Implants, devices, instruments, kits and methods for correcting bone deformities in the foot are disclosed. Specifically, implants, devices, instruments, kits and methods used for lower extremity osteotomy procedures are disclosed.

Methods and devices for performing an osteotomy on a bone are presented. In one example of the invention, a method of performing an osteotomy on a bone includes removing a portion of bone from a first side of the bone to create a gap on the first side of the bone; making a cut on a second side of the bone, opposite the first side; and rotating the bone from a first position to a second position to close the gap on the first side of the bone and open the cut on the second side of the bone to create a gap on the second side of the bone.

A patient-specific surgical guide including at least one guiding element for guiding a surgical instrument to treat a subcutaneous anatomical structure of the patient. A first patient-specific contact element with a first patient-specific contact surface to fit a portion of the subcutaneous anatomical structure is rigidly connected to the at least one guiding element. The patient-specific surgical guide includes at least one second patient-specific contact element having at least one support element for supporting a percutaneous pin or needle whose tip is intended to contact a point of the subcutaneous anatomical structure or an anatomical structure rigidly connected thereto. An elongated junction member rigidly couples the at least one guiding element to the at least one second contact element.

A patient-specific cutting guide system comprises at least two instruments. One is a positioner configured to locate a fiducial marker on a patient's bone and to be secured in three axes. The second is a cutting guide that cooperates with the positioner and delineates cuts to be made. The instruments are designed from images of the bone with the marker already in place. Preferably, a positioner comprises at least three targeting apertures configured to locate at least three non-linear markers. The cutting guide comprises top surface contours that guide the depth of the cuts. A method of forming this system comprises placing at least one marker (preferably three) on a patient's bone, then imaging the bone, forming a positioner designed to incorporate the marker position, and forming a cutting guide configured to be oriented and anchored by the positioner.

A chevron osteotomy guide for use in a minimally invasive bunionectomy procedure comprises an oblong base plate having a modified rectangular shape with two parallel longitudinal sides, and having a semi-circular proximal end and a chevron shaped distal end. The chevron shape is isosceles triangular in which a dorsal edge and a plantar edge intersect to form an apex angle that is less than 90 degrees and greater than 60 degrees. In the bunionectomy procedure, the chevron osteotomy guide is attached to the first metatarsal bone using two K wires or pins through proximal and distal apertures in the guide. The proximal aperture is surrounded by two concentric tubular projections which are orthogonal to the plane of the base plate. These projections consist of an inner tubular core, having a circumference that coincides with that of the proximal aperture, and an outer tubular haft, which serves as a handle by which the surgeon adjusts the position of the guide on the first metatarsal bone. Once the osteotomy guide is stabilized on the medial side of the first metatarsal bone, the surgeon uses a sagittal saw sequentially guided along the dorsal edge and then along the plantar edge of the chevron guide, so as complete osteotomies through the dorsal and plantar cortices of the first metatarsal bone. These osteotomies allow the metatarsal head to be translated and pivoted into a position that corrects the patient's bunion condition.

A wedge osteotomy method inserts a first wire into a first bone of the foot, distal from tissue to be removed. A second wire is inserted into a second bone, so the tissue to be removed is distal from the second wire. A cut guide is pivoted about the first wire, until a first axis of the cut guide is parallel with a longitudinal axis of the first metatarsal. The cut guide has a slot perpendicular to the first axis for guiding a cutter to cut bone, while the first axis is aligned with the longitudinal axis of the first metatarsal. The cut guide is then pivoted about the second wire, until the first axis is aligned with the longitudinal axis of the talus, and bone is cut through the slot, to form a second planar cut into or through bone material.

A cutting guide for periacetabular osteotomy comprises at least one first main body having a longitudinal opening for the insertion of a cutting instrument, extending from a first end to a second end of the first main body and at least two positioning and fixing arms extending away from the first main body from opposite sides with respect to the longitudinal opening, in order to correctly position the first main body on a bone and fix it thereto through respective fastening members.

An implantable orthopedic wedge can include a main body having a base portion and an apical portion, the apical portion including a first end. The main body can have a thickness that tapers along a perimeter of the main body from a first thickness at the base portion to a second thickness at the apical portion. The implantable orthopedic wedge can also include a fixation member coupled to the main body and configured to receive one or more anchoring elements to anchor the wedge to an implantation site.

A method may be used to correct a condition present in a patient. The method may include obtaining a first bone model of a first bone of one or more bones of the patient's foot, and using at least the first bone model to generate a cutting guide model. The cutting guide model may define a first bone engagement surface shaped to match a first contour on the first bone, and a first guide feature that, with the first bone engagement surface overlying the first contour, is positioned to guide resection of the one or more bones as part of a surgical osteotomy for correcting the condition. The surgical procedure may be selected from a first group consisting of a bunion correction osteotomy, an Evans calcaneal osteotomy, and a medializing calcaneal osteotomy. The first bone may be selected from a second group consisting a metatarsus, a cuneiform, and a calcaneus.

A system for guiding a cutting tool in an osteotomy procedure includes a cutting block. The cutting block includes an aperture extending through a thickness of the cutting block and having a length and a width. The width of the aperture is defined between a first interior surface of the cutting block and a second interior surface of the cutting block opposing the first interior surface. The system further includes a sleeve. The sleeve includes a slot configured for receiving a sawblade and configured for insertion into the aperture of the cutting block such that the sleeve contacts either the first interior surface or the second interior surface without contacting the other interior surface.