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PER-10 11. The patient specific instrument of claim 1, wherein the bone engagement surface of the inferior side of the body is configured to engage a dorsal surface of one or more of the first bone and the second bone. 347 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 10. The patient specific instrument of claim 1, wherein the medial side of the body comprises a medial superior surface and a medial inferior surface that meet at a medial edge, the medial inferior surface angled to connect the inferior side of the body and the medial edge such that the medial inferior surface does not impinge upon soft tissue near the joint. 346 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 9. The patient specific instrument of claim 1, wherein the lateral side of the body comprises a lateral superior surface and a lateral inferior surface that meet at a lateral edge, the lateral inferior surface angled to connect the inferior side of the body and the lateral edge such that the lateral inferior surface does not impinge upon soft tissue near the joint. 345 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 wherein the first alignment feature and second alignment feature are configured to couple with an active compression instrument that compresses the first bone and the second bone for deployment of fasteners that connect the first bone and the second bone. 344 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 a second alignment feature configured to engage the second bone by way of a dorsal surface of the second bone; and 343 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 a first alignment feature configured to engage the first bone by way of a dorsal surface of the first bone; 342 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 8. The patient specific instrument of claim 1, further comprising: 341 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 6. The patient specific instrument of claim 4, wherein the body extends between a lateral end of the joint and a medial end of the joint and the proximal arm and the distal arm are aligned and extend proximal to the lateral end of the joint. 339 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 a first guide feature configured to define a first cut surface configured for resection of a first metatarsal of a patient; 370 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 A patient specific instrument is disclosed for correcting a condition present in a patient. The patient specific instrument includes a body that includes an inferior side having a bone engagement surface shaped to match a first surface of a first bone and a second surface of a second bone of a joint. The instrument also includes a superior side having a first guide feature and a second guide feature that together, with the bone engagement surface overlying the first surface and the second surface, are positioned to guide resection of the first bone and the second bone during a surgical osteotomy for correcting the condition. The body is configured to seat transverse to the joint with the bone engagement surface engaging the first surface of the first bone and the second surface of the second bone. 380 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 the compressor/distractor comprises a pair of legs that are closer to each other at a distal end of each leg than at a proximal end of each leg. 379 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 the first metatarsal alignment feature comprises a pin guide configured to position alignment pins for a desired rotation angle of the first metatarsal about its longitudinal axis; 378 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 20. The system of claim 19, wherein: 377 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 a compressor/distractor configured to engage the medial cuneiform alignment feature and the first metatarsal alignment feature and compress the first cut surface of the first metatarsal against the second cut surface of the medial cuneiform. 376 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 a first metatarsal alignment feature coupled to the first metatarsal, the first metatarsal alignment feature configured to enable a user to rotate the first metatarsal from a malrotation position to a desired rotation position; and 375 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 wherein one of the first guide feature and the second guide feature is configured based on patient imaging data such that fusion of the first metatarsal at the first cut surface to the medial cuneiform at the second cut surface mitigates the condition; 374 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 a medial cuneiform alignment feature coupled to the medial cuneiform; 373 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 an inferior side comprising a bone engagement surface shaped to match a first surface of the first metatarsal and a second surface of the medial cuneiform; 372 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 a second guide feature configured to define a second cut surface configured for resection of a medial cuneiform of a patient; 371 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 wherein the one or more guide features of a preliminary cutting guide model are configured to enable a surgeon to form the first cut surface and the second cut surface. 360 Added by DJM 2 2022 2/25/22, 12:00 AM

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