HTO guide with optional guided ACL/PCL tunnels
First Claim
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1. A patient-specific osteotomy guide comprising:
- a body comprising a three-dimensional bone-engaging inner surface configured to closely mate and conform to a corresponding portion of a specific patient'"'"'s tibia;
a resection slot extending through the body, the resection slot configured to guide a cutting tool to perform an osteotomy on the tibia; and
an axial guide configured to guide a tool to perform at least one of an ACL reconstructive procedure and a PCL reconstructive procedure on the tibia, wherein (i) the three-dimensional bone-engaging inner surface is designed preoperatively according to a preoperative plan, such that the bone-engaging inner surface conforms only to the portion of the specific patient'"'"'s tibia, (ii) the resection slot is designed preoperatively according to the preoperative plan, such that a cutting axis of the resection slot extends at a pre-defined patient-specific angle β
relative to a reference axis extending through the specific patient'"'"'s tibia, the reference axis comprising an anatomical axis coinciding with a long axis of the patient'"'"'s tibia, and (iii) the axial guide defines first and second apertures extending through the body along first and second fixed axes arranged at pre-defined patient-specific angles θ
1, θ
2, respectively, relative to the reference axis, the first fixed axis extending through the specific patient'"'"'s tibia and femur along an ACL tunnel path established preoperatively by way of the preoperative plan, and the second fixed axis extending through specific patient'"'"'s tibia and femur along a PCL tunnel path established preoperatively by way of the preoperative plan.
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Abstract
A patient-specific osteotomy guide according to the present disclosure includes a three-dimensional bone-engaging inner surface configured to closely mate and conform to a corresponding portion of a specific patient'"'"'s tibia. A resection slot at a patient-specific position and orientation to guide a cutting tool to perform an osteotomy according to a preoperative plan for the patient. An axial guide at a patient-specific position and orientation to guide a tool to perform an ACL/PCL reconstructive procedure according to a preoperative plan for the patient.
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Citations
12 Claims
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1. A patient-specific osteotomy guide comprising:
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a body comprising a three-dimensional bone-engaging inner surface configured to closely mate and conform to a corresponding portion of a specific patient'"'"'s tibia; a resection slot extending through the body, the resection slot configured to guide a cutting tool to perform an osteotomy on the tibia; and an axial guide configured to guide a tool to perform at least one of an ACL reconstructive procedure and a PCL reconstructive procedure on the tibia, wherein (i) the three-dimensional bone-engaging inner surface is designed preoperatively according to a preoperative plan, such that the bone-engaging inner surface conforms only to the portion of the specific patient'"'"'s tibia, (ii) the resection slot is designed preoperatively according to the preoperative plan, such that a cutting axis of the resection slot extends at a pre-defined patient-specific angle β
relative to a reference axis extending through the specific patient'"'"'s tibia, the reference axis comprising an anatomical axis coinciding with a long axis of the patient'"'"'s tibia, and (iii) the axial guide defines first and second apertures extending through the body along first and second fixed axes arranged at pre-defined patient-specific angles θ
1, θ
2, respectively, relative to the reference axis, the first fixed axis extending through the specific patient'"'"'s tibia and femur along an ACL tunnel path established preoperatively by way of the preoperative plan, and the second fixed axis extending through specific patient'"'"'s tibia and femur along a PCL tunnel path established preoperatively by way of the preoperative plan. - View Dependent Claims (2, 3, 4, 5, 6)
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7. A patient-specific osteotomy system comprising:
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an osteotomy cutting tool; an ACL tunnel forming tool and a PCL tunnel forming tool; and a one-piece, integrated osteotomy guide including; a body comprising a three-dimensional bone-engaging inner surface configured to closely mate and conform to a corresponding portion of a specific patient'"'"'s tibia; a resection slot extending through body, the resection slot configured to guide the osteotomy cutting tool to perform an osteotomy on the tibia; and an axial guide configured to guide the ACL tunnel forming tool and the PCL tunnel forming tool to perform at least one of an ACL reconstructive procedure and a PCL reconstructive procedure, wherein (i) the three-dimensional bone-engaging inner surface is designed preoperatively according to a preoperative plan, such that the bone-engaging inner surface conforms only to the portion of the specific patient'"'"'s tibia, (ii) the resection slot is designed preoperatively according to the preoperative plan, such that a cutting axis of the resection slot extends at a pre-defined patient-specific angle β
relative to a reference axis extending through the specific patient'"'"'s tibia, the reference axis comprising an anatomical axis coinciding with a long axis of the patient'"'"'s tibia, and (iii) the axial guide defines first and second apertures extending through the osteotomy guide along first and second fixed axes arranged at pre-defined patient-specific angles θ
1, θ
2, respectively, relative to the reference axis, the first fixed axis extending through the specific patient'"'"'s tibia and femur along an ACL tunnel path established preoperatively by way of the preoperative plan, and the second fixed axis extending through the specific patient'"'"'s tibia and femur along a PCL tunnel path established preoperatively by way of the preoperative plan. - View Dependent Claims (8, 9, 10, 11, 12)
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Specification