Bone cutting guide systems and methods
A bone cutting guide may include a support that contains a shaft movable relative to the support. The shaft may carry a guide member having one or more cut guides through which a clinician inserts a cutting member to cut bone positioned under the guide cut guides. In operation, a clinician may fixate the support of the bone cutting guide to a bone and translate the guide member until the one or more cut guides are positioned at a desired cut location. The clinician may then perform a cut through the cut guide.
1. A method of correcting a bunion comprising:
fixing a support to a metatarsal;
aligning a main guide member relative to the support, the main guide member comprising a cutting guide surface;
guiding a cutting member along the cutting guide surface of the main guide member to cut an end of the metatarsal;
moving the metatarsal in a transverse plane to correct a transverse plane deformity caused by a bunion;
moving the metatarsal in a frontal plane to correct a frontal plane deformity caused by the bunion, wherein moving the metatarsal in the frontal plane comprises applying a rotational force to a pin inserted into the metatarsal; and
fixing a moved position of the metatarsal relative to a cuneiform separated from the metatarsal by a joint.
2. The method of claim 1 , wherein aligning the main guide member comprises inserting a spacer into the joint and adjusting a location of the main guide member relative to the joint.
3. The method of claim 1 , further comprising:
aligning the main guide member at a second location to be cut; and
cutting an end of the cuneiform using the main guide member.
4. The method of claim 1 , wherein:
the support defines an inner cavity;
a shaft is disposed at least partially within the inner cavity and is translatable within the inner cavity relative to the support; and
the main guide member located along the shaft.
5. The method of claim 1 , further comprising engaging an anchor on a side of the main guide member opposite the support.
6. The method of claim 5 , further comprising engaging a first adjustable stabilization screw engaged with the support and a second adjustable stabilization screw engaged with the anchor.
7. The method of claim 5 , further comprising inserting at least one fixation pin through at least one fixation aperture extending through the support.
8. The method of claim 1 , wherein the main guide member includes a second cutting guide surface defining a cutting slot between the cutting guide surface and the second cutting guide surface.
9. The method of claim 1 , wherein fixing the support to the metatarsal comprises pinning the support to the metatarsal.
10. The method of claim 9 , further comprising fixing an anchor extending from the main guide member to the cuneiform.
11. The method of claim 10 , wherein fixing the anchor to the cuneiform comprises pinning to the anchor to the cuneiform.
12. The method of claim 2 , wherein inserting the spacer into the join comprises engaging the spacer with the main guide member.
13. The method of claim 1 , wherein moving the metatarsal in the transverse plane to correct the transverse plane deformity and moving the metatarsal in the frontal plane to correct the frontal plane deformity comprises moving the metatarsal in the transverse plane and moving the metatarsal in the frontal plane before guiding the cutting member to cut the end of the metatarsal.
14. The method of claim 1 , wherein fixing the moved position of the metatarsal relative to the cuneiform comprises applying one or more of a screw and a plate to the metatarsal and the cuneiform.