Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Matter	Content	Para #	Notes	Modified
View Edit Delete	PER-10	Figure 16 illustrates an exemplary embodiment of a parallel distractor that can be used with certain embodiments.	30	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Figures 19A-19H are top perspective, top perspective, bottom, front elevation, rear elevation, right, and left, and alternative top perspective, respectively, of a patient-specific cutting guide according to one embodiment.	33	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Figure 20 illustrates a perspective view of a first cuneiform and a first metatarsal with one embodiment of a patient-specific cutting guide positioned over a tarsometatarsal (“TMT”) joint.	34	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	The medial side of the body may include 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. 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.	7	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Figures 22A-22H are top perspective, top, bottom, front elevation, rear elevation, right, left, and alternative top perspective, respectively, of a patient-specific cutting guide according to one embodiment.	36	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Figure 23 illustrates a perspective view of a first cuneiform and a first metatarsal with one embodiment of a patient-specific cutting guide positioned over a TMT joint.	37	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Figure 24A illustrates a perspective view of the first cuneiform and the first metatarsal of Figure 23 with one embodiment of a pin guide.	38	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	FIG. 24B illustrates a diagram representative of a cross-sectional view of first metatarsal 230 from a proximal base looking towards the distal head.	39	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Figure 24C illustrates a perspective view of the first cuneiform and the first metatarsal of Figure 24A with a pin guide connected.	40	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Figure 25A illustrates a perspective view of the first cuneiform and the first metatarsal of Figure 23 with one embodiment of a de-rotation handle.	41	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Figure 25B illustrates a perspective view of the first cuneiform and the first metatarsal of Figure 25A with the de-rotation handle and first metatarsal rotated.	42	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Figure 26 illustrates a perspective view of the first cuneiform and the first metatarsal of Figures 24A, 25A with a compressor / distractor and cross joint guide.	43	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Figure 27 illustrates a perspective view of the first cuneiform and the first metatarsal of Figures 24A, 25A with a compressor / distractor and fastener(s).	44	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Figure 28 illustrates a perspective view of an exemplary system for correcting a condition in accordance with one embodiment.	45	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Figure 29 is a flow chart diagram of one example method for making a patient specific cutting guide according to one embodiment.	46	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Figures 30A-30C illustrates perspective views of an exemplary preliminary cutting guide model modified in accordance with one embodiment for use as a patient-specific cutting guide.	47	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Figure 31 is a flow chart diagram of one example method for using a patient specific cutting guide according to one embodiment to mitigate a condition present in a patient.	48	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Standard medical planes of reference and descriptive terminology are employed in this disclosure. While these terms are commonly used to refer to the human body, certain terms are applicable to physical objects in general. A standard system of three mutually perpendicular reference planes is employed. A sagittal plane divides a body into right and left portions. A coronal plane divides a body into anterior and posterior portions. A transverse plane divides a body into superior and inferior portions. A mid-sagittal, mid-coronal, or mid-transverse plane divides a body into equal portions, which may be bilaterally symmetric. The intersection of the sagittal and coronal planes defines a superior-inferior or cephalad-caudal axis. The intersection of the sagittal and transverse planes defines an anterior-posterior axis. The intersection of the coronal and transverse planes defines a medial-lateral axis. The superior-inferior or cephalad-caudal axis, the anterior-posterior axis, and the medial-lateral axis are mutually perpendicular.	51	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Advantageously, with pins 1280a,b in place and pins 1280e,f in place the cutting guide 1400 has been fabricated and custom engineered such that bringing pins 1280a,b and pins 1280e,f in parallel alignment with each other will align the resected surfaces of the first cuneiform 210 and first metatarsal 230 to accomplish a desired translation, rotation, and/or orientation of the first metatarsal 230 relative to the first cuneiform 210 for the procedure. In other words, the alignment features 1260a,b are placed and configured in the cutting guide 1400 such that bringing pins 1280a,b and pins 1280e,f in parallel alignment provides a desired frontal plane correction required to bring sesamoids into proper alignment, based on an evaluation of a pre-operative CAD model. Because the cutting guide 1400 is custom fabricated for a particular patient, the alignment features 1260a,b are positioned such that aligning these alignment features 1260a after the resection will provide a desired frontal plane rotation that is unique to each patient and built into, designed into, the cutting guide 1400. The detachable connector 1270 connecting the alignment feature 1260a to the body 1210 is what enables a single cutting guide 1200 to become two during a procedure and provide a custom translation and rotation of a first metatarsal 230 that can be unique for each patient.	158	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Further, the body 1210 may have one or more bone attachment features that facilitate attachment of the body 1210 to the first cuneiform and/or the first metatarsal. Such bone attachment features may comprise any of a wide variety of holes, spikes, fastening devices, and/or the like. As embodied in Figures 12A through 12H, the bone attachment features may take the form of holes 1240 that extend from a bone facing side 1230 to the outward-facing side 1232 and/or one or more fixation devices. The holes 1240 may be shaped to accommodate pins, K-wires, and/or other elongated bone fixation elements that can be anchored in the first cuneiform and/or the first metatarsal to keep the cutting guide 1200 in place.	142	Added by DJM 2 2022	2/25/22, 12:00 AM

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