Dave's PCF WIP: Paragraphs

Paragraphs

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View Edit Delete	PER-33	In the illustrated embodiment, the soft tissue rearrangement system 1300 includes a tendon trajectory guide 1320 configured to permit a user to grasp the port body 1350 to hold the tendon trajectory guide 1320 in place as the bone tunnel is formed and/or as an inserter 1352 or fastener 710 is deployed to facilitate forming the bone tunnel. This embodiment is illustrated in FIG. 13.	370	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Those of skill in the art will appreciate that in certain embodiments, the tendon trajectory guide 1320 can include an integrated handle such as a port body 1350. Or the soft tissue rearrangement system 1300 can include a handle for the tendon trajectory guide 1320. The handle 922 of system 1000 is one example of a handle that can be used with such an embodiment. FIG. 15B illustrates another example. The handle can include a first coupler configured to removably engage a second coupler of the tendon trajectory guide 1320. For example, the first coupler can be external threads on an end of the handle and the second coupler can be internal threads in an opening in a body 1332 of the tendon trajectory guide 1320.	371	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	FIGs. 15A-15B illustrate dorsal perspective views of a foot including a tendon trajectory guide, according to an alternative embodiment. FIG. 15A illustrates one embodiment of a tendon trajectory guide 1320 in which the port body 1350 serves as a handle for using the tendon trajectory guide 1320. FIG. 15B illustrates an alternative embodiment in which the body 1332 of the tendon trajectory guide 1320 includes a coupler for coupling to a coupler of a separate handle 922. The embodiments of FIGs 15A and 15B may have many structures, features, and functions, operations, and configuration similar or identical to those of the soft tissue rearrangement system 1300 described in relation to FIG. 13, like parts are identified with the same reference numerals. The embodiment of the tendon trajectory guide 1320 of FIG. 15A is illustrated in FIGs. 16A-16C.	372	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	FIGs. 15A-15B a lateral cuneiform 206 as the desired location for securing a tendon for a particular tendon transfer procedure. For example, a surgeon may desire to perform a posterior tibial tendon transfer surgical procedure. Advantageously, the tendon trajectory guide 1320 of FIGs 15A and 15B provide examples of patient-specific tendon transfer guides suitable, and/or specifically designed, to assist a surgeon in performing this procedure.	373	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In the illustrated embodiment, the tendon trajectory guides 1320 include a plurality of appendages 1502. The plurality of appendages 1502 may extend laterally from the body 1332. Advantageously, a surgeon can determine and/or provide instructions for how many appendages 1502 to include and/or what landmarks one or more appendages 1502 are to register to during the surgical procedure.	374	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	FIGs. 16A-16C illustrate views of a tendon trajectory guide of FIG. 15A, according to one embodiment. FIG. 16A is an anterior-medial view of the lateral cuneiform 206 with a tendon trajectory guide 1320a positioned on its dorsal surface. It should be noted that the appendages 1502, in this embodiment, are configured to wrap around a medial, anterior, and lateral end of the lateral cuneiform 206 and extend into three of the joints of the lateral cuneiform 206. By including three appendages 1502, a surgeon can be assured that the tendon trajectory guide 1320a is positioned in a desired position determined preoperatively. In one embodiment, a surgeon determines the desired position. FIG. 16B is a posterior-lateral view of the lateral cuneiform 206 with the tendon trajectory guide 1320a positioned on its dorsal surface.	376	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	While specific embodiments and applications of the present disclosure have been illustrated and described, it is to be understood that the scope of this disclosure is not limited to the precise configuration and components disclosed herein. Various modifications, changes, and variations which will be apparent to those skilled in the art may be made in the arrangement, operation, and details of the methods and systems of the present disclosure set forth herein without departing from it spirit and scope.	397	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Recitation in the claims of the term “first” with respect to a feature or element does not necessarily imply the existence of a second or additional such feature or element. Elements recited in means-plus-function format are intended to be construed in accordance with 35 U.S.C. §112 Para. 6. It will be apparent to those having skill in the art that changes may be made to the details of the above-described embodiments without departing from the underlying principles set forth herein.	396	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Similarly, it should be appreciated that in the above description of embodiments, various features are sometimes grouped together in a single embodiment, Figure, or description thereof for the purpose of streamlining the disclosure. This method of disclosure, however, is not to be interpreted as reflecting an intention that any claim require more features than those expressly recited in that claim. Rather, as the following claims reflect, inventive aspects lie in a combination of fewer than all features of any single foregoing disclosed embodiment. Thus, the claims following this Detailed Description are hereby expressly incorporated into this Detailed Description, with each claim standing on its own as a separate embodiment. This disclosure includes all permutations of the independent claims with their dependent claims.	395	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Reference throughout this specification to “an embodiment” or “the embodiment” means that a particular feature, structure or characteristic described in connection with that embodiment is included in at least one embodiment. Thus, the quoted phrases, or variations thereof, as recited throughout this specification are not necessarily all referring to the same embodiment.	394	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Any methods disclosed herein comprise one or more steps or actions for performing the described method. The method steps and/or actions may be interchanged with one another. In other words, unless a specific order of steps or actions is required for proper operation of the embodiment, the order and/or use of specific steps and/or actions may be modified.	393	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Conventionally, correction methods, systems, and/or instrumentation for a condition such as, for example, a bunion and/or a hallux valgus, face several challenges. One example is how to cut the bone such that the cut faces have a desired angle in relation to each other. Advantageously, the present disclosure can address many, if not all, of these challenges to assist a surgeon in performing the surgical procedure and improve the quality of patient care and outcomes.	392	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Advantageously, the present disclosure provides an apparatus, system, and/or method that can remediate a condition in a patient’s foot. Those of skill in the art will appreciate that the methods, processes, apparatuses, systems, devices, and/or instruments of the present disclosure can be used to address a variety of conditions in a variety of procedures and/or parts of the body of the patient.	391	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Advantageously, because the present disclosure uses a bone model of the patient’s bones the sizes, dimensions, lengths and configurations of the components of the example systems can each be changed, adapted, revised, and/or customized to meet the needs and/or preferences of the patient and/or surgeon. Advantageously, using the apparatus, systems, and/or methods of the present disclosure the surgeon may have a preoperative plan that identifies which specific bone screw (length, width, diameter, thread, pitch, etc.) to use for the fasteners.	390	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Those of skill in the art will appreciate that embodiments of the system disclosed herein can be used on humans and animals and on bones that are relatively small in comparison to other bones of the body (e.g., bones of the foot and hand). Advantageously, the embodiments of the system seek to minimize the number of fasteners or pins placed within the bones of a patient by planning a surgical procedure such that pins or fasteners placed in one stage are and/or can be reused in subsequent stages. Consequently, pins initially deployed can remain in the bone or bone fragment as instruments are deployed and/or subsequent stages of the surgical procedure are performed.	389	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Although FIG. 17 shows example blocks of process 1700, in some implementations, process 1700 may include additional blocks, fewer blocks, different blocks, or differently arranged blocks than those depicted in FIG. 17. Additionally, or alternatively, two or more of the blocks of process 1700 may be performed in parallel.	388	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In one embodiment, process 1700 may include additional implementations, such as any single implementation or any combination of implementations described below and/or in connection with one or more other processes described elsewhere herein. A first implementation, alone or in combination with the first implementation, revising further may include adding a second appendage extending from the patient-specific tendon transfer anchor guide, the second appendage having an appendage inferior surface that may include at least a portion of the bone engagement surface.	387	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In the illustrated embodiment, at least one appendage 1502 extends from the body 1332. Advantageously, the appendage 1502 can provide a surgeon with confidence and assurance in the placement and positioning of the tendon trajectory guide 1320 on the bone because the appendage 1502 can be configured to engage with a particular landmark on the bone (e.g., a side surface of the bone (dorsal, plantar, medial, lateral, a projection or a depression or cavity, one or more joints, or the like). Alternatively, or in addition, the appendage 1502 can include a contoured bone engagement surface 1506 that can further facilitate registration of the appendage 1502 and/or tendon trajectory guide 1320 with the bone. In this manner, a surgeon can be assured intraoperatively that the tendon trajectory guide 1320 is being positioned as desired.	378	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	FIG. 17 is a flowchart diagram of an example process 1700 or method for generating a tendon trajectory guide, according to one embodiment. In some implementations, one or more process blocks of FIG. 17 may be performed by a patient-specific tendon transfer anchor guide.	380	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In certain embodiments, the appendage 1502 can be shaped like a hook to engage a surface or structure of a bone. Alternatively, or in addition, the tendon trajectory guide 1320 may include an appendage 1502 on each side, together the appendage 1502 can engage one or more landmarks of the bone such that the surgeon can accurately position and register the tendon trajectory guide 1320 to the bone.	379	Added by DJM Jan 2024	1/6/24, 9:58 PM

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