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Delete 		TMC-PAT-4 Medical image 1400 shows a landmark registration features 1004 that extends distally and engages a lateral side of a base of the first metatarsal 208. In addition, in the example embodiment, the markings 970 extend from a superior side 914 to an inferior side 916. This enables the markings 970 to show clearly when using X-rays for the medical image 1400. 440 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 Medical image 1400 shows the advantages of using the embodiments of the present disclosure. A surgeon may use fluoroscopy or take a number of X-ray images during different stages of a surgical procedure. For example, before deploying fasteners 710 in one or both of the bone attachment feature 908 and the bone attachment feature 910, a surgeon may take an X-ray to confirm that the resection guide 820c is a desired position relative to the bones and/or a joint. In addition, further use of fluoroscopy and/or capturing additional X-ray images can produce the medical image 1400 of FIG. 14. 441 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 At any stage of a surgical procedure, a surgeon can use fluoroscopy or take a number of X-ray images to confirm and/or validate a preoperative plan 506 and/or to confirm that steps have been taken and proceed according to the surgeon’s plan. In one example preoperative plan 506, a surgeon may have virtually repositioned a bone model of the first metatarsal 208 from a deformed orientation to a desired orientation (e.g., such that a longitudinal axis of the first metatarsal 208 will be parallel or substantially parallel to a longitudinal axis of the second metatarsal 210, IM angle of about 0). Based on a preoperative plan 506 that includes such a correction for the first metatarsal 208, the surgeon next may use an image like medical image 1400 to check a number of other characteristics of the resection guide 820c. 442 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 In one example, before deploying fasteners 710, as appears to have been done before capturing medical image 1400, a surgeon may initially position the resection guide 820c in the position shown in medical image 1400. Once in this position, a surgeon may review multiple landmarks of the bones and/or structures of the patient in relation to one or more structures of the resection guide 820c. 443 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 For example, a surgeon may visually check, using medical image 1400, that the proximal resection feature 902 extends from medial to lateral on a trajectory that is perpendicular to a longitudinal axis of the second metatarsal 210. Alternatively, or in addition, a surgeon may check (e.g., visually) that the distal resection feature 904 extends from medial to lateral on a trajectory that is perpendicular to a longitudinal axis of the first metatarsal 208 (e.g., when the first metatarsal 208 is in a deformed position). Alternatively, or in addition, a surgeon may check (e.g., visually) that an arm and holes 940 of a proximal bone attachment feature 908 extend from the body 900 proximal to distal on a trajectory that is parallel to a longitudinal axis of the second metatarsal 210. Further, the surgical procedure may check (e.g., visually) that the arm and holes 940 of the proximal bone attachment feature 908 will align from proximal to distal with an arm and holes 940 of the distal bone attachment feature 910 postoperatively once the osteotomies are completed and the first metatarsal 208 is brought in contact with the medial cuneiform 202 during reduction. Such visual checks at one or more stages of a surgical procedure may assist a surgeon in validating that the preoperative plan 506 is the plan to continue and may provide assurance that osteotomies formed using the resection guide 820c will be in and where the surgeon desires to form them. 444 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 Alternatively, or in addition, these check can assist a surgeon in positioning and/or registering the resection guide 820c to one or more bones and/or to a position that matches the position planned in a preoperative plan 506. Such position and registration checks can help a surgeon to complete the surgical procedure in the manner desired and prior to finalizing a position of the resection guide 820c and initiating one or more osteotomies. 445 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 Those of skill in the art will appreciate that embodiments of the system disclosed herein can be used on humans 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. 446 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 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. 447 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 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. 448 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 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. 449 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 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. 450 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 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. 451 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 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. 452 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 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. 453 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 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. 454 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 What is claimed is: 455 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 In the illustrated embodiment, in one example surgical technique, a surgeon deploys a first pair of fasteners in first bone attachment feature 908 or second bone attachment feature 910 and a second pair of fasteners in the other one of the first bone attachment feature 908 or second bone attachment feature 910. Next, the surgeon forms a first osteotomy in a cuneiform or a metatarsal. Next, the surgeon forms a second osteotomy in the other one of the cuneiform or the metatarsal. 406 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 Next, the surgeon may slide the resection guide 820c off of the fasteners of one of the first bone attachment feature 908 and the second bone attachment feature 910. Next, the surgeon may slide the resection guide 820c off of the other one of the first bone attachment feature 908 and the second bone attachment feature 910. In certain embodiments, the size of angle A and/or the length of the fasteners may impede removal of the resection guide 820c by sliding off of the fasteners while the fasteners remain in the bone(s). In such embodiments, a surgeon may temporarily remove fasteners such as those in first bone attachment feature 908 to facilitate removal of the resection guide 820c and then replace the fasteners used in the first bone attachment feature 908 into the same holes in the bone they were in previously. 407 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 Advantageously, with the resection guide 820c removed, a surgeon may prepare the cut faces for a fusion and then proceed with a reduction of the bones and/or bone fragments. In one embodiment, the surgeon may slide a compression block (e.g., or a positioning guide or a reduction guide) over the fasteners used with the first bone attachment feature 908 and those used with the second bone attachment feature 910. Alternatively, or in addition, the surgeon may reduce the bones manually. 408 Added by DJM Jan 2024 1/3/24, 4:24 AM
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Delete 		TMC-PAT-4 In one embodiment, a compression block may include four holes one for each fastener of the first bone attachment feature 908 and the second bone attachment feature 910. These four holes may be parallel to each other as they extend through the compression block and may be aligned with each other longitudinally (e.g., along dorsal axis 1206). Consequently, as the compression block is slid down the fasteners, the fasteners of the second bone attachment feature 910 are aligned with the fasteners of the first bone attachment feature 908 along the longitudinal axis 1202 and/or the dorsal axis 1206. This alignment causes the metatarsal to rotate about its long axis, about longitudinal axis 1202, within the frontal plane. This rotation can correct a position of sesamoids of the metatarsal. The metatarsal rotates from a deformed position to a corrected position. 409 Added by DJM Jan 2024 1/3/24, 4:24 AM

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