US 12,274,481 B2
Bone positioning and preparing guide systems and methods
Robert D. Santrock, Morgantown, WV (US); Paul Dayton, Ankeny, IA (US); Daniel J. Hatch, Greeley, CO (US); W. Bret Smith, Lexington, SC (US); F. Barry Bays, Collierville, TN (US); Carlos Eduardo Gil, Memphis, TN (US); Sean F. Scanlan, Jacksonville, FL (US); Joe W. Ferguson, Ponte Vedra Beach, FL (US); and John T. Treace, Ponte Vedra Beach, FL (US)
Assigned to Treace Medical Concepts, Inc., Ponte Vedra, FL (US)
Filed by Treace Medical Concepts, Inc., Ponte Vedra, FL (US)
Filed on Feb. 26, 2024, as Appl. No. 18/587,921.
Application 18/587,921 is a continuation of application No. 18/183,013, filed on Mar. 13, 2023, granted, now 11,911,085.
Application 18/183,013 is a continuation of application No. 17/567,879, filed on Jan. 3, 2022, granted, now 11,602,387, issued on Mar. 14, 2023.
Application 17/567,879 is a continuation of application No. 17/353,431, filed on Jun. 21, 2021, granted, now 11,213,333, issued on Jan. 4, 2022.
Application 17/353,431 is a continuation of application No. 16/998,155, filed on Aug. 20, 2020, granted, now 11,039,873, issued on Jun. 22, 2021.
Application 16/998,155 is a continuation of application No. 16/031,855, filed on Jul. 10, 2018, granted, now 10,849,670, issued on Dec. 1, 2020.
Application 16/031,855 is a continuation of application No. 15/452,236, filed on Mar. 7, 2017, granted, now 10,045,807, issued on Aug. 14, 2018.
Application 15/452,236 is a continuation of application No. 14/981,335, filed on Dec. 28, 2015, granted, now 9,622,805, issued on Apr. 18, 2017.
Claims priority of provisional application 62/205,338, filed on Aug. 14, 2015.
Prior Publication US 2024/0245437 A1, Jul. 25, 2024
Int. Cl. A61B 17/88 (2006.01); A61B 17/15 (2006.01); A61B 17/16 (2006.01); A61B 17/17 (2006.01); A61B 17/80 (2006.01); A61B 17/00 (2006.01); A61B 17/02 (2006.01); A61B 17/56 (2006.01); A61B 17/66 (2006.01); A61B 17/68 (2006.01); A61B 17/90 (2006.01)
CPC A61B 17/8866 (2013.01) [A61B 17/15 (2013.01); A61B 17/151 (2013.01); A61B 17/152 (2013.01); A61B 17/1682 (2013.01); A61B 17/1728 (2013.01); A61B 17/1739 (2013.01); A61B 17/1775 (2016.11); A61B 17/8061 (2013.01); A61B 2017/00367 (2013.01); A61B 17/025 (2013.01); A61B 17/562 (2013.01); A61B 2017/564 (2013.01); A61B 2017/565 (2013.01); A61B 17/66 (2013.01); A61B 2017/681 (2013.01); A61B 17/90 (2021.08)] 30 Claims
OG exemplary drawing
 
1. An instrumented surgical technique for preparing a tarsal-metatarsal joint for fusion and for repositioning a first metatarsal to correct a bunion deformity, the instrumented surgical technique comprising:
making an incision on a foot to provide access to a tarsal-metatarsal joint;
engaging the first metatarsal with a bone engagement member of a bone positioning guide;
engaging the bone positioning guide with a second metatarsal separated from the first metatarsal by an intermetatarsal angle;
cutting an end of the first metatarsal with a tissue removing instrument;
rotating a knob connected to a threaded shaft of the bone positioning guide to cause the bone engagement member to push the first metatarsal laterally toward the second metatarsal and thereby reduce the intermetatarsal angle between the first metatarsal and the second metatarsal to correct the bunion deformity;
imparting a force to a pin inserted into the first metatarsal to adjust an alignment of the first metatarsal in a frontal plane to correct the bunion deformity;
cutting an end of a medial cuneiform with the tissue removing instrument;
compressing the first metatarsal together with the medial cuneiform; and
fixating a moved position of the first metatarsal relative to the medial cuneiform for fusion using at least one bone fixation device.