Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Matter	Content	Para #	Notes	Modified
View Edit Delete	OPT-13	Referring to FIGS. 9 and 10, another assembly 110 embodiment of the disclosure may include the PS insert 12 of FIGS. 1-8 coupled with a cruciate retaining femoral component 114 (or “CR femoral component”). The CR femoral component 114 may include medial and lateral condyles 160, 164, with a gap 168 formed between the medial and lateral condyles 160, 164. As a CR femoral component 114, no cam bar or box may be present. The medial and lateral condyles 160, 164 may include medial and lateral condylar articulation surfaces 162, 166, and an internal articulation surface 154 with medial and lateral articulating surfaces 170, 172.	84	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	The PS femoral component 14 depicted in FIGS. 1-8 may include a cam element or cam bar 50 and a box structure 52 for providing posterior stabilization in place of absent ligaments. The cam bar 50 may include a cam articulating surface 51 which may contact the posterior articulation surface 42 of the post 30 during flexion, as in FIGS. 1B and 7. An internal articulation surface 54 may reside on the inside of the box structure 52 and may contact the post 30 during articulation and rotation of the knee joint. The internal articulating surface 54 may be concavely curved and may contact the rim 44 of the post 30 during axial rotation of the knee joint about the post. The PS femoral component 14 may further include a medial condyle 60 having a medial condylar articulation surface 62, and a lateral condyle 64 having a lateral condylar articulation surface 66. The medial and lateral condylar articulation surfaces 62, 66 may articulate against the PS insert 12 medial and lateral condylar articulation surfaces 25, 27, respectively. A gap 68 may be formed between the medial and lateral condyles 60, 64, with the cam bar 50 extending medial-laterally across the gap 68. The internal articulation surface 54 may include a medial portion 70 continuous with a lateral portion 72. In the embodiment depicted, a fixation post 74 may protrude superiorly from the PS femoral component 14. However, in other embodiments of the PS femoral component 14, the fixation post 74 may be absent and/or other fixation features such as posts, spikes, pegs, webs, keels, or teeth may be present to affix the PS femoral component 14 to a prepared femur (not shown).	83	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	Referring to FIG. 3C, the boundary of the post superior end 40 defines a rounded rim 44 shaped as a portion of a circle defined by a circular envelope 47, as seen from a superior perspective. The post superior end 40 and rim 44 may be crescent-shaped with a concave recess toward a posterior end of the post 30 as shown and may permit passage of the posterior cruciate ligament. The post superior end 40 may be circular; the rim 44 may provide increased rotational range of motion and surface contact against the femoral component 14 in comparison to traditional posts with a more square or rectangular shape and no rim. Thus, the rounded post superior end 40 and rim 44 may allow for surface contact with the femoral component 14 in contrast to the mere point or edge contact that is achieved by traditional posts that do not have these features.	82	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	The articulation surface 31 may include a medial articulation surface 32, a lateral articulation surface 34, an anterior post surface 36, and a posterior articulation surface 42. The medial and lateral articulation surfaces 32, 34 may be non-parallel to one another and taper inward from the post superior end 40 to the post base 38 relative to an insert midline vertical axis 2, as shown in FIGS. 3A and 3B. As shown in FIG. 3A, an angle θ between the vertical axis 2 and each tapered surface 32, 34 may be about 6.5°, in at least one embodiment. Since the post 30 may be bilaterally symmetrical, the angle θ may be the same on both the medial and lateral articulation surfaces 32, 34 of the post 30. In other embodiments of the disclosure, angle θ may range from about 6° to 11° degrees. The medial articulation surface 32 may be continuous with the medial condylar articulation surface 25, and the lateral articulation surface 34 may be continuous with the lateral condylar articulation surface 27, as can been further seen in cross-section in FIGS. 6 and 8. The anterior post surface 36 may extend between the medial and lateral articulation surfaces 32, 34 and may be convexly rounded. The anterior post surface 36 may also taper outward from the post superior end 40 to the post base 38 relative to the midline vertical axis 2, as best seen in FIG. 3D. In other embodiments of the PS insert 12, the anterior post surface 36 may include less or no taper.	81	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	Continuing with FIGS. 1A-3D, the post 30 may have an articulation surface 31 extending around the post 30 on the medial, posterior, lateral, and anterior aspects of the post 30. As used herein, "articulation" refers to a joint or juncture between bones or cartilage in a skeleton of a vertebrate. In certain embodiments, "articulation" may also refer to the action or manner of jointing or interrelating, or the state of being jointed or interrelated (search "articulation" on Merriam-Webster.com. Merriam-Webster, 2021. Web. 15 Nov. 2021. Modified.)	80	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	A central portion 28 may separate the medial tibial compartment 24 from the lateral tibial compartment 26. A post 30 may protrude superiorly from the central portion 28 and extend from a post base 38 to a post top or post superior end 40. From the anterior perspective (shown in FIG. 3B) and/or the posterior perspective (shown in FIG. 3A), the post 30 may have its maximum medial-lateral or horizontal width toward the post superior end 40 of the post 30, and its minimum medial-lateral or horizontal width toward the post base 38 of the post 30. The post 30 may also be bilaterally symmetrical from the anterior and/or posterior perspectives. A recess 45 may be formed posterior to the central portion 28, between the medial and lateral tibial compartments 24, 26, and may provide room for a posterior cruciate ligament (not shown). The PS insert 12 may further include an insert base 46, which may further include an engagement feature 48 for engagement with a tibial baseplate component.	79	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	As used herein, “tibial" describes a feature, aspect, component, function, attribute, structure or part that is, or is configured to, connect to, couple to, interact with, interoperate with or is otherwise associated with a tibia bone of a human or animal. As used herein, a “compartment” refers to a section, chamber, part or area, or one of a set of parts into which an area may be subdivided. (Search "compartment" on wordhippo.com. WordHippo, 2021. Web. Accessed 8 Dec. 2021. Modified.)	78	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	FIG. 24C is an anterior view of the asymmetric tibial insert of FIG. 24A.	41	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	Referring to FIGS. 1A-2, an assembly 10 for an implantable knee prosthesis is shown including a femoral component 14 and a tibial insert 12. As used herein, “femoral" describes a feature, aspect, component, function, attribute, structure or part that is, or is configured to, connect to, couple to, interact with, interoperate with or is otherwise associated with a femur bone of a human or animal. As used herein, an “insert” refers to an apparatus, instrument, structure, device, component, system, or assembly that is structured, organized, configured, designed, arranged, or engineered to couple or connect to one or more other components, parts, or devices. In certain embodiments, an insert is configured to be inserted or deployed between two or more other components or structures. The femoral component 14 and tibial insert 12 are shown coupled in extension in FIG. 1A, coupled in flexion in FIG. 1B, and shown in an exploded view in FIG. 2. The tibial insert 12 may be further coupled to a tibial baseplate component (See FIG. 24A) which may be implanted in a prepared tibia of a patient (also not shown). The femoral component 14 and tibial insert 12 illustrated in FIGS. 1A-2 are right femoral and tibial insert components. In certain embodiments, left femoral and tibial insert components may be mirror images of the right femoral and tibial insert components shown in FIGS. 1A-2. The femoral component 14 may also be referred to as a posterior stabilizing femoral component 14 (or “PS femoral component”) and the tibial insert 12 may also be referred to as a posterior stabilizing tibial insert (or “PS insert”).	76	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	The present disclosure is an apparatus, system, and method for implantation in a knee joint of a patient where the knee joint has a condition such as varus or valgus. In one embodiment, the system uses a tibial insert and/or a tibial component configured for a second knee opposite of the knee joint receiving arthroplasty. By using a tibial insert and/or a tibial component designed for an opposite knee, the condition of the knee joint is remediated.	75	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	Posterior means toward the back of a body. Superior or cephalad means toward the head. Inferior or caudal means toward the feet or tail. Medial means toward the midline of a body, particularly toward a plane of bilateral symmetry of the body. Lateral means away from the midline of a body or away from a plane of bilateral symmetry of the body. Axial means toward a central axis of a body. Abaxial means away from a central axis of a body. Ipsilateral means on the same side of the body. Contralateral means on the opposite side of the body. Proximal means toward the trunk of the body. Proximal may also mean toward a user or operator. Distal means away from the trunk. Distal may also mean away from a user or operator. Dorsal means toward the top of the foot. Plantar means toward the sole of the foot. Antegrade means forward moving from a proximal location/position to a distal location/position or moving in a forward direction. Retrograde means backward moving from a distal location/position to a proximal location/position or moving in a backwards direction. Sagittal refers to a midline of a patient’s anatomy, which divides the body into left or right halves. The sagittal plane may be in the center of the body, splitting it into two halves.	72	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	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. Anterior means toward the front of a body.	71	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	Standard medical planes of reference and descriptive terminology are employed in this specification. 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.	70	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	It is to be understood that the drawings are for purposes of illustrating the concepts of the disclosure and may not be to scale. Furthermore, the drawings illustrate exemplary embodiments and do not represent limitations to the scope of the disclosure.	69	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	FIG. 35 is a flow chart diagram of one example method for adapting kinematics of a knee joint having a condition.	68	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	FIG. 34 is a perspective anterior view of knee prosthesis system according to another embodiment of the present disclosure.	67	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	FIG. 33B is a top view of left side tibial insert according to one embodiment of the present disclosure.	66	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	FIG. 33A is a top view of right side tibial insert according to one embodiment of the present disclosure.	65	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	One general aspect of the present disclosure can include a knee joint prosthesis system for implantation in a knee joint of a patient. The knee joint prosthesis system may include a tibial baseplate component configured to be implanted on the tibia, the tibial baseplate component may include an insert interface; a femoral component configured to be implanted on the femur, the femoral component may include a femoral articulation surface; a right side tibial insert attachable to the insert interface of the tibial baseplate component, the right side tibial insert may include a tibial articulation surface configured to articulate with the femoral articulation surface and rotate the tibia about a longitudinal axis passing through a medial tibial compartment of the right side tibial insert during flexion or extension of a right side knee joint; a left side tibial insert attachable to the insert interface of the tibial baseplate component, the left side tibial insert may include a tibial articulation surface configured to articulate with the femoral articulation surface and rotate the tibia about the longitudinal axis passing through a medial tibial compartment of the left side tibial insert during flexion or extension of a left side knee joint; and the tibial articulation surface of the right side tibial insert may be shaped to cooperate with the femoral articulation surface to change kinematics of the knee joint having the condition if the knee joint is the left side knee joint; and the tibial articulation surface of the left side tibial insert is shaped to cooperate with the femoral articulation surface to change kinematics of the knee joint having the condition if the knee joint is the right side knee joint.	11	Added by DJM 1 2022	1/25/22, 12:00 AM
View Edit Delete	OPT-13	FIG. 5 is a top down cross-sectional view of the assembly of FIG. 1A, taken along line B-B in FIG. 6.	20	Added by DJM 1 2022	1/25/22, 12:00 AM

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