Apparatus, system, and method for osteotomies
An apparatus, system, and method are disclosed for remediating a condition present in a patient. In certain implementations, the device may include a body having a proximal side, a distal side, a medial side, a lateral side, an inferior side, and a superior side. In addition, the device may include a window that extends from one side of the body to an opposite side of the body, the window configured to enable a user to view an anatomical reference when the apparatus is in use. The device may include a reference feature guide coupled to the body, the reference feature guide configured to guide a user in providing one or more reference features.
1 . A method for remediating a bone condition present in a patient, the method comprising:
positioning a navigation guide comprising a body having proximal, distal, medial, lateral, inferior, and superior sides and an opening that extends from the superior side to the inferior side of the body, wherein positioning the navigation guide comprises making an anatomical reference of the patient visible through the opening of the navigation guide;
deploying at least one position indicator into the opening by passing the at least one position indicator through at least one of the proximal, distal, medial, and lateral sides of the body;
indicating a position of the navigation guide by comparing the at least one position indicator to the anatomical reference viewed through the opening;
providing one or more reference features relative to a bone or a first bone fragment of the patient using the navigation guide;
deploying a resection instrument relative to the one or more reference features, the resection instrument configured to address the bone condition by forming at least one second bone fragment in the bone or the first bone fragment; and
deploying a compression guide that engages at least two of the one or more reference features to compress the at least one second bone fragment and one of the bone and the first bone fragment to remediate the bone condition.
2 . The method of claim 1 , wherein positioning the navigation guide comprises engaging a bone engagement surface of the navigation guide with a bone of the patient.
3 . The method of claim 2 , wherein the bone engagement surface is positioned based at least in part on a bone model defined from medical imaging data.
4 . The method of claim 1 , further comprising deploying a resection guide insert within the opening, the resection guide insert configured to guide a cutting tool to form one or more osteotomies in at least one bone.
5 . The method of claim 1 , wherein indicating the position of the navigation guide comprises deploying the at least one position indicator through a first set of holes and a second position indicator through a second set of holes and wherein the at least one position indicator and the second position indicator form a crosshair within the opening.
6 . The method of claim 5 , wherein at least one of the holes is a blind hole.
7 . The method of claim 1 , wherein the navigation guide body comprises a radiolucent material.
8 . The method of claim 1 , wherein providing the one or more reference features comprises advancing a reference feature through a hole extending from a bone-facing side of the navigation guide.
9 . The method of claim 1 , wherein providing the one or more reference features comprises forming a reference feature through a hole extending from a bone-facing side of the navigation guide.
10 . The method of claim 1 , further comprising aligning a proximal bone fragment and a distal bone fragment using an alignment guide prior to compressing the at least one bone fragment.
11 . The method of claim 1 , further comprising indicating a trajectory of a first bone fragment relative to a second bone fragment using a second position indicator.
12 . The method of claim 11 , wherein the second position indicator intersects the at least one position indicator within the opening.
13 . The method of claim 1 , wherein deploying a resection instrument comprises coupling a resection guide insert to the navigation guide.