Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Matter	Content	Para #	Notes	Modified
View Edit Delete	VIL-12	FIG. 11 is a cross-section view of a distal end of a metatarsal bone according to one apparatus, system, and/or method of one embodiment of the present disclosure.	32	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	In the illustrated embodiment, the bone anchor 330 is a cylindrical screw fastener configured to engage with walls of a bone tunnel and secure the transosseous coupler 320 to a wall of the bone tunnel. In one example embodiment, the bone anchor 330 may include external threads 332 configured to engage with walls of a bone tunnel. In one embodiment, the bone anchor 330 may engage an end of the transosseous coupler 320 and press the end against a wall of the bone tunnel. In this manner, the bone anchor 330 may secure the end of the transosseous coupler 320 to bone such that the transosseous coupler 320 retains the implant 310 in place on the natural articular surface (i.e., natural articular surface 260) of the bone. The bone anchor 330 and transosseous coupler 320 may be coupled to each other using an interference fit between the bone anchor 330 and the bone. The transosseous coupler 320 may couple the implant 310 to the bone anchor 330.	68	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	The bone anchor 330 serves to couple the transosseous coupler 320 to bone. As used herein, an “anchor" refers to an apparatus, instrument, structure, member, part, device, component, system, or assembly structured, organized, configured, designed, arranged, or engineered to secure, retain, stop, and/or hold, an object to or at a fixed point, position, or location. Often, an anchor is coupled and/or connected to a flexible member such as a tether, chain, rope, wire, thread, suture, suture tape, or other like object. Alternatively, or in addition, an anchor may also be coupled, connected, and/or joined to a rigid object or structure. In certain embodiments, an anchor can be a fixation device. Said another way, a fixation device can function as an anchor. A bone anchor is an anchor, a type of fixation device, that can engage bone and can couple or connect another structure to bone. In certain embodiments, the bone anchor is a corkscrew anchor.	67	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	In certain embodiments, the transosseous coupler 320 is a flexible member such as a suture, knotless suture, suture ball, suture connected to a suture ball, or the like. In such an embodiment, the flexible transosseous coupler 320 may be coupled to, couplable to, or otherwise joined to one, or the other, or both of the implant 310 and the bone anchor 330 or a bone fixation point.	66	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	FIG. 2 illustrates an embodiment in which the transosseous coupler 320 is part of the implant 310. The transosseous coupler 320 may be made of the same material or different material from the implant 310. In the illustrated embodiment, the transosseous coupler 320 is flexible and is an elongated structure. The transosseous coupler 320 is long enough to couple the implant 310 to a bone fixation point and/or to a bone anchor 330. The transosseous coupler 320 is configured and designed to apply a tension force between the implant 310 and a bone fixation point and/or to a bone anchor 330. As used herein, a "tension" refers to a force that is applied to both ends of a structure. The structure may have a variety of shapes including fat, thin, wide, elongated, or the like. In one example, a ligament such as a lateral collateral ligament may experience tension due to how the ligament is attached to a femur bone and tibia bone and stretched during flexing of the knee joint. In another example, a tether, suture, or other structure may experience and/or transfer tension as the structure is connected between an implant and an anchor, such as a bone anchor.	65	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	In certain embodiments, the transosseous coupler 320 is part of, or formed together with, the implant 310 such that the transosseous coupler 320 and implant 310 are a single unitary component. In other embodiments, the transosseous coupler 320 is part of, or formed together with, a bone anchor 330 such that the transosseous coupler 320 and bone anchor 330 are a single unitary component. In still other embodiments, the transosseous coupler 320 may be a separate and distinct structure that may be coupled to either or both of an implant 310 and/or a bone anchor 330.	64	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	As used herein, “coupling”, “coupling member”, or "coupler" refers to a mechanical device, apparatus, member, component, or structure, that is organized, configured, designed, arranged, or engineered to connect, or facilitate the connection of, the two or more parts, objects, or structures. In certain embodiments, a coupling can connect adjacent parts or objects at their ends. In certain embodiments, a coupling can be used to connect two shafts together at their ends for the purpose of transmitting power. In other embodiments, a coupling can be used to join two pieces of rotating equipment while permitting some degree of misalignment or end movement or both. In certain embodiments, couplings may not allow disconnection of the two parts, such as shafts during operation. (Search "coupling" on Wikipedia.com July 26, 2021. CC-BY-SA 3.0 Modified. Accessed July 27, 2021.) A coupler may be flexible, semiflexible, pliable, elastic, or rigid. A coupler may join two structures either directly by connecting directly to one structure and/or directly to the other or indirectly by connecting indirectly (by way of one or more intermediary structures) to one structure, to the other structure, or to both structures. "Transosseous" refers to a structure, activity, action, or motion that crosses through bone or passes through bone.	63	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	The transosseous coupler 320 serves to couple an implant 310 to a bone. The transosseous coupler 320 may create a direct coupling or an indirect coupling by way of one or more other components or structures. The direct coupling or an indirect coupling may be between the transosseous coupler 320 and the implant 310, between the transosseous coupler 320 and the bone, and/or between the implant 310 and a structure coupled to bone. The transosseous coupler 320 can have a variety of shapes, come in different sizes, be made of different materials or combinations of materials (i.e., composites or alloys), and/or a variety of different designs.	62	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	VIL-12	The terms “suture” and/or “suture strand” are used herein to mean any strand or flexible member, natural or synthetic, able to joint tissue of a patient and/or to be anchored in a bone tunnel or to hard tissue and useful in a surgical procedure. In certain embodiments, “suture” and/or “suture strand” refers to a flexible line or flexible member of natural material, natural biological material, biomaterial, biomimetic materials, manmade material, or a combination of these either in a single structure, a composite structure, or a plurality of tissue structures that extend in parallel and/or may be woven or bonded together. In certain embodiments, a suture may be long and thin. In certain embodiments, a suture may be planar or may be elastic or inelastic. Examples of a suture include, but are not limited to, a thread, a suture, suture tape, a woven structure, a fibrous material, a cord, and/or any of these in combination with each other, and the like.	61	Added by DJM 2 2022	2/5/22, 12:00 AM
View Edit Delete	OPT-13	In one embodiment, the tibial articulation surface 2412 is configured to include one or more of a medial tibial compartment 2413, a lateral tibial compartment 2414, a medial articulation surface 2420, a lateral articulation surface 2421, and/or high and/or low points within the medial articulation surface 2420, and/or the lateral articulation surface 2421 to remediate a condition of the knee joint into which the knee prosthesis system 3000 deployed. In one embodiment, the tibial articulation surface 2412 contour and/or features adjust mediolateral stability during flexion of a first knee joint having a varus condition: is a varus knee joint. In one embodiment, a tibial articulation surface 2412 of the tibial insert 2910b may adjust mediolateral stability by increasing constraint on a lateral collateral ligament of the first knee joint and decreases tension on a medial collateral ligament of the first knee joint.	175	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	In one embodiment, the femoral component 2401 is configured for a first side of a patient and the tibial insert 2910a is configured for the second side of the patient. In the illustrated embodiment, the first side may be a left side of a patient and the second side may be a right side of a patient. Alternatively, or in addition, the first side may be a right side of a patient and the second side may be a left side of a patient.	160	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	Referring still to FIG. 29, with a knee joint having a varus condition, a surgeon may decide to couple, or connect, the tibial insert 2910a to the tibial baseplate component 2440. As the surgical procedure is completed, a patient’s knee joint, such as a left knee joint, includes the femoral component 2401 having a medial femoral compartment that includes the medial condylar articulation surface 2404 and a lateral femoral compartment that includes the lateral condylar articulation surface 2405. In the illustrated embodiment, the medial condylar articulation surface 2404 defines the medial femoral compartment and the lateral condylar articulation surface 2405 defines the lateral femoral compartment. The tibial insert 2910a may be used instead of the tibial insert 2910b because the left knee presents a varus condition.	161	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	With the tibial insert 2910a deployed in the knee joint, the medial tibial compartment 2813 engages the lateral femoral compartment at a lateral dwell point (shown in later figures) during flexion and the lateral tibial compartment 2814 engages the medial femoral compartment at a medial dwell point (shown in later figures) during flexion. Those of skill in the art will recognize that this is different from the arrangement should the tibial insert 2910b be deployed between the femoral component 2401 and the tibial baseplate component 2440. Said another way, if the left tibial insert 2910b were deployed in a left knee joint, the medial compartments of each of the femoral component 2401 and the tibial baseplate component 2440 would engage with each other and the lateral compartments of each of the femoral component 2401 and the tibial baseplate component 2440 would engage with each other.	162	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	FIG. 30 is a perspective anterior view of knee prosthesis system according to another embodiment of the present disclosure. FIG. 30 includes similar components, parts, devices, apparatus, features, and aspects as those disclosed and described in relation to FIG. 29, however the difference in FIG. 30 is that the knee prosthesis system 2900 is to be deployed in a knee joint having a different condition than a knee joint in relation to the knee prosthesis system 2900 of FIG. 29. In FIG. 30, the example knee prosthesis system 2900 is to be deployed in a knee joint having a valgus condition	163	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	As used herein, a "valgus condition" refers to a state of a bone or joint having an undesired outward angulation (angled laterally, away from the body's midline) of the distal segment of a bone or joint. For example in a valgus condition of the knee, the distal part of the leg below the knee is deviated outward, in relation to the femur, resulting in a knock-kneed appearance. The opposite of varus is called valgus. A varus condition at the knee results in a bowlegged appearance with the distal part of the leg deviated inward, in relation to the femur. (Search "valgus deformity" on Wikipedia.com Oct 20, 2020. Modified. Accessed Jan. 6, 2020.) A valgus condition can be experienced in a variety of joints, including but not limited to, ankle joints, elbow joints, foot joints, hand joints, hip joints, knee joints, toe joints, wrist joints, and the like. A knee that has a valgus condition may also be referred to as a valgus knee.	164	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	A patient knee with a valgus condition may cause one or more problems or challenges in the kinematics of the knee as the knee transitions through various angles of flexion and/or extension. For example, a valgus knee may have impeded, or unnatural, tibiofemoral rotation within the medial tibial compartment during flexion of the knee joint. The impeded, or unnatural, tibiofemoral rotation may cause premature wear on components of the knee prosthesis system 2900, interfere with a patient’s balance, interfere with the patient’s gait or mobility, or the like.	165	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	Advantageously, the knee prosthesis system 3000 can remediate an undesirable or unacceptable tibiofemoral rotation within the medial tibial compartment during flexion of the knee joint. Specifically, the tibial articulation surface 2812 facilitates tibiofemoral rotation within the medial tibial compartment 2813 during flexion of a first knee joint where the condition is a valgus knee joint. In the illustrated embodiment, the surgeon may choose, either pre-operatively and/or intraoperatively, to use tibial insert 2910b with the tibial baseplate component 2840 and the femoral component 2801 for a right knee. The tibial insert 2910b is positioned between the tibial baseplate component 2840 and the femoral component 2801 when deployed, see arrow 3012. The tibial insert 2910b may be used instead of the tibial insert 2910a because the right knee presents a valgus condition.	166	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	The tibial insert 2910b includes a tibial articulation surface 2412 having a medial tibial compartment 2413 and a lateral tibial compartment 2414. The compatible interfaces 2411, 2841 enable the surgeon to deploy the tibial insert 2910b with the tibial baseplate component 2840 and the femoral component 2801 for a right knee to adapt, adjust, refine, or modify kinematics of a patient’s right knee joint having a valgus condition.	167	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	It should be noted that in the illustrated embodiment a surgeon may deploy the tibial insert 2910b in a right knee because the knee has a valgus condition. However, the tibial insert 2910b may also be deployed (e.g., is suitable for implantation) in a patient’s left knee joint that lacks the valgus condition. While the tibial insert 2910b may be designed for deployment in a left knee joint that lacks a condition, or has a balanced condition, the tibial insert 2910b is illustrated in FIG. 32 being deployed in a right knee joint that has a valgus condition of about eight degrees. Referring still to FIG. 30, with a knee joint having a valgus condition, a surgeon may decide to couple, or connect, the tibial insert 2910a to the tibial baseplate component 2440.	168	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	FIG. 31 is a perspective anterior view of knee prosthesis system according to one embodiment of the present disclosure. The knee prosthesis system 3000 includes a femoral component, an insert, and a tibial baseplate component. In certain embodiments, a particular femoral component and a particular tibial baseplate component are specifically configured for a right knee joint. In certain embodiments, a particular femoral component and a particular tibial baseplate component are specifically configured for a left knee joint. Alternatively, or in addition, the femoral component and tibial baseplate component may be specifically configured for use in either one of a left knee joint or a right knee joint. A knee prosthesis system 3000 for the right knee joint may be configured for a first side of a patient. Alternatively, or in addition, a knee prosthesis system for the left knee joint may be configured for a second side of a patient, the second side being the other side of the right side and the left side.	169	Added by DJM 1 2022	1/25/22, 12:00 AM

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