	US 12,133,804 B2
	Total ankle replacement surgical method
Mark Ray Dalton, Austin, TX (US); Jeffrey Christensen, Everett, WA (US); Daniel J. Lee, Denver, CO (US); Joseph Dogué, Aurora, CO (US); Francis D. Barmes, Parker, CO (US); Albert Dacosta, Lone Tree, CO (US); and Aaron Kannard, Los Angeles, CA (US)
Assigned to Paragon 28, Inc., Englewood, CO (US)
Filed by Paragon 28, Inc., Englewood, CO (US)
Filed on Jun. 14, 2021, as Appl. No. 17/304,064.
Application 17/304,064 is a continuation of application No. PCT/US2019/066404, filed on Dec. 13, 2019.
Application 17/304,064 is a continuation of application No. PCT/US2019/066149, filed on Dec. 13, 2019.
Application 17/304,064 is a continuation of application No. PCT/US2019/066408, filed on Dec. 13, 2019.
Application 17/304,064 is a continuation of application No. PCT/US2019/066398, filed on Dec. 13, 2019.
Application 17/304,064 is a continuation of application No. PCT/US2019/066393, filed on Dec. 13, 2019.
Application 17/304,064 is a continuation of application No. PCT/US2019/066336, filed on Dec. 13, 2019.
Application 17/304,064 is a continuation of application No. PCT/US2019/066409, filed on Dec. 13, 2019.
Application 17/304,064 is a continuation of application No. PCT/US2019/065025, filed on Dec. 6, 2019.
Application 17/304,064 is a continuation of application No. PCT/US2019/064948, filed on Dec. 6, 2019.
Claims priority of provisional application 62/899,703, filed on Sep. 12, 2019.
Claims priority of provisional application 62/899,740, filed on Sep. 12, 2019.
Claims priority of provisional application 62/899,460, filed on Sep. 12, 2019.
Claims priority of provisional application 62/899,646, filed on Sep. 12, 2019.
Claims priority of provisional application 62/899,655, filed on Sep. 12, 2019.
Claims priority of provisional application 62/898,854, filed on Sep. 11, 2019.
Claims priority of provisional application 62/898,615, filed on Sep. 11, 2019.
Claims priority of provisional application 62/890,611, filed on Aug. 22, 2019.
Claims priority of provisional application 62/779,092, filed on Dec. 13, 2018.
Claims priority of provisional application 62/779,436, filed on Dec. 13, 2018.
Prior Publication US 2021/0298911 A1, Sep. 30, 2021
Int. Cl. A61F 2/42 (2006.01); A61B 17/02 (2006.01); A61B 17/16 (2006.01); A61F 2/46 (2006.01); A61F 2/30 (2006.01)

CPC A61F 2/4202 (2013.01) [A61B 17/025 (2013.01); A61B 17/1682 (2013.01); A61F 2/4606 (2013.01); A61F 2/4684 (2013.01); A61F 2002/30594 (2013.01); A61F 2002/4205 (2013.01); A61F 2002/4207 (2013.01)]

20 Claims

1. A surgical method for total ankle replacement (TAR), comprising:

obtaining a TAR implant, wherein the TAR implant comprises:

a tibial component comprising a tibial engagement surface and at least one bone engagement projection;

a talar component with a talar engagement surface and a talar articulation surface; and

a tibial insert configured to removably couple with the tibial component and comprising tibial articulation surface that articulates with the talar articulation surface;

conducting pre-operative templating;

making an incision to expose an ankle joint with a first tibia bone and a second talar bone;

continuing the incision while releasing soft tissue, comprising:

identifying the superficial peroneal nerve and retracting it laterally;

continuing incision to the extensor retinaculum;

identifying the extensor hallucis longus (EHL) tendon below the retinaculum;

dividing the retinaculum longitudinally over the EHL tendon;

leaving the sheath of the tibialis anterior (TA) tendon intact;

identifying the neurovascular bundle and retracting it laterally with the EHL tendon;

retracting the TA tendon medially; and

continuing incision until the anterior capsule is visualized;

aligning a joint alignment guide with the first tibia bone;

preparing the first tibia and second talar bones for receiving the TAR implant, comprising:

performing an anterior capsulotomy; and

removing osteophytes on the tibia and the talus;

coupling a tibial sizing block with a tibial alignment base;

performing a resection of the first tibia bone to form a resected tibia;

performing a resection to the second talar bone to form a resected talus;

trialing the TAR implant with the resected tibia and the resected talus via a TAR trial and guide system to determine sizes for the tibial component, the talar component and the tibial insert; and

closing the incision.