Plate selection user interface and design tool with database
Described herein are systems and methods in which a surgeon can use computer-implemented deformity assessment and correction tools to create 3D models of a bone. To ensure adequate healing, a surgeon may choose to use a prefabricated bone plate, a semi-customized bone plate, or a fully-customized bone plate to hold first and second bone portions in a corrected position. To select the appropriate prefabricated bone plate, the surgeon may identify three landmark locations on the first and second bone portions corresponding to desired fixation hole locations on the bone plate. The surgeon can then use a software application to evaluate multiple bone plate designs in a library and compare the average proximity of the landmark locations to fixation hole locations on each of the bone plate designs. Then, the surgeon can determine which bone plate design best fits the patient anatomy based on his comparison.
1. A system for correcting a deformity in first and second bone portions having a deformed position with respect to each other comprising:
a cut guide having a first portion fixable to the first bone portion and a second portion fixable to the second bone portion in the deformed position, the first and second portions being connected by a gear module having a pivot axis about which the first and second portions rotate to pivot the first and second bone portions about the gear module from the deformed position to a corrected position, the cut guide further having at least one cutting slot for resecting a bone cut out from at least one of the first and second bone portions; and
a bone plate having a body including first and second sections and superior and inferior surfaces, the inferior surface having a preoperatively planned shape to match an outer surface of each of the first and second bone portions when the first and second bone portions are in the corrected position different than the deformed position.
2. The system of claim 1 , wherein the inferior surface of the first section is adapted to contact the outer surface of the first bone portion above an apex point of the deformity and the inferior surface of the second section is adapted to contact the outer surface of the second bone portion below the apex point of the deformity when the first and second bone portions are in the corrected position.
3. The system of claim 1 , wherein a thickness of the body defined by a linear distance between the superior and inferior surfaces varies from a first end adjacent the first section to a second end adjacent the second section.
4. The system of claim 1 , wherein the bone plate defines at least one fixation hole in each of the first and second sections of the body.
5. The system of claim 4 , wherein a location of each of the fixation holes is preoperatively planned to face areas of the first and second bone portions having higher relative density.
6. The system of claim 4 , wherein one of the at least one fixation holes is adapted to receive a fixation element at a plurality of angles.
7. The system of claim 4 , wherein one of the at least one fixation holes is larger than another of the at least one fixation holes such that a fixation element in the one of the at least one fixation holes is able to change angles during insertion.
8. The system of claim 4 , further comprising:
a first fixation element insertable into a fixation hole in the first section of the bone plate and a second fixation element insertable into a fixation hole in the second section of the bone plate.
9. The system of claim 8 , wherein the first and second fixation elements are different lengths.
10. A system for correcting a deformity in first and second bone portions having a deformed position with respect to each other, the system comprising:
a cut guide fixable to each of the first and second bone portions in the deformed position, the cut guide having a bone facing surface, an opposite surface and a cutting slot having a first portion with a first opening defined in the opposite surface and a second portion with a second opening defined in the opposite surface, the first portion and second portion being angled inwardly toward one another from the opposite surface toward the bone contacting surface, the second opening extending at a non-zero angle relative to the first opening such that a combination of the first and second openings approximately form a V-shape; and
a bone plate having a body including first and second sections and superior and inferior surfaces, the inferior surface having a preoperatively planned shape to match an outer surface of each of the first and second bone portions when the first and second bone portions are in a corrected position different than the deformed position.
11. The system of claim 10 , wherein the first opening and the second opening intersect at an intersection point.
12. The system of claim 11 , wherein the cutting slot has a lower portion and an upper portion, the lower portion being defined by the first and second portions and the upper portion including a slot extending from the intersection point and away from the lower portion.
13. The system of claim 10 , wherein the bone facing surface of the first section is adapted to contact the outer surface of the first bone portion above an apex point of the deformity and the bone facing surface of the second section is adapted to contact the outer surface of the second bone portion below the apex point of the deformity when the first and second bone portions are in the corrected position.
14. The system of claim 10 , wherein a thickness of the body defined by a linear distance between the superior and inferior surfaces varies from a first end adjacent the first section to a second end adjacent the second section.
15. The system of claim 10 , wherein the bone plate defines at least one fixation hole in each of the first and second sections of the body.
16. The system of claim 15 , wherein a location of each of the fixation holes is preoperatively planned to face areas of the first and second bone portions having higher relative density.
17. The system of claim 15 , wherein one of the at least one fixation holes is adapted to receive a fixation element at a plurality of angles.
18. The system of claim 15 , further comprising:
a first fixation element insertable into a fixation hole in the first section of the bone plate and a second fixation element insertable into a fixation hole in the second section of the bone plate.