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OPT-13 FIG. 24F is an anterior perspective view of the asymmetric tibial insert of FIG. 24A. 44 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 FIGS. 3A-3D show the PS insert 12 of FIGS. 1A-2 in isolation. The PS insert 12 may include a fixation side 20, which may be an inferior side, opposite an articulation side 22, which may be a superior side. The articulation side 22 may include a medial tibial compartment 24 having a medial condylar articulation surface 25 and a lateral tibial compartment 26 having a lateral condylar articulation surface 27. 77 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 Referring to FIGS. 1A-2, an assembly 10 for an implantable knee prosthesis is shown including a femoral component 14 and a tibial insert 12. As used herein, “femoral" describes a feature, aspect, component, function, attribute, structure or part that is, or is configured to, connect to, couple to, interact with, interoperate with or is otherwise associated with a femur bone of a human or animal. As used herein, an “insert” refers to an apparatus, instrument, structure, device, component, system, or assembly that is structured, organized, configured, designed, arranged, or engineered to couple or connect to one or more other components, parts, or devices. In certain embodiments, an insert is configured to be inserted or deployed between two or more other components or structures. The femoral component 14 and tibial insert 12 are shown coupled in extension in FIG. 1A, coupled in flexion in FIG. 1B, and shown in an exploded view in FIG. 2. The tibial insert 12 may be further coupled to a tibial baseplate component (See FIG. 24A) which may be implanted in a prepared tibia of a patient (also not shown). The femoral component 14 and tibial insert 12 illustrated in FIGS. 1A-2 are right femoral and tibial insert components. In certain embodiments, left femoral and tibial insert components may be mirror images of the right femoral and tibial insert components shown in FIGS. 1A-2. The femoral component 14 may also be referred to as a posterior stabilizing femoral component 14 (or “PS femoral component”) and the tibial insert 12 may also be referred to as a posterior stabilizing tibial insert (or “PS insert”). 76 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 The present disclosure is an apparatus, system, and method for implantation in a knee joint of a patient where the knee joint has a condition such as varus or valgus. In one embodiment, the system uses a tibial insert and/or a tibial component configured for a second knee opposite of the knee joint receiving arthroplasty. By using a tibial insert and/or a tibial component designed for an opposite knee, the condition of the knee joint is remediated. 75 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 Posterior means toward the back of a body. Superior or cephalad means toward the head. Inferior or caudal means toward the feet or tail. Medial means toward the midline of a body, particularly toward a plane of bilateral symmetry of the body. Lateral means away from the midline of a body or away from a plane of bilateral symmetry of the body. Axial means toward a central axis of a body. Abaxial means away from a central axis of a body. Ipsilateral means on the same side of the body. Contralateral means on the opposite side of the body. Proximal means toward the trunk of the body. Proximal may also mean toward a user or operator. Distal means away from the trunk. Distal may also mean away from a user or operator. Dorsal means toward the top of the foot. Plantar means toward the sole of the foot. Antegrade means forward moving from a proximal location/position to a distal location/position or moving in a forward direction. Retrograde means backward moving from a distal location/position to a proximal location/position or moving in a backwards direction. Sagittal refers to a midline of a patient’s anatomy, which divides the body into left or right halves. The sagittal plane may be in the center of the body, splitting it into two halves. 72 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 The intersection of the sagittal and coronal planes defines a superior-inferior or cephalad-caudal axis. The intersection of the sagittal and transverse planes defines an anterior-posterior axis. The intersection of the coronal and transverse planes defines a medial-lateral axis. The superior-inferior or cephalad-caudal axis, the anterior-posterior axis, and the medial-lateral axis are mutually perpendicular. Anterior means toward the front of a body. 71 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 Standard medical planes of reference and descriptive terminology are employed in this specification. While these terms are commonly used to refer to the human body, certain terms are applicable to physical objects in general. A standard system of three mutually perpendicular reference planes is employed. A sagittal plane divides a body into right and left portions. A coronal plane divides a body into anterior and posterior portions. A transverse plane divides a body into superior and inferior portions. A mid-sagittal, mid-coronal, or mid-transverse plane divides a body into equal portions, which may be bilaterally symmetric. 70 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 It is to be understood that the drawings are for purposes of illustrating the concepts of the disclosure and may not be to scale. Furthermore, the drawings illustrate exemplary embodiments and do not represent limitations to the scope of the disclosure. 69 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 FIG. 35 is a flow chart diagram of one example method for adapting kinematics of a knee joint having a condition. 68 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 FIG. 34 is a perspective anterior view of knee prosthesis system according to another embodiment of the present disclosure. 67 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 Implementations may include one or more of the following features. The knee joint prosthesis system where the knee joint is a right knee joint of the patient; and where the left side tibial insert is attached to the insert interface of the tibial baseplate component of the right knee joint such that the left side tibial insert constrains the femoral articulation surface within the medial tibial compartment and mitigates the condition. The tibial articulation surface facilitates tibiofemoral rotation within the medial tibial compartment during flexion of the knee joint where the condition is a valgus knee joint. The tibial articulation surface adjusts mediolateral stability during flexion of the knee joint where the condition is a varus knee joint. The tibial articulation surface increases constraint on a lateral collateral ligament of the knee joint and decreases tension on a medial collateral ligament of the knee joint. The medial tibial compartment may include a medial perimeter, a medial high point, and a medial low point and where each of the right side tibial insert and the left side tibial insert may include a lateral tibial compartment that may include a lateral perimeter, a lateral high point, and a lateral low point. Each of the right side tibial insert and the left side tibial insert may include a lateral tibial compartment and a medial tibial compartment and where the femoral articulation surface may include a medial femoral compartment and a lateral femoral compartment and where the medial tibial compartment engages the lateral femoral compartment at a lateral dwell point during flexion and the lateral tibial compartment engages the medial femoral compartment at a medial dwell point during flexion. 12 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 FIG. 7 is a top down cross-sectional view of the assembly of FIG. 1B, taken along line C-C in FIG. 8. 22 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 FIG. 6 is a posterior cross-sectional view of the assembly of FIG. 1A, taken along line A-A in FIG. 5. 21 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 FIG. 5 is a top down cross-sectional view of the assembly of FIG. 1A, taken along line B-B in FIG. 6. 20 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 FIG. 4 is a top down view of the assembly of FIG. 1A. 19 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 FIG. 3A is a posterior view of the tibial insert of FIG. 1A; FIG. 3B is an anterior view of the tibial insert of FIG. 1A; FIG. 3C is a superior view of the tibial insert of FIG. 1A; FIG. 3D is a medial side view of the tibial insert of FIG. 1A. 18 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 FIG. 2 is an exploded view of the assembly of FIG. 1A. 17 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 FIG. 1A is a perspective rear view of an assembly of the disclosure, including a posterior stabilizing femoral component and a tibial insert coupled in extension; FIG. 1B is a perspective front view of the assembly of FIG. 1A in flexion. 16 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 One general aspect of the present disclosure can include a knee joint prosthesis system for implantation in a knee joint of a patient. The knee joint prosthesis system includes a femoral component configured to be implanted on the femur, the femoral component may include a femoral articulation surface; a right side tibial component attachable on the tibia, the right side tibial component may include a tibial articulation surface configured to articulate with the femoral articulation surface and rotate the tibia about a longitudinal axis passing through a medial tibial compartment of the right side tibial component during flexion or extension of a right side knee joint; a left side tibial component attachable on the tibia, the left side tibial component may include a tibial articulation surface configured to articulate with the femoral articulation surface and rotate the tibia about a longitudinal axis passing through a medial tibial compartment of the left side tibial component during flexion or extension of a left side knee joint; and the tibial articulation surface of the right side tibial component is shaped to cooperate with the femoral articulation surface to change kinematics of the knee joint having the condition if the knee joint may include the left side knee joint; and the tibial articulation surface of the left side tibial component is shaped to cooperate with the femoral articulation surface to change kinematics of the knee joint having the condition if the knee joint may include the right side knee joint. 15 Added by DJM 1 2022 1/25/22, 12:00 AM
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OPT-13 Implementations may include one or more of the following features. The method where a condition of the knee joint may include one of a varus condition, a valgus condition, and a balanced condition. 14 Added by DJM 1 2022 1/25/22, 12:00 AM

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