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Dave's PCF WIP: Paragraphs
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PER-12 In the illustrated embodiment, the posterior resection feature 2022a includes a posterior dorsal slot 2058, a posterior plantar slot 2060, and a posterior bridge 2062. In certain embodiments, the posterior dorsal slot 2058 and a posterior plantar slot 2060 have a similar height, width, and depth. The anterior resection feature 2022b includes an anterior dorsal slot 2064, an anterior plantar slot 2066, and an anterior bridge 2068. In certain embodiments, the anterior dorsal slot 2064 and an anterior plantar slot 2066 have a similar height, width, and depth. 353 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 The posterior dorsal slot 2058 may include an open dorsal end 2070 and a closed plantar end 2072. The posterior plantar slot 2060 may include an open plantar end 2074 and a closed dorsal end 2076. The anterior dorsal slot 2064 may include an open dorsal end 2078 and a closed plantar end 2080. The anterior plantar slot 2066 may include an open plantar end 2082 and a closed dorsal end 2084. In the illustrated embodiment, the posterior bridge 2062 is positioned between the posterior dorsal slot 2058 and the posterior plantar slot 2060. In one embodiment, the posterior bridge 2062 may form the closed plantar end 2070 of the posterior dorsal slot 2058 and the closed dorsal end 2074 of the posterior plantar slot 2060. In one embodiment, the anterior bridge 2068 is positioned between anterior dorsal slot 2064 and the anterior plantar slot 2066. The anterior bridge 2068 can form the closed plantar end 2080 of the anterior dorsal slot 2064 and the closed dorsal end 2084 of the anterior plantar slot 2066. 354 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Advantageously, the resection features 2022 can be positioned, sized, and/or oriented to enable a surgeon to resect any particular shape in the bone for the osteotomy procedure. In the illustrated embodiment, the resection features 2022 are configured to direct a cutting tool at an angle into the bone such that a wedge is resected. Advantageously, the size, shape, and angle of the wedge can be predefined and can be determined preoperatively and can be patient-specific. In this manner, the resection guide 2020a serves to provide for a patient-specific osteotomy procedure. Alternatively, or in addition, the resection features 2022 can be configured to enable a surgeon to readily resect in a plantar direction and/or a dorsal direction. In the illustrated embodiment, the resection features 2022 include an opening on one end to permit the surgeon to position a cutting tool to make desired cuts that can extend all the way to dorsal and/or plantar surfaces of the bone. 355 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Advantageously, the illustrated embodiment the resection features 2022 include open ends (e.g., open dorsal end 2070, open plantar end 2074, open dorsal end 2078, and open plantar end 2082). The open ends end able a surgeon to manipulate or tilt a cutting tool from a normal orientation relative to the slot to an angled position that moves the cutting tool out past the perimeter of the resection guide 2020a. For example, a surgeon can insert a cutting tool in posterior dorsal slot 2058 and cut bone below the posterior dorsal slot 2058. In addition, the surgeon can angle the cutting tool in a plantar direction and the posterior dorsal slot 2058 guides the cutting tool to cut outside the perimeter of the resection guide 2020a. In particular, moving the cutting tool in a plantar direction enables a cutting blade of the cutting tool to cut bone dorsal to, but still aligned with the posterior dorsal slot 2058. In this manner, the surgeon can create an osteotomy that extends dorsally beyond a dorsal cortex of the bone. Similarly, and in like manner, the open plantar end 2074, open dorsal end 2078, and/or open plantar end 2082 enable the surgeon to form an osteotomy that reaches to the other dorsal and/or plantar surfaces of the bone. These open ends allow the resection guide 2020 to be smaller (not as long along its longitudinal axis) such that smaller incisions are needed for use. 356 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 In the illustrated embodiment, the posterior bridge 2062 is aligned horizontally with the anterior bridge 2068. However, those of skill in the art will appreciate that the posterior bridge 2062 and anterior bridge 2068 may be unaligned in other embodiments. Furthermore, those of skill in the art appreciate that the posterior resection feature 2022a and/or anterior resection feature 2022b may have a variety of configurations, including a single slot with a closed plantar end and an opposite open dorsal end, a single slot with an open plantar end and an opposite closed dorsal end, a single slot with a closed plantar end and a closed opposite dorsal end, or the like. 357 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Referring still to Figure 21J, the resection guide 2020a can include a plantar landmark registration feature 2041a and a handle 2026 (not shown due to cross section, see Figures 22A-22I), the a plantar landmark registration feature 2041a extends from a plantar side 2040 of the body 2028 and is configured to contact a plantar surface of the calcaneus 224. Alternatively, or in addition, the resection guide 2020a can include a bone engagement surface 2033 on the medial side 2032 of the body 2028. The bone engagement surface 2033 is configured to resemble, substantially resemble, or match a contour of the calcaneus when the body 2028 is positioned on the calcaneus 224. In one embodiment, the resection guide 2020a may include a handle 2026 that extends from a dorsal side 2038 of the body 2028. 358 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Figures 22A-22G illustrate views of a pin guide of an osteotomy system, such as osteotomy system 2000, according to one embodiment. In one embodiment, the osteotomy system 2000 may include at least one complementary component 1930. The complementary component 1930 may include one or more pin guides 2200. In certain embodiments, the complementary component 1930 may include a posterior pin guide 2202 and an anterior pin guide 2204. In one embodiment, a single pin guide 2200 may be used as both the posterior pin guide 2202 and the anterior pin guide 2204. Using a single pin guide 2200 may promote re-use and/or may facilitate fabrication of pin guides 2200. Alternatively, or in addition, the posterior pin guide 2202 may be configured differently from the anterior pin guide 2204. 359 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 The pin guide 2200 serves to position and/or orient one or more pins for deployment into bone of a patient. Advantageously, the pin guide 2200 may be designed using a model of the bone and/or a model of other components of the osteotomy system 2000. In particular, a pin guide 2200 may enable fasteners 2010 in another component such as the resection guide 2020 to be parallel with each other and one or more fasteners 2010 to be deployed into a bone at a non-parallel angle relative to each other. Pins in the bone at non-parallel angles can be used for reduction and/or compression and/or fixation during a step of a surgical procedure. 360 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 In the illustrated embodiment, the posterior pin guide 2202 and the anterior pin guide 2204 may be similar. Advantageously, a user or surgeon can define the posterior pin guide 2202 and the anterior pin guide 2204 to be patient-specific. For example, one pin guide 2200 may have a default or standard configuration and the other pin guide (e.g., the posterior pin guide 2202 and/or the anterior pin guide 2204) may have a different, customized, and/or patient-specific configuration. 361 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 In one embodiment, the osteotomy system 2000 includes a resection guide 2020a configured to cooperate with the one or more pin guides 2200 to position one or more pins. Figure 22A illustrates a resection guide 2020a with two pin guides 2200 (e.g., a posterior pin guide 2202 and an anterior pin guide 2204). A pin guide 2200 may include an arm 2206 configured to engage at least one of a posterior resection feature 2022a and an anterior resection feature 2022b. The arm 2206 may be connected to a bone engagement feature 2208 configured to receive a fastener such as a pin or K-wire. 362 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 The arm 2206 engages a resection feature 2022 and connects the bone engagement feature 2208 to the resection feature 2022. In one embodiment, the arm 2206 includes an opening 2220 sized and/or configured to receive a bridge (e.g., posterior bridge 2062 and/or anterior bridge 2068) of a resection feature 2022 (e.g., a posterior resection feature 2022a and/or an anterior resection feature 2022b). In certain embodiments, the arm 2206 may engage the resection feature 2022 by sliding the opening 2220 over the bridge. Alternatively, or in addition, another part of the arm 2206 may slide down into one or more openings of a resection feature 2022. In one embodiment, the opening 2220 may include a closed end that includes two corners that meet at right angles. Similarly, a top surface of the bridge (e.g., posterior bridge 2062 and/or anterior bridge 2068) may be rectangular such that top edges of the bridge engage the two corners of the opening 2220 when the arm 2206 is engaged with a bridges as desired or, when the arm 2206 is fully engage with the resection feature 2022. 363 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 The bone engagement feature 2208 can serve to guide and/or position a pin during deployment into a bone. In certain embodiments, each of the pin guides 2200 include an arm 2206 and a bone engagement feature 2208. The arm 2206 may include a body 2210 and a coupler 2212. The body 2210 connects the coupler 2212 and the bone engagement feature 2208. 364 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 The bone engagement feature 2208 can be implemented using a hole 2214 and a fastener 2216. Advantageously, pin guides 2200 (e.g., a posterior pin guide 2202 and an anterior pin guide 2204) enable a fastener 2216 to be deployed where needed for a surgical procedure. In the illustrated embodiment, fasteners 2216 may be needed in a posterior bone fragment 2114 and/or in an anterior bone fragment 2116 for one or more steps of a surgical procedure. 365 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 In the illustrated embodiment, the pin guides 2200 (e.g., a posterior pin guide 2202 and an anterior pin guide 2204) serve to enable deployment of fasteners 2216 a distance, such as a predetermined distance from a posterior side 2036 and/or an anterior side 2034 of a resection guide 2020. The fasteners 2216 engage with the holes 2214 and the holes 2214 and arm 2206 cooperate to direct the fasteners 2216 into the bone in a desired position and/or angle. The fastener 2216 may engage the hole 2214 in a friction fit. In certain embodiments, once a fastener 2216 is deployed through a hole 2214, the pin guide 2200 may be removed by leaving the fastener 2216 in place and sliding the pin guide 2200 up and off of the fastener 2216. 366 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 The coupler 2212 enables the pin guide 2200 to be connected and/or disconnected from a complementary component 1930. The complementary component 1930 may serve as a reference or guide for the placement, positioning, and/or orientation of fasteners 2216 into bone and/or bone fragments during a surgical procedure. Those of skill in the art will appreciate that the coupler 2212 may be implemented using a variety of configurations. 367 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 In the illustrated embodiment, the coupler 2212 is implemented as a fin 2218 that includes an opening 2220. The opening 2220 may be sized and/or configured to receive a bridge (e.g., posterior bridge 2062 and/or anterior bridge 2068) of a resection feature 2022. In certain embodiments, the coupler 2212 may engage the resection feature 2022 by sliding the opening 2220 over the bridge. Alternatively, or in addition, the fin 2218 may slide down into one or more openings of a resection feature 2022 and secure the orientation and/or position of the pin guide 2200. 368 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 In another embodiment, the coupler 2212 may couple or connect to a different structure of a complementary component 1930. For example, in one embodiment, the coupler 2212 may couple to one or more fasteners 2010 deployed in a resection guide 2020. 369 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Figure 22B is a perspective view of one example pin guide 2200. Figure 22B illustrates that the coupler 2212 (or fin 2218) may extend from the body 2210 parallel to the bone engagement feature 2208. Figure 22C is a perspective view. 370 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Figure 22D is a distal side view of one example pin guide 2200. Figure 22D illustrates one embodiment of a coupler 2212 and/or a fin 2218 with an opening 2220. Figure 22E is a proximal side view of one example pin guide 2200. 371 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Figure 22F is a superior side view of one example pin guide 2200. Figure 22F illustrates the hole 2214. In one embodiment, the hole 2214 extends from one end of the bone engagement feature 2208 to the other end. Figure 22G is an inferior side view of one example pin guide 2200. 372 Added by DJM Jan 2024 1/6/24, 10:03 PM

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