Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Application	Content	Paragraph Number	Notes	Modified
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View Edit Delete	PER-32	Method 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, method 1700 further includes removing a guard pin of a bone engagement feature before removing the resection guide; and reinserting the guard pin into a channel of the second bone fragment after removing the resection guide. The guard pin may be reinserted into the channel of the second bone fragment before the second bone fragment is moved. The channel of the second bone fragment may be formed by the guard pin inserted before removing the resection guide.	294	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	In a second implementation, alone or in combination with the first implementation, the second bone fragment includes one or more anchor pins and moving the second bone fragment further may include moving the one or more anchor pins of the second bone fragment in close proximity to the reduction anchor. For example, the one or more anchor pins may be moved into one or more open end slots of a reduction anchor.	295	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	In a third implementation, alone or in combination with the first and second implementation, stabilizing the second bone fragment and first bone fragment may include coupling one or more anchor pins of the second bone fragment to the reduction anchor.	296	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	It should be noted that while FIG. 17 shows example blocks of method 1700, in some implementations, method 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 method 1700 may be performed in parallel.	297	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	FIG. 18 illustrates a system 1800 that includes an example resection guide deployed on a medial surface of a distal tibia 224. The system 1800 includes a distal tibia resection guide 1810b similar to resection guide 1020c and a distal fibula resection guide 1820b. In FIG. 18B, the tibia 224 and fibula 226 are shown using a transparent representation to enable visualization of a placement feature 1510.	298	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	FIG. 18A illustrates the distal tibia resection guide 1810b and the distal fibula resection guide 1820b deployed on the tibia 224 and fibula 226. FIG. 18 illustrates that the members of the system 1800 are tailored to the needs of a specific patient. The length of the distal tibia resection guide 1810b is longer because a larger wedge is being resected. A proximal resection feature 1022a may be perpendicular to the bone surface and to a longitudinal axis of the bone and a distal resection feature 1022b may be angled to form the wedge.	299	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	FIG. 18B illustrates the distal fibula resection guide 1820b and lateral side of the ankle the distal tibia resection guide 1810b is also illustrated behind transparent bones. It should be noted that that distal fibula resection guide 1820b includes a single resection feature 1022a that is angled to resect the fibula 226. Also, the distal fibula resection guide 1820b includes an open ended second anchor 1540 configured to receive the distal end 1534 of the connector 1530.	300	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	FIG. 19 illustrates an exemplary system 1900, according to one embodiment. The system 1900 may include one or more fasteners 910, such as fasteners 1010, one or more resection guides 920, such as resection guide 1920a or resection guide 1920b, and may include one or more other complementary components 930. In the illustrated embodiments, each of the resection guides 1920a,b includes one or more resection features 1022a. In other embodiments, the resection guides 1920a,b may include one resection feature 1022, three resection features 1022, four resection features 1022, or the like.	301	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	In addition shown in FIG. 17, method 1700 may include coupling a reduction anchor to the two or more anchor pins (block 1704). For example, osteotomy system may couple a reduction anchor to the two or more anchor pins, as described above. As also shown in FIG. 17, method 1700 may include moving a second bone fragment into reduction position (block 1706). For example, osteotomy system may move a second bone fragment into reduction position, as described above. As further shown in FIG. 17, method 1700 may include stabilizing the second bone fragment and first bone fragment in the reduction position (block 1708). For example, one osteotomy system may stabilize the second bone fragment and first bone fragment in the reduction position, as described above.	293	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	One difference between the illustrated embodiments of the resection guides 1920a,b may be the number, angle, size, and/or shape of resection features 1022 for a resection guide 1920 relative to the resection guide 1920 and/or patient bone, and the like. Each of these are examples of patient-specific features of the resection guides 1920.	303	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	Another difference between the illustrated embodiments of the resection guides 1920a,b may be the resection guide 1920b may include a second anchor 1540 that may be separate from or integrated with a bone attachment feature 1024.	304	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	In the illustrated embodiment, each of the resection guides 1020a,b,c may be configured for use on a lateral side of an ankle of a patient, with the side visible in FIG. 19 facing away from the bone(s). The resection features 1022a may be positioned and oriented to facilitate forming cuts for in a fibula 226. Of course, the resection features 1022 can be configured to enable osteotomies for an opening wedge and/or for a bone shorten osteotomy and/or for a bone lengthening osteotomy.	305	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	One resection guide 1020 (e.g., resection guide 1920a, distal tibia resection guide 1810b) may be configured to facilitate forming a wedge resection that opens to an anterior side of a distal tibia. Resection guide 1920a includes a single resection features 1022 in the shape of a “V”. Another resection guide 1920 (e.g., resection guide 1920b, distal fibula resection guide 1820b) may be configured to facilitate resecting a lateral side of a distal fibula 226 and/or ankle.	306	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	FIGS. 20A-20D illustrate views of an example resection guide 1920a of the system 1900 of FIG. 19, according to one embodiment. FIGS. 20A-20D illustrate views of an alternative embodiment for a resection guide 1920. The resection guide 1920a may have many structures, features, and functions, operations, and configuration similar or identical to those of the resection guide 1020a described in relation to FIGS. 11A-11E, like parts are identified with the same reference numerals. Accordingly, the resection guide 1920a may include one or more resection features 1022, bone attachment features 1024, bone engagement surface 1026, and/or landmark registration features 1028.	307	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	The resection guide 1920a includes a first resection feature 1022. The resection guide 1920a includes a body 1032. The body 1032 may include a resection feature 1022. The body 1032 may include a pattern 1033 of openings that extend from one surface or side to an opposite surface or side.	308	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	The resection guide 1920a includes an anterior side 1036, a posterior side 1034, a medial side 1040, a lateral side 1038, a superior side 1042, and an inferior side 1044. FIG. 20A is an inferior perspective view. FIG. 20B is a superior perspective view. FIG. 20C is a lateral side perspective view. FIG. 20D is a medial side perspective view.	309	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	In one embodiment, the resection guide 1920a may include an alignment guide 1046. The resection guide 1920a may include proximal end 1051 and a distal end 1053. In the illustrated embodiment, the superior side 1042 includes a proximal bone attachment feature 1058 and the inferior side 1044 includes a distal bone attachment feature 1060. In one embodiment, the holes 1056 of the proximal bone attachment feature 1058 are aligned with each other. Alternatively, or in addition, the proximal bone attachment feature 1058 are not aligned with each other.	310	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	As shown in FIG. 17, method 1700 may include removing a resection guide from two or more anchor pins that engage a first bone fragment (block 1702). This can be done for example by sliding the resection guide towards the free ends of the two or more anchor pins. For example, osteotomy system may remove a resection guide from two or more anchor pins that engage a first bone fragment, as described above.	292	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	FIG. 17 is a flow chart of a method 1700, according to an example of the present disclosure. According to an example, one or more process blocks of FIG. 17 may be performed using an osteotomy system or apparatus.	291	Added by DJM Jan 2024	1/6/24, 9:49 PM
View Edit Delete	PER-32	The reduction anchor 1630a and reduction stabilizer 1650a may operate and function in a similar manner to the reduction anchor 1630 and/or reduction stabilizer 1650 described previously. One difference however is that when using the reduction guide 1660d with the resection guide 1020e, after resection using the resection features 1022, the fifth fastener 1611 in the hole 1617 can be removed and the fourth fastener 1615 and third fastener 1610 can remain in the distal bone fragment 224a after resection and during reduction. In this manner, a surgeon can maintain stable and secure control of the distal bone fragment 224a during resection and throughout the reduction stage of a surgical procedure. Those of skill in the art will appreciate that the fastener lock 1666 and fastener lock 1667 can be embodied in other forms and configurations and still meet the subject matter disclosed in the present disclosure.	290	Added by DJM Jan 2024	1/6/24, 9:49 PM

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