tether 840 in the direction of arrow 1502. This action may tighten the tether 840 and introduce tension between the arthroplasty implant 810 and the bone anchor 820 (body 822 and tether locking feature 832). The user may then seat the tether locking feature 832 in the body 822 to secure 1410 the tether 840 to the metatarsal bone 816. One example of step 1410 is shown in FIG. 15E.	135	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	Step 1410 may complete the method 1400. FIG. 15F illustrates one example of the arthroplasty implant system 800 successfully deployed in the metatarsal bone 816.	136	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	In certain embodiments, after a successful deployment of arthroplasty implant system 800, a user may desire a revision procedure. For example, the arthroplasty implant system 800 may have performed without any problems, however the condition of the MTP joint 250 may have deteriorated. "Revision procedure" refers to a surgical procedure in which the procedure's purpose is to change an aspect of a prior surgical procedure. A revision procedure may be performed to address infection, disease, a complication, or for a variety of other reasons.	137	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	In one embodiment, cartilage 1302 around the arthroplasty implant 810 may have developed one or more OCLs 350. During such a revision procedure a surgeon can ream the arthroplasty implant 810 out of the bone pocket 864 and/or resize the bone pocket 864 to a size that supports a second arthroplasty implant that has a greater diameter than the arthroplasty implant 810. The surgeon may restore the bone tunnel 862, for example, by using a surgical drill and bit. Next, the surgeon may pass a second tether through the restored bone tunnel, secure a distal tether end of the second tether to the second arthroplasty implant, and secure a proximal tether end of the second tether within the restored bone tunnel as part of the revision procedure.	138	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	1.A system comprising:	143	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	an implant comprising:	144	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	a joint-facing articular surface configured to replace at least part of a natural articular surface of a bone adjacent to a joint; and	145	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	a transosseous coupler; and	146	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	a bone anchor configured to reside proximate another surface of the bone, separated from the natural articular surface by a bone tunnel;	147	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	wherein the transosseous coupler is configured to couple the implant to the bone anchor and the bone anchor is configured to couple the transosseous coupler to the bone such that the transosseous coupler retains the implant in place on the natural articular surface of the bone.	148	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	2.The system of claim 1, wherein the transosseous coupler applies tension on the implant, wherein the tension holds the joint-facing articular surface in place on a distal end of the bone.	149	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	3.The system of claim 1, wherein a first diameter of the joint-facing articular surface is smaller than a second diameter of the natural articular surface of the bone.	150	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	4.The system of claim 1, wherein a first diameter of the joint-facing articular surface is greater than a width of an osteochondral lesion (OCL) of the natural articular surface and smaller than a second diameter of the natural articular surface of the bone.	151	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	5.The system of claim 1, the implant comprising a body comprising the joint-facing articular surface, and a convex posterior surface, and an edge between the joint-facing articular surface and the convex posterior surface.	152	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	6.The system of claim 5, wherein:	153	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	the bone tunnel comprises a distal end and a proximal end and the proximal end exits between a distal end of the bone and a proximal end of the bone; and	154	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	the distal end of the bone tunnel exits within a bone pocket that extends proximally from the natural articular surface into the bone.	155	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	7.The system of claim 6, wherein, with the implant coupled to the bone anchor by the transosseous coupler:	156	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	the body seats within the bone pocket with the edge extending above the natural articular surface of the bone; and	157	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	the joint-facing articular surface is convex and a top of the joint-facing articular surface is congruent with cartilage around the implant.	158	Added by DJM 2 2022	2/5/22, 12:00 AM

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