CA2597220C - Method and apparatus for forming a wedge-like opening in a bone for an open wedge osteotomy - Google Patents

Method and apparatus for forming a wedge-like opening in a bone for an open wedge osteotomy Download PDF

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Publication number
CA2597220C
CA2597220C CA2597220A CA2597220A CA2597220C CA 2597220 C CA2597220 C CA 2597220C CA 2597220 A CA2597220 A CA 2597220A CA 2597220 A CA2597220 A CA 2597220A CA 2597220 C CA2597220 C CA 2597220C
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Prior art keywords
bone
boundary line
cutting
wedge
opening
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CA2597220A
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French (fr)
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CA2597220A1 (en
Inventor
Vincent P. Novak
Kelly Ammann
Dennis Mcdevitt
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Arthrex Inc
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Arthrex Inc
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14—Surgical saws ; Accessories therefor
    • A61B17/15—Guides therefor
    • A61B17/151—Guides therefor for corrective osteotomy
    • A61B17/152—Guides therefor for corrective osteotomy for removing a wedge-shaped piece of bone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14—Surgical saws ; Accessories therefor
    • A61B17/15—Guides therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1764—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1732—Guides or aligning means for drills, mills, pins or wires for bone breaking devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8095—Wedge osteotomy devices

Abstract

In one form of the present invention, there is provided an apparatus for forming a wedge-like opening in a bone for an open wedge osteotomy, the apparatus comprising: targeting apparatus for identifying a cutting plane through the bone and a boundary line for terminating a cut made along the cutting plane, wherein the boundary line is located within the bone; and an apex pin for disposition along the boundary line for providing (i) a positive stop at the boundary line for limiting cutting along the cutting plane, and (ii) a cylindrical opening extending along the boundary line so as to minimize the occurrence of stress risers within the bone when the bone on either side of the cut is moved apart so as to form the wedge-like opening in the bone. In another form of the present invention, there is provided a method for forming a wedge-like opening in a bone for an open wedge osteotomy, the method comprising: positioning targeting apparatus relative to the bone, so as to identify a cutting plane through the bone and a boundary line for terminating a cut made along the cutting plane, wherein the boundary line is located within the bone/ and positioning an apex pin along the boundary line so as to provide (i) a positive stop at the boundary line for limiting cutting along the cutting plane, and (ii) a cylindrical opening extending along the boundary line so as to minimize the occurrence of stress risers within the bone when the bone on either side of the cut is moved apart so as to form the wedge-like opening in the bone; cutting the bone along the cutting plane, with the cut terminating at the boundary line; and moving the bone on either side of the cut apart so as to form the wedge-like opening in the bone.

Description

METHOD AND APPARATUS FOR FORMING A WEDGE-LIKE OPENING
IN A BONE FOR AN OPEN WEDGE OSTEOTOMY
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Field Of The Invention This invention relates to surgical methods and apparatus in general, and more particularly to surgical methods and apparatus for performing open wedge osteotomies of the knee.
Background Of The Invention Osteotomies of the knee are an important technique for treating knee osteoarthritis. In essence, knee osteotomies adjust the geometry of the knee joint so as to transfer weight bearing load from arthritic portions of the joint to the relatively unaffected portions of the joint.
Most knee osteotomies are designed to modify the geometry of the upper tibia, so as to adjust the manner in which the tibia engages the femur and hence the locations at which the load is transferred across the joint.
There are essentially two ways in which to adjust the orientation of the tibia: (i) the closed wedge technique; and (ii) the open wedge technique.
With the closed wedge technique, a wedge of bone is removed from the tibia, and the portions on either side of the resulting gap are brought together, whereby to reorient the tibial plateau and hence adjust the manner in which the tibia engages the femur.
With the open wedge technique, a cut is made into the tibia, the portions on either side of the cut are moved apart so as to form a wedge-like opening in the bone, and then the bone is secured in this position (e.g., by screwing metal plates to the bone or by inserting a wedge-shaped implant into the opening in the bone), whereby to reorient the tibial plateau and hence adjust the manner in which the tibia engages the femur.
While both closed wedge osteotomies and open wedge osteotomies provide substantial benefits to the patient, they are procedurally challenging to the surgeon. Among other things, with respect to open wedge osteotomies, it can be difficult to form the wedge-like opening in the bone with the necessary precision and with minimum trauma to the surrounding tissue.
The present invention is directed to open wedge osteotomies, and to a new method and apparatus for forming the wedge-like opening in the tibia.
Summary Of The Invention The present invention comprises a novel method and apparatus for forming a wedge-like opening in the tibia for an open wedge knee osteotomy. More particularly, the present invention comprises the provision and use of a novel method and apparatus for forming a wedge-like opening in the tibia, utilizing an antero-medial approach, for an open wedge knee osteotomy.
In one form of the present invention, there is provided an apparatus for forming a wedge-like opening in a bone for an open wedge osteotomy, the apparatus comprising:
targeting apparatus for identifying a cutting plane through the bone and a boundary line for terminating a cut made along the cutting plane, wherein the boundary line is located within the bone; and an apex pin for disposition along the boundary line for providing (i) a positive stop at the boundary line for limiting cutting along the cutting plane, and (ii) a cylindrical opening extending along the boundary line so as to minimize the occurrence of stress risers within the bone when the bone on either side of the cut is moved apart so as to form the wedge-like opening in the bone.
In another form of the present invention, there is provided a method for forming a wedge-like opening in a bone for an open wedge osteotomy, the method comprising:
positioning targeting apparatus relative to the bone, so as to identify a cutting plane through the bone and a boundary line for terminating a cut made along the cutting plane, wherein the boundary line is located within the bone; and positioning an apex pin along the boundary line so as to provide (i) a positive stop at the boundary line for limiting cutting along the cutting plane, and (ii) a cylindrical opening extending along the boundary line so as to minimize the occurrence of stress risers within the bone when the bone on either side of the cut is moved apart so as to form the wedge-like opening in the bone;
cutting the bone along the cutting plane, with the cut terminating at the boundary line; and moving the bone on either side of the cut apart so as to form the wedge-like opening in the bone.
In another form of the present invention, there is provided a method for forming a wedge-like opening in a tibia for an open wedge osteotomy, the method comprising:
locating a positioning guide about the tibia so as to define the anterior-posterior tibial slope, a cutting plane extending through the tibia and a boundary line for terminating a cut make along the cutting plane, with the boundary line defining a bone hinge line;
inserting an apex pin through the positioning guide and along the boundary line;
mounting a cutting guide onto the positioning guide so that a cutting slot in the cutting guide is aligned co-planar with the cutting plane;
making an osteotomy cut along the cutting plane up to the boundary line; and moving the bone on either side of the cut apart so as to form the wedge-like opening in the bone.
In another form of the present invention, there is provided a method for forming a wedge-like opening in a tibia for an open wedge osteotomy, the method comprising:
locating a positioning guide about the medial aspect of the tibia so as to encompass a portion of the tibia, with a top edge of the positioning guide being positioned relative to the tibial plateau;
placing a first straight pin through the positioning guide and into the tibia so as to pivotally secure the positioning guide to the tibia;
rotating the positioning guide about the first pin until the top edge of the positioning guide is parallel to the anterior-posterior tibial slope;
placing a second pin through the positioning guide and into the tibia so as to secure the positioning guide to the tibia, with the positioning guide defining the anterior-posterior tibial slope, a cutting plane extending through the tibia and a boundary line for terminating a cut made along the cutting plane, with the boundary line defining a bone hinge line;
inserting an apex pin through the positioning guide and along the boundary line;
mounting a cutting guide onto the positioning guide so that a cutting slot in the cutting guide is aligned co-planar with the cutting plane;
making an osteotomy cut along the cutting plane up to the boundary line; and moving the bone on either side of the cut apart so as to form the wedge-like opening in the bone.
Brief Description Of The Drawings These and other objects and features of the present invention will be more fully disclosed or rendered obvious by the following detailed description of the preferred embodiments of the invention, which is to be considered together with the accompanying drawings wherein like numbers refer to like parts, and further wherein:
Figs. 1-3 are schematic views showing the formation of a wedge-like opening in the tibia for an open wedge osteotomy, and positioning of a wedge-shaped implant into the wedge-like opening in the tibia;
Figs. 4-9 show the relevant planar surfaces in a high tibial osteotomy;
Figs. 10-23 show one preferred method and apparatus for performing a high tibial osteotomy in accordance with the present invention;
Figs. 23A-23C show various osteotomy cuts formed in the tibia; and Fig. 24 shows an alternative form of the invention.
Detailed Description Of The Preferred Embodiments Overview Looking first at Figs. 1-3, there is shown a knee joint 5 upon which an open wedge osteotomy is to be performed. Knee joint 5 generally comprises a tibia 10 and a femur 15. In accordance with the present invention, the open wedge osteotomy is effected by first making a cut 20 (Fig. 1) into the upper tibia, and then moving apart the portions of the bone on either side of cut 20 so as to form a wedge-like opening 25 (Fig. 2) in the bone, with the wedge-like opening 25 being configured such that the tibial plateau 30 is given the desired orientation relative to femur 15. Cut 20 and wedge-like opening 25 may be formed in a variety of ways well known in the art.
The present invention provides a new and improved method and apparatus for forming cut 20 and wedge-like opening 25 using an antero-medial approach, as will be discussed in detail below.
Once the desired wedge-like opening 25 has been formed in tibia 10 and tibial plateau 30 given its desired orientation, the bone may be secured in position in a variety of ways well known in the art (e.g., by screwing metal plates to the bone or by inserting a wedge-shaped implant into the opening in the bone), whereby to reorient the tibial plateau and hence adjust the manner in which the tibia engages the femur. By way of example, Fig. 3 shows a wedge-shaped implant 35 inserted into the wedge-like opening formed in the tibia.
Discussion Of The Relevant Planar Surfaces In A High Tibial Osteotomy In order to appreciate certain aspects of the present invention, it is helpful to have a thorough understanding of the planar surfaces of the tibia that are relevant in performing a high tibial osteotomy.
Thus, the following discussion presents a geometric description of the planar surfaces that are relevant to an open-wedge, high tibial osteotomy.
More particularly, and looking now at Fig. 4, the tibial plateau 30 may be described as a horizontal (or transverse) plane that intersects the superior surface of tibia 10. For reference, the sagittal plane 32 is also shown. As seen in Fig. 5, tibial plateau 30 is also perpendicular to the frontal plane 40. The anterior-posterior (A-P) slope is defined by an anterior-posterior (A-P) slope plane 45 that intersects the sloping surface of the tibia from anterior to posterior. Published research has demonstrated that the anterior-posterior slope is typically at an angle of approximately 7 to 110 to the tibial plateau 30;
however, the specific angle may vary from individual to individual.
Looking next at Fig. 6, for a high tibial osteotomy, it is typical to stay about 2 cm inferior to the A-P slope plane 45. This offset can be referred to as the A-P offset plane 50.
As seen in Fig. 7, the lateral aspect and cut depth may be defined by a lateral aspect plane 55 and a cut depth plane 60, with the cut depth being about 1 cm medial to the lateral aspect of the tibia.
Looking next at Fig. 8, the osteotomy cut plane 65 (when seen from the direct frontal view) is formed by a plane that is rotated away from the A-P offset plane 50 through an axis formed by the intersection of the cut depth plane 60 and the A-P offset plane 50. It should be noted that the planes are "tilted" slightly when seen from the direct frontal view, since they follow the tilt of the A-P slope plane 45 (Fig. 6). The intersection of the A-P offset plane 50 and the cut depth plane 60 forms an axis 70 at the end of the osteotomy cut. In other words, the axis 70 defines a line through the tibia, co-planar with the osteotomy cut plane 65, which defines the furthest extent of the osteotomy cut into the tibia.
As seen in Fig. 9, the direct A-P view of the osteotomy plane is a direct view in line with the osteotomy. This view is tilted downward (i.e., at approximately 7 ) from the direct frontal view. Again, the angle of tilt downward is equal to the A-P slope.
Novel Method And Apparatus For Forming An Antero-Medial Wedge-Like Opening In The Tibia In one preferred embodiment of the present invention, there is provided a novel osteotomy system 100 (Fig. 18) which is intended for use in making precise and repeatable osteotomy cuts for high tibial osteotomies using an antero-medial approach. System 100 generally comprises a positioning guide 105, an apex pin 110 and a cutting guide 115, and will hereinafter be discussed in further detail.
System 100 is intended to be located relative to the medial aspect of the tibia, parallel to the anterior-posterior (A-P) slope of the tibia and parallel to the tibial plateau, with the apex pin extending through the tibia along axis 70, i.e., at the position which will become the base or lateral hinge of the osteotomy cut, as will hereinafter be discussed in further detail.
Looking next at Fig. 10, the positioning guide 105 is positioned about the upper end of tibia 10 such that the positioning guide wraps around the medial aspect of the tibia. It should be appreciated that the positioning guide 105 does not necessarily need to be in contact with the tibia.
As seen in Fig. 11, the positioning guide 105 is maneuvered so that the top edge of the positioning guide is located approximately 1-2 cm below the tibial plateau. Then, a first straight pin 120 is advanced through a first bore 125 in positioning guide 105, with the positioning guide extending slightly away from the tibia so as to allow adjustment parallel to the A-P
slope. Next, using a fluoroscope showing the A-P
slope, positioning guide 105 is rotated until the top edge of the positioning guide is parallel to the A-P
slope.
Once this has been done, and looking next at Fig.
12, a second straight pin 130 is advanced through a second bore 135 (Fig. 13) in positioning guide 105.
This second pin 130 stabilizes the position of the positioning guide relative to tibia 10. It will be appreciated that, as a result of the foregoing, the positioning and placement of first and second pins 120, 130 secures positioning guide 105 relative to tibia 10 so that the top edge of the positioning guide is parallel to the A-P tibial slope. This process ensures that the apex pin bore 140 (Fig. 13) is aligned with, and defines, the axis 70 (Fig. 8) located at the intersection of A-P offset plane 50 and cut depth plane 60, which is at the far end of the osteotomy cut.
Looking next at Figs. 14-17, apex pin 110 is then advanced through the positioning guide's apex pin bore 140 and into tibia 10. As a result, apex pin 110 extends along axis 70, i.e., at the intersection of A-P
offset plane 50 and cut depth plane 60. Thus, the axis of the apex pin 110 is located at the far end of the osteotomy cut, co-planar with the plane of the osteotomy cut.
At this point, set screw 145 (Fig. 14) is advanced through set screw bore 150 and against tibia 10, so as to eliminate any remaining play in the position of positioning guide 105 relative to tibia 10. In this respect it should be appreciated that it is important not to overtighten set screw 145 during this operation so as to avoid adversely affecting the alignment of the positioning guide relative to tibia 10.
Looking next at Figs. 18-21, cutting guide 115 is mounted onto positioning guide 105. This is done by advancing cutting guide 115 against positioning guide 105 such that the positioning guide's locating pins 155 are received through the cutting guide's holes 157.
Cutting guide 115 is secured in this position by advancing a screw 160 through a bore 165 in the cutting guide and into a bore 170 in the positioning guide.
This action aligns a cutting slot 175 in cutting guide 115 with the osteotomy cut plane 65 and the apex pin 110, in the sense that they are all co-planar. As a result of this action, cutting slot 175 is aligned with the plane of the desired osteotomy cut.
At this point the alignment of the cutting slot 175 is checked to ensure that it is sufficiently above the tibial tubercle 180 (Fig. 19) and below the tibial plateau 30. If cutting slot 175 is not sufficiently above tubercle 180 and below tibial plateau 30, the apparatus is removed and the foregoing operation repeated.
Looking next at Figs. 21-23, an oscillating saw (not shown) is advanced through cutting slot 175 and into tibia 10 so as to form the desired osteotomy cut.
In this respect it will be appreciated that apex pin 110 will serve as a stop to prevent the oscillating saw from overcutting the tibia and thereby damaging the portion of the tibia lateral to the osteotomy cut, which is important since this uncut bone will serve as a base or lateral hinge when the osteotomy cut is opened to form wedge-like opening in the bone. In addition, the apex pin also forms a round opening in the tibia at the base of the osteotomy cut, which will serve to relieve stress risers which may occur when the osteotomy cut is opened to form the wedge-like opening in the bone. The cut depth may be verified with a fluoroscope to ensure that the tibia is cut fully across the osteotomy cut. Then cutting guide 115, apex pin 110 and positioning guide 105 are removed, and the osteotomy cut is completed with an appropriate osteotome (not shown), using fluoroscopy to verify the cut location. See Fig. 23A, which shows the osteotomy cut 20 formed in tibia 10.
In one preferred construction, and looking now at Fig. 23B, the apex pin is sized so that the round opening 20A formed at the base of osteotomy cut 20 has a diameter larger than the thickness 20B of osteotomy cut 20.
In another construction, and looking now at Fig.
23C, the apex pin is sized so that the round opening 20A formed at the base of osteotomy cut 20 has a diameter substantially the same as the thickness 20B of osteotomy cut 20.
Once the osteotomy cut has been completed (Fig.
1), the portions of the bone on either side of the osteotomy cut are moved apart as appropriate so as to form the desired wedge-like opening 25 (Fig. 2) in the bone, whereby to give tibial plateau 30 the desired orientation relative to femur 15. Then the tibia is stabilized in this position, e.g., by screwing metal plates to the bone or by inserting a wedge-like implant 35 (Fig. 3) into the opening in the bone.
Looking next at Fig. 24, there is shown another system f85 which is intended for use in making precise and repeatable osteotomy cuts for high tibial osteotomies using an antero-medial approach. System 185 comprises a combination positioning guide/cutting guide 190 for (i) appropriately positioning apex pin 110 in tibia 10, and (ii) aligning cutting slot 175 with the designated cutting plane. This is done by first passing a positioning pin 192 through an opening 194 in the combination positioning guide/cutting guide 190, with positioning pin 192 being disposed co-planar with the designated cutting plane. Next, the combination positioning guide/cutting guide 190 is rotated about positioning pin 192 until the plane of combination positioning guide/cutting guide 190 is co-planar with the designated cutting plane. Then apex pin 110 is passed through a first opening 196 in the combination positioning guide/cutting guide 190, through tibia 10, and then through a second opening 196 formed on the far side of the combination positioning guide/cutting guide 190. This secures the combination positioning guide/cutting guide 190 in the proper position relative to tibia 10, with cutting guide slot 175 being aligned with the designated cutting plane, and with apex pin 110 disposed at the far end of the osteotomy cut. The combination positioning guide/cutting guide 190 may then be used to form the desired cut 20 (Fig. 1) in tibia 10, whereby to form the wedge-like opening 25 (Fig. 2) in the bone. Again, apex pin 110 will serve as a stop to prevent overcutting of the tibia, and will form a round opening in the tibia at the base of the osteotomy cut, which will serve to relieve stress risers which may occur when the osteotomy cut is opened to form the wedge-like opening in the bone.
Advantages Of The Invention Numerous advantages are achieved through the provision and use of the present invention.
By way of example but not limitation:
(i) the provision and use of the apex pin in conjunction with the positioning guide and cutting guide defines the lateral hinge or endpoint of the bone cut which is in specific relationship to the A-P tibial slope, which provides for the eventual opening of the osteotomy cut into a wedge void so as not to disrupt or cause inadvertent changes to the A-P tibial slope;
(ii) the apex pin acts as a positive stop for the oscillating saw blade or hand driven osteotome to prevent fracturing of the lateral cortex;
(iii) the circular diameter at the endpoint of the cutting plane effected by the apex pin reduces the stress risers that may cause intra-articular bone fracture or lateral cortex fracture during the opening of the osteotomy into a wedge void;
(iv) the cutting guide incorporates a canted or angled cutting guide slot, for use in an anterior-medial approach on the proximal tibia - the angled cutting guide slot is presented from an antero-medial location on the tibia and is aligned with the desired osteotomy cut plane;
(v) the canted slot design achieves the desired cutting plane, which is a plane that is rotated downward from the described offset plane, around an axis that is defined by the apex pin axis;
(vi) the procedure for cutting the bone (i.e., creating the osteotomy) is safe and easily reproducible from procedure to procedure; and (vii) the procedure does not adversely affect the anterior-posterior slope of the tibia.
Modifications It will be understood that many additional changes in the details, materials, steps and arrangements of parts, which have been herein described and illustrated in order to explain the nature of the invention, may be made by those skilled in the art within the principles and scope of the invention as expressed in the appended claims.

Claims (8)

WE CLAIM:
1. Apparatus for forming a wedge-like opening in a bone for an open wedge osteotomy, the apparatus comprising:
targeting apparatus for identifying a cutting plane through the bone and a boundary line for terminating a cut made along the cutting plane, wherein the boundary line is located within the bone; and an apex pin for disposition along the boundary line for providing (i) a positive stop at the boundary line for limiting cutting along the cutting plane, and (ii) a cylindrical opening extending along the boundary line so as to minimize the occurrence of stress risers within the bone when the bone on either side of the cut is moved apart so as to form the wedge-like opening in the bone, wherein the apex pin is configured so as to provide the cylindrical opening having a diameter larger than the thickness of the cut made along the cutting plane.
2. Apparatus according to claim 1 wherein the bone is the tibia, and further wherein the targeting apparatus is configured so that the cutting approach is in a generally antero-medial direction.
3. Apparatus according to claim 2 wherein the targeting apparatus is configured so that the boundary line extends in a generally anterior-to-posterior direction.
4. Apparatus according to claim 1 wherein the bone is the tibia, and further wherein the targeting apparatus is configured so that the cutting plane and boundary line are determined through reference to the tibial plateau.
5. Apparatus according to claim 4 wherein the targeting apparatus comprises an alignment edge, and further wherein the targeting apparatus is configured so that the cutting plane and the boundary line are aligned when the alignment edge is positioned relative to the anterior-posterior slope.
6. Apparatus according to claim 5 wherein the alignment edge comprises a top surface of the targeting apparatus.
7. Apparatus according to claim 1 wherein the targeting apparatus comprises a positioning guide and a cutting guide;
wherein the positioning guide is configured for attachment to the bone so as to establish the cutting plane and the boundary line relative to the bone; and wherein the cutting guide is configured for attachment to the positioning guide so as to align a cutting slot with the cutting plane.
8.
Apparatus according to claim 7 wherein the cutting guide is configured so that the cutting approach is in a generally antero-medial direction.
CA2597220A 2005-02-08 2006-02-08 Method and apparatus for forming a wedge-like opening in a bone for an open wedge osteotomy Active CA2597220C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US65108605P 2005-02-08 2005-02-08
US60/651,086 2005-02-08
PCT/US2006/004440 WO2006086476A2 (en) 2005-02-08 2006-02-08 Method and apparatus for forming a wedge-like opening in a bone for an open wedge osteotomy

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CA2597220A1 CA2597220A1 (en) 2006-08-17
CA2597220C true CA2597220C (en) 2014-04-01

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EP (1) EP1848384A4 (en)
JP (1) JP2008529607A (en)
CN (1) CN101155559B (en)
AU (1) AU2006213882A1 (en)
CA (1) CA2597220C (en)
WO (1) WO2006086476A2 (en)

Families Citing this family (190)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7635390B1 (en) 2000-01-14 2009-12-22 Marctec, Llc Joint replacement component having a modular articulating surface
US6520964B2 (en) 2000-05-01 2003-02-18 Std Manufacturing, Inc. System and method for joint resurface repair
US6610067B2 (en) 2000-05-01 2003-08-26 Arthrosurface, Incorporated System and method for joint resurface repair
US7896885B2 (en) 2002-12-03 2011-03-01 Arthrosurface Inc. Retrograde delivery of resurfacing devices
US8177841B2 (en) 2000-05-01 2012-05-15 Arthrosurface Inc. System and method for joint resurface repair
US7708741B1 (en) 2001-08-28 2010-05-04 Marctec, Llc Method of preparing bones for knee replacement surgery
US8388624B2 (en) 2003-02-24 2013-03-05 Arthrosurface Incorporated Trochlear resurfacing system and method
EP1845890A4 (en) 2003-11-20 2010-06-09 Arthrosurface Inc System and method for retrograde procedure
US8083746B2 (en) * 2004-05-07 2011-12-27 Arthrex, Inc. Open wedge osteotomy system and surgical method
JP2008504107A (en) 2004-06-28 2008-02-14 アースロサーフィス・インコーポレーテッド Joint surface replacement system
US7955357B2 (en) 2004-07-02 2011-06-07 Ellipse Technologies, Inc. Expandable rod system to treat scoliosis and method of using the same
US7828853B2 (en) 2004-11-22 2010-11-09 Arthrosurface, Inc. Articular surface implant and delivery system
US8771279B2 (en) 2005-01-31 2014-07-08 Arthrex, Inc. Method and apparatus for performing an osteotomy in bone
US7935119B2 (en) * 2005-01-31 2011-05-03 Ibalance Medical, Inc. Method for performing an open wedge, high tibial osteotomy
US8906026B2 (en) 2005-01-31 2014-12-09 Arthrex, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
WO2008016687A2 (en) * 2006-08-02 2008-02-07 Ibalance Medical, Inc. Method and apparatus for performing a high tibial, dome osteotomy
US8540777B2 (en) * 2005-01-31 2013-09-24 Arthrex, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
US7967823B2 (en) * 2005-01-31 2011-06-28 Arthrex, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
EP1850782B1 (en) * 2005-02-09 2013-11-06 Arthrex, Inc. Multi-part implant for open wedge knee osteotomies
WO2006107800A2 (en) * 2005-04-01 2006-10-12 Ibalance Medical, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
US8608748B2 (en) 2006-02-27 2013-12-17 Biomet Manufacturing, Llc Patient specific guides
US8241293B2 (en) 2006-02-27 2012-08-14 Biomet Manufacturing Corp. Patient specific high tibia osteotomy
US9113971B2 (en) 2006-02-27 2015-08-25 Biomet Manufacturing, Llc Femoral acetabular impingement guide
US9345548B2 (en) 2006-02-27 2016-05-24 Biomet Manufacturing, Llc Patient-specific pre-operative planning
US10278711B2 (en) 2006-02-27 2019-05-07 Biomet Manufacturing, Llc Patient-specific femoral guide
US8608749B2 (en) 2006-02-27 2013-12-17 Biomet Manufacturing, Llc Patient-specific acetabular guides and associated instruments
US9339278B2 (en) 2006-02-27 2016-05-17 Biomet Manufacturing, Llc Patient-specific acetabular guides and associated instruments
US8535387B2 (en) 2006-02-27 2013-09-17 Biomet Manufacturing, Llc Patient-specific tools and implants
US20150335438A1 (en) 2006-02-27 2015-11-26 Biomet Manufacturing, Llc. Patient-specific augments
US8407067B2 (en) 2007-04-17 2013-03-26 Biomet Manufacturing Corp. Method and apparatus for manufacturing an implant
US8092465B2 (en) 2006-06-09 2012-01-10 Biomet Manufacturing Corp. Patient specific knee alignment guide and associated method
US9289253B2 (en) 2006-02-27 2016-03-22 Biomet Manufacturing, Llc Patient-specific shoulder guide
US7967868B2 (en) 2007-04-17 2011-06-28 Biomet Manufacturing Corp. Patient-modified implant and associated method
US8858561B2 (en) 2006-06-09 2014-10-14 Blomet Manufacturing, LLC Patient-specific alignment guide
US8603180B2 (en) 2006-02-27 2013-12-10 Biomet Manufacturing, Llc Patient-specific acetabular alignment guides
US8377066B2 (en) 2006-02-27 2013-02-19 Biomet Manufacturing Corp. Patient-specific elbow guides and associated methods
US8568487B2 (en) 2006-02-27 2013-10-29 Biomet Manufacturing, Llc Patient-specific hip joint devices
US8591516B2 (en) 2006-02-27 2013-11-26 Biomet Manufacturing, Llc Patient-specific orthopedic instruments
US8864769B2 (en) 2006-02-27 2014-10-21 Biomet Manufacturing, Llc Alignment guides with patient-specific anchoring elements
US8133234B2 (en) 2006-02-27 2012-03-13 Biomet Manufacturing Corp. Patient specific acetabular guide and method
US9918740B2 (en) 2006-02-27 2018-03-20 Biomet Manufacturing, Llc Backup surgical instrument system and method
US9907659B2 (en) 2007-04-17 2018-03-06 Biomet Manufacturing, Llc Method and apparatus for manufacturing an implant
US9173661B2 (en) 2006-02-27 2015-11-03 Biomet Manufacturing, Llc Patient specific alignment guide with cutting surface and laser indicator
US9795399B2 (en) 2006-06-09 2017-10-24 Biomet Manufacturing, Llc Patient-specific knee alignment guide and associated method
US8241292B2 (en) * 2006-06-30 2012-08-14 Howmedica Osteonics Corp. High tibial osteotomy system
WO2008019049A2 (en) * 2006-08-03 2008-02-14 Ibalance Medical Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
US8894661B2 (en) 2007-08-16 2014-11-25 Smith & Nephew, Inc. Helicoil interference fixation system for attaching a graft ligament to a bone
US20080154314A1 (en) * 2006-08-16 2008-06-26 Mcdevitt Dennis M Composite interference screw for attaching a graft ligament to a bone, and other apparatus for making attachments to bone
WO2008039508A2 (en) 2006-09-27 2008-04-03 Ibalance Medical, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
US7862502B2 (en) 2006-10-20 2011-01-04 Ellipse Technologies, Inc. Method and apparatus for adjusting a gastrointestinal restriction device
US8409209B2 (en) * 2006-11-22 2013-04-02 Arthrex, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
US20080208197A1 (en) * 2006-11-30 2008-08-28 Kelly Ammann Method and apparatus for performing an open wedge, high tibial osteotomy
US8083749B2 (en) * 2006-12-01 2011-12-27 Arthrex, Inc. Method and apparatus for performing an open wedge, low femoral osteotomy
EP2136717B1 (en) 2006-12-11 2013-10-16 Arthrosurface Incorporated Retrograde resection apparatus
GB2447702A (en) 2007-03-23 2008-09-24 Univ Leeds Surgical bone cutting template
US8926618B2 (en) * 2007-04-19 2015-01-06 Howmedica Osteonics Corp. Cutting guide with internal distraction
US20090112263A1 (en) 2007-10-30 2009-04-30 Scott Pool Skeletal manipulation system
EP2262448A4 (en) 2008-03-03 2014-03-26 Arthrosurface Inc Bone resurfacing system and method
US11202707B2 (en) 2008-03-25 2021-12-21 Nuvasive Specialized Orthopedics, Inc. Adjustable implant system
US8353915B2 (en) 2008-06-19 2013-01-15 Arthrex, Inc. AMZ tibial tuberosity transfer system
US8192441B2 (en) * 2008-10-03 2012-06-05 Howmedica Osteonics Corp. High tibial osteotomy instrumentation
US11241257B2 (en) 2008-10-13 2022-02-08 Nuvasive Specialized Orthopedics, Inc. Spinal distraction system
US8382756B2 (en) 2008-11-10 2013-02-26 Ellipse Technologies, Inc. External adjustment device for distraction device
US8197490B2 (en) 2009-02-23 2012-06-12 Ellipse Technologies, Inc. Non-invasive adjustable distraction system
US9662126B2 (en) 2009-04-17 2017-05-30 Arthrosurface Incorporated Glenoid resurfacing system and method
WO2016154393A1 (en) 2009-04-17 2016-09-29 Arthrosurface Incorporated Glenoid repair system and methods of use thereof
WO2010121246A1 (en) 2009-04-17 2010-10-21 Arthrosurface Incorporated Glenoid resurfacing system and method
US9622792B2 (en) 2009-04-29 2017-04-18 Nuvasive Specialized Orthopedics, Inc. Interspinous process device and method
CA2764002A1 (en) * 2009-05-29 2010-12-02 Smith & Nephew, Inc. Methods and apparatus for performing knee arthroplasty
DE102009028503B4 (en) 2009-08-13 2013-11-14 Biomet Manufacturing Corp. Resection template for the resection of bones, method for producing such a resection template and operation set for performing knee joint surgery
RU2016101629A (en) 2009-09-04 2018-12-04 Нувэйсив Спешилайзд Ортопэдикс, Инк. DEVICE AND METHOD FOR BONE EXTENSION
US8632547B2 (en) * 2010-02-26 2014-01-21 Biomet Sports Medicine, Llc Patient-specific osteotomy devices and methods
CA2792048A1 (en) 2010-03-05 2011-09-09 Arthrosurface Incorporated Tibial resurfacing system and method
US9775702B2 (en) 2010-03-10 2017-10-03 Smith & Nephew, Inc. Composite interference screws and drivers
US9579188B2 (en) 2010-03-10 2017-02-28 Smith & Nephew, Inc. Anchor having a controlled driver orientation
JP5899124B2 (en) 2010-03-10 2016-04-06 スミス アンド ネフュー インコーポレーテッド Compound tightening screw and device
US9308080B2 (en) 2010-03-10 2016-04-12 Smith & Nephew Inc. Composite interference screws and drivers
US9248043B2 (en) 2010-06-30 2016-02-02 Ellipse Technologies, Inc. External adjustment device for distraction device
WO2012021378A2 (en) 2010-08-09 2012-02-16 Ellipse Technologies, Inc. Maintenance feature in magnetic implant
US9271744B2 (en) 2010-09-29 2016-03-01 Biomet Manufacturing, Llc Patient-specific guide for partial acetabular socket replacement
US9968376B2 (en) 2010-11-29 2018-05-15 Biomet Manufacturing, Llc Patient-specific orthopedic instruments
WO2012112396A2 (en) 2011-02-14 2012-08-23 Ellipse Technologies, Inc. Device and method for treating fractured bones
US9241745B2 (en) 2011-03-07 2016-01-26 Biomet Manufacturing, Llc Patient-specific femoral version guide
CN103841920B (en) 2011-03-11 2016-12-07 史密夫和内修有限公司 Trepan
US9066716B2 (en) 2011-03-30 2015-06-30 Arthrosurface Incorporated Suture coil and suture sheath for tissue repair
US8715289B2 (en) 2011-04-15 2014-05-06 Biomet Manufacturing, Llc Patient-specific numerically controlled instrument
US9675400B2 (en) 2011-04-19 2017-06-13 Biomet Manufacturing, Llc Patient-specific fracture fixation instrumentation and method
US8668700B2 (en) 2011-04-29 2014-03-11 Biomet Manufacturing, Llc Patient-specific convertible guides
US8956364B2 (en) 2011-04-29 2015-02-17 Biomet Manufacturing, Llc Patient-specific partial knee guides and other instruments
US8532807B2 (en) 2011-06-06 2013-09-10 Biomet Manufacturing, Llc Pre-operative planning and manufacturing method for orthopedic procedure
AU2012267924B2 (en) 2011-06-07 2016-08-11 Smith & Nephew, Inc. Surgical anchor delivery system
US9084618B2 (en) 2011-06-13 2015-07-21 Biomet Manufacturing, Llc Drill guides for confirming alignment of patient-specific alignment guides
US8764760B2 (en) 2011-07-01 2014-07-01 Biomet Manufacturing, Llc Patient-specific bone-cutting guidance instruments and methods
US20130001121A1 (en) 2011-07-01 2013-01-03 Biomet Manufacturing Corp. Backup kit for a patient-specific arthroplasty kit assembly
US8597365B2 (en) 2011-08-04 2013-12-03 Biomet Manufacturing, Llc Patient-specific pelvic implants for acetabular reconstruction
US9295497B2 (en) 2011-08-31 2016-03-29 Biomet Manufacturing, Llc Patient-specific sacroiliac and pedicle guides
US9066734B2 (en) 2011-08-31 2015-06-30 Biomet Manufacturing, Llc Patient-specific sacroiliac guides and associated methods
US9386993B2 (en) 2011-09-29 2016-07-12 Biomet Manufacturing, Llc Patient-specific femoroacetabular impingement instruments and methods
US10743794B2 (en) 2011-10-04 2020-08-18 Nuvasive Specialized Orthopedics, Inc. Devices and methods for non-invasive implant length sensing
US9301812B2 (en) 2011-10-27 2016-04-05 Biomet Manufacturing, Llc Methods for patient-specific shoulder arthroplasty
EP2770918B1 (en) 2011-10-27 2017-07-19 Biomet Manufacturing, LLC Patient-specific glenoid guides
KR20130046336A (en) 2011-10-27 2013-05-07 삼성전자주식회사 Multi-view device of display apparatus and contol method thereof, and display system
US9451973B2 (en) 2011-10-27 2016-09-27 Biomet Manufacturing, Llc Patient specific glenoid guide
US9554910B2 (en) 2011-10-27 2017-01-31 Biomet Manufacturing, Llc Patient-specific glenoid guide and implants
US10016220B2 (en) 2011-11-01 2018-07-10 Nuvasive Specialized Orthopedics, Inc. Adjustable magnetic devices and methods of using same
WO2013096746A1 (en) 2011-12-22 2013-06-27 Arthrosurface Incorporated System and method for bone fixation
US9237950B2 (en) 2012-02-02 2016-01-19 Biomet Manufacturing, Llc Implant with patient-specific porous structure
US20130338714A1 (en) 2012-06-15 2013-12-19 Arvin Chang Magnetic implants with improved anatomical compatibility
WO2014008126A1 (en) 2012-07-03 2014-01-09 Arthrosurface Incorporated System and method for joint resurfacing and repair
US9044281B2 (en) 2012-10-18 2015-06-02 Ellipse Technologies, Inc. Intramedullary implants for replacing lost bone
CA2889769A1 (en) 2012-10-29 2014-05-08 Ellipse Technologies, Inc. Adjustable devices for treating arthritis of the knee
US9060788B2 (en) 2012-12-11 2015-06-23 Biomet Manufacturing, Llc Patient-specific acetabular guide for anterior approach
US9204977B2 (en) 2012-12-11 2015-12-08 Biomet Manufacturing, Llc Patient-specific acetabular guide for anterior approach
US8920512B2 (en) 2012-12-19 2014-12-30 Biomet Sports Medicine, Llc Method and apparatus for pre-forming a high tibial osteotomy
US9770302B2 (en) 2012-12-21 2017-09-26 Mako Surgical Corp. Methods and systems for planning and performing an osteotomy
US9179938B2 (en) 2013-03-08 2015-11-10 Ellipse Technologies, Inc. Distraction devices and method of assembling the same
US9839438B2 (en) 2013-03-11 2017-12-12 Biomet Manufacturing, Llc Patient-specific glenoid guide with a reusable guide holder
US9579107B2 (en) 2013-03-12 2017-02-28 Biomet Manufacturing, Llc Multi-point fit for patient specific guide
US9498233B2 (en) 2013-03-13 2016-11-22 Biomet Manufacturing, Llc. Universal acetabular guide and associated hardware
US9826981B2 (en) 2013-03-13 2017-11-28 Biomet Manufacturing, Llc Tangential fit of patient-specific guides
US9155531B2 (en) 2013-03-15 2015-10-13 Smith & Nephew, Inc. Miniaturized dual drive open architecture suture anchor
US9517145B2 (en) 2013-03-15 2016-12-13 Biomet Manufacturing, Llc Guide alignment system and method
JP6747969B2 (en) 2013-04-09 2020-08-26 スミス アンド ネフュー インコーポレーテッドＳｍｉｔｈ ＆ Ｎｅｐｈｅｗ，Ｉｎｃ． Open structure type interference screw
US9492200B2 (en) 2013-04-16 2016-11-15 Arthrosurface Incorporated Suture system and method
US10226242B2 (en) 2013-07-31 2019-03-12 Nuvasive Specialized Orthopedics, Inc. Noninvasively adjustable suture anchors
US9211129B2 (en) 2013-08-02 2015-12-15 Biomet Sports Medicine, Llc Implant and related surgical technique for use in high tibial osteotomy
US9801734B1 (en) 2013-08-09 2017-10-31 Nuvasive, Inc. Lordotic expandable interbody implant
US9060786B2 (en) 2013-08-15 2015-06-23 Biomet Manufacturing, Llc X-ray based cut block positioning jig
MY165689A (en) * 2013-09-12 2018-04-20 Khay Yong Saw Dr Osteotomy below the tibial tuberosity by multiple drilling
US10751094B2 (en) 2013-10-10 2020-08-25 Nuvasive Specialized Orthopedics, Inc. Adjustable spinal implant
US20150112349A1 (en) 2013-10-21 2015-04-23 Biomet Manufacturing, Llc Ligament Guide Registration
US10624748B2 (en) 2014-03-07 2020-04-21 Arthrosurface Incorporated System and method for repairing articular surfaces
US9931219B2 (en) 2014-03-07 2018-04-03 Arthrosurface Incorporated Implant and anchor assembly
US11607319B2 (en) 2014-03-07 2023-03-21 Arthrosurface Incorporated System and method for repairing articular surfaces
US10282488B2 (en) 2014-04-25 2019-05-07 Biomet Manufacturing, Llc HTO guide with optional guided ACL/PCL tunnels
CN111345867A (en) 2014-04-28 2020-06-30 诺威适骨科专科公司 Remote control device
US9408616B2 (en) 2014-05-12 2016-08-09 Biomet Manufacturing, Llc Humeral cut guide
US9839436B2 (en) 2014-06-03 2017-12-12 Biomet Manufacturing, Llc Patient-specific glenoid depth control
US9561040B2 (en) 2014-06-03 2017-02-07 Biomet Manufacturing, Llc Patient-specific glenoid depth control
US20160015426A1 (en) 2014-07-15 2016-01-21 Treace Medical Concepts, Inc. Bone positioning and cutting system and method
US9833245B2 (en) 2014-09-29 2017-12-05 Biomet Sports Medicine, Llc Tibial tubercule osteotomy
US9826994B2 (en) 2014-09-29 2017-11-28 Biomet Manufacturing, Llc Adjustable glenoid pin insertion guide
JP6672289B2 (en) 2014-10-23 2020-03-25 ニューベイシブ スペシャライズド オーソペディックス，インコーポレイテッド Teleadjustable interactive bone remodeling implant
JP6847341B2 (en) 2014-12-26 2021-03-24 ニューベイシブ スペシャライズド オーソペディックス，インコーポレイテッド Systems and methods for extension
US9687250B2 (en) 2015-01-07 2017-06-27 Treace Medical Concepts, Inc. Bone cutting guide systems and methods
US10898211B2 (en) 2015-01-14 2021-01-26 Crossroads Extremity Systems, Llc Opening and closing wedge osteotomy guide and method
US10292713B2 (en) 2015-01-28 2019-05-21 First Ray, LLC Freeform tri-planar osteotomy guide and method
WO2016134154A1 (en) 2015-02-18 2016-08-25 Treace Medical Concepts, Inc. Pivotable bone cutting guide useful for bone realignment and compression techniques
US10238427B2 (en) 2015-02-19 2019-03-26 Nuvasive Specialized Orthopedics, Inc. Systems and methods for vertebral adjustment
US10376268B2 (en) 2015-02-19 2019-08-13 First Ray, LLC Indexed tri-planar osteotomy guide and method
US9820868B2 (en) 2015-03-30 2017-11-21 Biomet Manufacturing, Llc Method and apparatus for a pin apparatus
US10226262B2 (en) 2015-06-25 2019-03-12 Biomet Manufacturing, Llc Patient-specific humeral guide designs
US10568647B2 (en) 2015-06-25 2020-02-25 Biomet Manufacturing, Llc Patient-specific humeral guide designs
US9622805B2 (en) 2015-08-14 2017-04-18 Treace Medical Concepts, Inc. Bone positioning and preparing guide systems and methods
JP6985248B2 (en) 2015-07-14 2021-12-22 トリース メディカル コンセプツ，インコーポレイティド Bone positioning guide
US10849663B2 (en) 2015-07-14 2020-12-01 Treace Medical Concepts, Inc. Bone cutting guide systems and methods
CA2998727A1 (en) 2015-08-14 2017-02-23 Treace Medical Concepts, Inc. Tarsal-metatarsal joint procedure utilizing fulcrum
US11278337B2 (en) 2015-08-14 2022-03-22 Treace Medical Concepts, Inc. Tarsal-metatarsal joint procedure utilizing fulcrum
US10039559B2 (en) 2015-09-02 2018-08-07 Wright Medical Technology, Inc. Method and cut guide for biplanar wedge osteotomy
JP6940488B2 (en) 2015-09-18 2021-09-29 トリース メディカル コンセプツ，インコーポレイティド Fitting spacer system and method
WO2017066774A1 (en) 2015-10-16 2017-04-20 Nuvasive Specialized Orthopedics, Inc. Adjustable devices for treating arthritis of the knee
CN108601611B (en) 2015-12-10 2021-11-02 诺威适骨科专科公司 External adjustment device for a tensioning device
CN108882953B (en) 2016-01-28 2021-09-03 诺威适骨科专科公司 System for bone migration
WO2017139548A1 (en) 2016-02-10 2017-08-17 Nuvasive Specialized Orthopedics, Inc. Systems and methods for controlling multiple surgical variables
US10779816B2 (en) 2016-07-07 2020-09-22 Medline Industries, Inc. Orthopedic implant, method, and kit
US10512470B1 (en) 2016-08-26 2019-12-24 Treace Medical Concepts, Inc. Osteotomy procedure for correcting bone misalignment
US10524808B1 (en) 2016-11-11 2020-01-07 Treace Medical Concepts, Inc. Devices and techniques for performing an osteotomy procedure on a first metatarsal to correct a bone misalignment
US10722310B2 (en) 2017-03-13 2020-07-28 Zimmer Biomet CMF and Thoracic, LLC Virtual surgery planning system and method
US11160663B2 (en) 2017-08-04 2021-11-02 Arthrosurface Incorporated Multicomponent articular surface implant
EP3820387A4 (en) 2018-07-11 2022-07-06 Treace Medical Concepts, Inc. Compressor-distractor for angularly realigning bone portions
WO2020014660A1 (en) 2018-07-12 2020-01-16 Treace Medical Concepts, Inc. Multi-diameter bone pin for installing and aligning bone fixation plate while minimizing bone damage
WO2020014560A1 (en) 2018-07-13 2020-01-16 Pontius Uwe R Method and apparatus for orthopedic implant
GB2591363B (en) * 2018-08-24 2023-06-21 Laboratoires Bodycad Inc Surgical kit for knee osteotomies and corresponding preoperative planning method
EP3922039A1 (en) 2019-02-07 2021-12-15 NuVasive Specialized Orthopedics, Inc. Ultrasonic communication in medical devices
US11589901B2 (en) 2019-02-08 2023-02-28 Nuvasive Specialized Orthopedics, Inc. External adjustment device
US11607250B2 (en) 2019-02-13 2023-03-21 Treace Medical Concepts, Inc. Tarsal-metatarsal joint procedure utilizing compressor-distractor and instrument providing sliding surface
GB2616360B (en) 2019-03-12 2023-11-29 Arthrosurface Inc Humeral and glenoid articular surface implant systems and methods
JP7297926B2 (en) * 2019-04-12 2023-06-26 デピュイ・シンセス・プロダクツ・インコーポレイテッド osteotomy guide
ES2802676B2 (en) 2019-07-09 2021-11-25 Santxarizmendi Grupo De Investig S L SURGICAL GUIDE FOR OSTEOTOMY INTERVENTIONS.
CA3146564A1 (en) 2019-08-07 2021-02-11 Jason May Bi-planar instrument for bone cutting and joint realignment procedure
US11889998B1 (en) 2019-09-12 2024-02-06 Treace Medical Concepts, Inc. Surgical pin positioning lock
US11890039B1 (en) 2019-09-13 2024-02-06 Treace Medical Concepts, Inc. Multi-diameter K-wire for orthopedic applications
AU2020344704A1 (en) 2019-09-13 2022-04-14 Treace Medical Concepts, Inc. Patient-specific surgical methods and instrumentation
US11622797B2 (en) 2020-01-31 2023-04-11 Treace Medical Concepts, Inc. Metatarsophalangeal joint preparation and metatarsal realignment for fusion
CA3171886A1 (en) 2020-02-19 2021-08-26 Crossroads Extremity Systems, Llc Systems and methods for lapidus repair of bunions
CN112842454B (en) * 2020-12-31 2022-05-10 福州市第二医院（福建省福州中西医结合医院、福州市职业病医院） Guider for osteotomy around knee joint and application of guider
AU2022225229A1 (en) 2021-02-23 2023-09-21 Nuvasive Specialized Orthopedics, Inc. Adjustable implant, system and methods
US11737787B1 (en) 2021-05-27 2023-08-29 Nuvasive, Inc. Bone elongating devices and methods of use
US11571308B1 (en) 2021-11-22 2023-02-07 Uwe R. Pontius Orthopedic implant having mechanical interlocking subunits and related methods
USD1011524S1 (en) 2022-02-23 2024-01-16 Treace Medical Concepts, Inc. Compressor-distractor for the foot

Family Cites Families (98)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2737724A (en) * 1950-10-11 1956-03-13 James R Herz Gauge for femoral trochanteric osteotomy
US3579777A (en) * 1969-03-10 1971-05-25 Valeron Corp Helical end mill
US3750652A (en) * 1971-03-05 1973-08-07 J Sherwin Knee retractor
GB2084468B (en) * 1980-09-25 1984-06-06 South African Inventions Surgical implant
US4349018A (en) * 1980-12-29 1982-09-14 Chambers Gary R Osteotomy apparatus
US4501268A (en) * 1981-08-20 1985-02-26 Comparetto John E Bone wedge guidance system
CH652912A5 (en) * 1982-02-23 1985-12-13 Sulzer Ag THE SHAFT OF AN ENDOPROTHESIS CENTER FITTING IN A TUBE BONE.
US4421112A (en) * 1982-05-20 1983-12-20 Minnesota Mining And Manufacturing Company Tibial osteotomy guide assembly and method
US4565191A (en) * 1984-01-12 1986-01-21 Slocum D Barclay Apparatus and method for performing cuneiform osteotomy
US4563489A (en) * 1984-02-10 1986-01-07 University Of California Biodegradable organic polymer delivery system for bone morphogenetic protein
US4750481A (en) * 1984-04-16 1988-06-14 Reese H William Osteotomy appliances and method
US4664102A (en) * 1985-04-10 1987-05-12 Comparetto John E Electronic guidance for bone wedge excision
US4769040A (en) 1986-11-18 1988-09-06 Queen's University At Kingston Tibial prosthesis
US4852558A (en) * 1987-07-29 1989-08-01 Outerbridge Howard K G Compressible bone staple
US4817794A (en) * 1987-11-13 1989-04-04 Deslauriers, Inc. Versatile multiple use shim product
US5609635A (en) * 1988-06-28 1997-03-11 Michelson; Gary K. Lordotic interbody spinal fusion implants
US4961740B1 (en) * 1988-10-17 1997-01-14 Surgical Dynamics Inc V-thread fusion cage and method of fusing a bone joint
US4892093A (en) * 1988-10-28 1990-01-09 Osteonics Corp. Femoral cutting guide
US4936844A (en) * 1989-05-25 1990-06-26 Boehringer Mannheim Corporation Bone fixation system
US5053039A (en) * 1989-09-14 1991-10-01 Intermedics Orthopedics Upper tibial osteotomy system
US5246444A (en) * 1990-01-08 1993-09-21 Schreiber Saul N Osteotomy device and method
US5254119A (en) * 1991-08-23 1993-10-19 Schreiber Saul N Osteotomy device and method therefor
DE69228047T2 (en) * 1991-12-10 1999-05-27 Bristol Myers Squibb Co Guide to shin osteotomy
US5275603A (en) * 1992-02-20 1994-01-04 Wright Medical Technology, Inc. Rotationally and angularly adjustable tibial cutting guide and method of use
US5766251A (en) * 1992-03-13 1998-06-16 Tomihisa Koshino Wedge-shaped spacer for correction of deformed extremities
US5297538A (en) * 1992-04-10 1994-03-29 Daniel Elie C Surgical retractor/compressor
ZA933167B (en) * 1992-05-03 1993-11-14 Technology Finance Corp Surgical instruments
FR2693899B1 (en) * 1992-07-24 1994-09-23 Laboureau Jacques Osteosynthesis plate clip.
US5352229A (en) * 1993-05-12 1994-10-04 Marlowe Goble E Arbor press staple and washer and method for its use
US5632748A (en) * 1993-06-14 1997-05-27 Linvatec Corporation Endosteal anchoring device for urging a ligament against a bone surface
US5364402A (en) * 1993-07-29 1994-11-15 Intermedics Orthopedics, Inc. Tibial spacer saw guide
US5451228A (en) * 1993-09-14 1995-09-19 Zimmer, Inc. Tibial resector guide
US5540695A (en) * 1994-02-18 1996-07-30 Howmedica Inc. Osteotomy cutting guide
US5569250A (en) * 1994-03-01 1996-10-29 Sarver; David R. Method and apparatus for securing adjacent bone portions
US5507112A (en) * 1994-10-03 1996-04-16 Cheney, Jr.; Clyde L. Fishing bobber and pole
FR2726755A1 (en) 1994-11-10 1996-05-15 Kehyayan Georges TEMPORARY LOCKING DEVICE FOR TWO PARTS OF A BONE PART
US5674296A (en) * 1994-11-14 1997-10-07 Spinal Dynamics Corporation Human spinal disc prosthesis
US5540696A (en) 1995-01-06 1996-07-30 Zimmer, Inc. Instrumentation for use in orthopaedic surgery
US5613969A (en) * 1995-02-07 1997-03-25 Jenkins, Jr.; Joseph R. Tibial osteotomy system
US5683397A (en) 1995-02-15 1997-11-04 Smith & Nephew, Inc. Distal femoral cutting guide apparatus for use in knee joint replacement surgery
US5640813A (en) 1995-03-01 1997-06-24 Glazik; Anthony Nestable shims
US5620448A (en) * 1995-03-24 1997-04-15 Arthrex, Inc. Bone plate system for opening wedge proximal tibial osteotomy
US5782919A (en) 1995-03-27 1998-07-21 Sdgi Holdings, Inc. Interbody fusion device and method for restoration of normal spinal anatomy
WO1996037154A1 (en) * 1995-05-26 1996-11-28 Mathys Medizinaltechnik Ag Instruments for adjustment osteotomy of the lower extremity
US5601565A (en) * 1995-06-02 1997-02-11 Huebner; Randall J. Osteotomy method and apparatus
FR2741525B1 (en) 1995-11-24 2000-12-08 Voydeville Gilles Orthopedic correcting wedge
CA2242645A1 (en) * 1995-12-08 1997-06-12 Robert S. Bray, Jr. Anterior stabilization device
US5733290A (en) * 1995-12-21 1998-03-31 Johnson & Johnson Professional, Inc. Quick-release tibial alignment handle
US5722978A (en) * 1996-03-13 1998-03-03 Jenkins, Jr.; Joseph Robert Osteotomy system
US5681316A (en) * 1996-08-22 1997-10-28 Johnson & Johnson Professional, Inc. Tibial resection guide
US6027504A (en) * 1996-12-06 2000-02-22 Mcguire; David A. Device and method for producing osteotomies
US5840813A (en) * 1997-01-03 1998-11-24 Dow Corning Corporation Homopolymerization of acrylate or methacrylate endblocked polydiorganosiloxanes
US6039761A (en) * 1997-02-12 2000-03-21 Li Medical Technologies, Inc. Intervertebral spacer and tool and method for emplacement thereof
US5980526A (en) * 1997-02-12 1999-11-09 Orthopaedic Innovations, Inc. Wedge osteotomy device including a guide for controlling osteotomy depth
FR2764183B1 (en) 1997-06-09 1999-11-05 Jacques Afriat MATERIAL ALLOWING THE CORRECTION OF "HALLUX VALGUS"
US6287308B1 (en) * 1997-07-14 2001-09-11 Sdgi Holdings, Inc. Methods and apparatus for fusionless treatment of spinal deformities
US5843085A (en) 1997-10-14 1998-12-01 Graser; Robert E. Device for repair of hallux valgus
US7087082B2 (en) * 1998-08-03 2006-08-08 Synthes (Usa) Bone implants with central chambers
US6008433A (en) 1998-04-23 1999-12-28 Stone; Kevin R. Osteotomy wedge device, kit and methods for realignment of a varus angulated knee
US6086593A (en) * 1998-06-30 2000-07-11 Bonutti; Peter M. Method and apparatus for use in operating on a bone
US6099531A (en) * 1998-08-20 2000-08-08 Bonutti; Peter M. Changing relationship between bones
US6200347B1 (en) * 1999-01-05 2001-03-13 Lifenet Composite bone graft, method of making and using same
US6102950A (en) * 1999-01-19 2000-08-15 Vaccaro; Alex Intervertebral body fusion device
AUPP830499A0 (en) * 1999-01-22 1999-02-18 Cryptych Pty Ltd Method and apparatus for delivering bio-active compounds to specified sites in the body
US6264694B1 (en) * 1999-02-11 2001-07-24 Linvatec Corporation Soft tissue graft fixation device and method
US6224599B1 (en) * 1999-05-19 2001-05-01 Matthew G. Baynham Viewable wedge distractor device
US6491724B1 (en) * 1999-08-13 2002-12-10 Bret Ferree Spinal fusion cage with lordosis correction
US6214007B1 (en) * 1999-06-01 2001-04-10 David G. Anderson Surgical fastener for fixation of a soft tissue graft to a bone tunnel
US6277149B1 (en) * 1999-06-08 2001-08-21 Osteotech, Inc. Ramp-shaped intervertebral implant
US6203546B1 (en) * 1999-07-27 2001-03-20 Macmahon Edward B Method and apparatus for medial tibial osteotomy
US6190390B1 (en) * 1999-10-29 2001-02-20 Howmedica Osteonics Corp. Apparatus and method for creating a dome tibial osteotomy
US6461359B1 (en) 1999-11-10 2002-10-08 Clifford Tribus Spine stabilization device
US6478800B1 (en) * 2000-05-08 2002-11-12 Depuy Acromed, Inc. Medical installation tool
US6823871B2 (en) * 2000-06-01 2004-11-30 Arthrex, Inc. Allograft bone or synthetic wedges for osteotomy
US7018416B2 (en) * 2000-07-06 2006-03-28 Zimmer Spine, Inc. Bone implants and methods
US6585739B2 (en) * 2001-01-16 2003-07-01 Medtronic Ps Medical, Inc. Apparatus for attaching a cranial flap
US6565570B2 (en) * 2001-03-14 2003-05-20 Electro-Biology, Inc. Bone plate and retractor assembly
US6796986B2 (en) * 2001-03-29 2004-09-28 David W. Duffner Adjustable tibial osteotomy jig and method
US6699252B2 (en) * 2001-04-17 2004-03-02 Regeneration Technologies, Inc. Methods and instruments for improved meniscus transplantation
US20030105526A1 (en) * 2001-11-30 2003-06-05 Amei Technologies Inc. High tibial osteotomy (HTO) wedge
EP1480549A4 (en) * 2002-03-05 2010-05-26 Zimmer Inc Minimally invasive total knee arthroplasty method and instrumentation
US7862597B2 (en) * 2002-08-22 2011-01-04 Warsaw Orthopedic, Inc. System for stabilizing a portion of the spine
US7318827B2 (en) * 2002-12-02 2008-01-15 Aesculap Ag & Co. Kg Osteotomy procedure
US7112204B2 (en) * 2003-02-06 2006-09-26 Medicinelodge, Inc. Tibial tubercle osteotomy for total knee arthroplasty and instruments and implants therefor
US8388690B2 (en) * 2003-10-03 2013-03-05 Linvatec Corporation Osteotomy system
WO2005048897A1 (en) * 2003-11-18 2005-06-02 Quantum Orthopedics Osteoconductive integrated spinal cage and method of making same
WO2005048888A1 (en) 2003-11-21 2005-06-02 Enztec Limited A surgical procedure
US7364581B2 (en) * 2004-01-14 2008-04-29 Howmedica Osteonics Corp. Variable angle cutting block
US8287545B2 (en) * 2004-01-14 2012-10-16 Hudson Surgical Design, Inc. Methods and apparatus for enhanced retention of prosthetic implants
ES2622873T3 (en) * 2004-03-11 2017-07-07 Acumed Llc Bone replacement systems
US8083746B2 (en) 2004-05-07 2011-12-27 Arthrex, Inc. Open wedge osteotomy system and surgical method
EP1669033B1 (en) 2004-12-08 2009-02-18 Perception Raisonnement Action En Medecine Device for positioning a bone cutting guide
US20060149275A1 (en) * 2004-12-14 2006-07-06 Cadmus Calvin M Apparatus and methods for tibial plateau leveling osteotomy
EP1850782B1 (en) * 2005-02-09 2013-11-06 Arthrex, Inc. Multi-part implant for open wedge knee osteotomies
WO2006107800A2 (en) 2005-04-01 2006-10-12 Ibalance Medical, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
US8241293B2 (en) * 2006-02-27 2012-08-14 Biomet Manufacturing Corp. Patient specific high tibia osteotomy
US8241292B2 (en) * 2006-06-30 2012-08-14 Howmedica Osteonics Corp. High tibial osteotomy system
US8167951B2 (en) * 2007-05-09 2012-05-01 Arthrex, Inc. Method and apparatus for reconstructing a ligament and/or repairing cartilage, and for performing an open wedge, high tibial osteotomy

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CA2597220A1 (en) 2006-08-17
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WO2006086476A2 (en) 2006-08-17
US8496662B2 (en) 2013-07-30

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