Freeform tri-planar osteotomy guide and method
Systems and methods for performing an osteotomy are presented. Examples include forming a fusion osteotomy at a metatarsocuneiform joint of the first ray of a human foot.
1. A method of performing an osteotomy between a metatarsus and a cuneiform defining a metatarsocuneiform joint of a human foot, the method comprising:
repositioning the metatarsus by rotating the metatarsus in one or more planes selected from a transverse plane, a coronal plane, and a sagittal plane;
securing an osteotomy guide to at least one of the metatarsus and the cuneiform;
cutting the metatarsus using a saw that is guided by a first guide slot in the osteotomy guide to form a metatarsus cut surface;
cutting the cuneiform using a saw that is guided by a second guide slot in the osteotomy guide that is spaced apart from the first guide slot to form a cuneiform cut surface;
removing the osteotomy guide;
compressing the metatarsus and cuneiform to bring the metatarsus cut surface and the cuneiform cut surface together; and
fixing the metatarsus and cuneiform together with one or more pins, plates, screws, or rods.
2. The method of claim 1 , comprising rotating the metatarsus in each of the transverse plane, coronal plane, and sagittal plane.
3. The method of claim 1 , wherein the osteotomy guide comprises a one-piece guide body comprising both the first and second guide slots.
4. The method of claim 1 , wherein securing the osteotomy guide comprises inserting one or more pins through fixation holes in the osteotomy guide into the metatarsus or cuneiform.
5. The method of claim 1 , comprising, after repositioning the metatarsus, inserting one or more pins through fixation holes in the osteotomy guide into the cuneiform.
6. The method of claim 1 , wherein compressing the metatarsus and cuneiform comprises controlled reduction of the metatarsus and cuneiform using a compressor comprising a first member secured to the metatarsus and a second member secured to cuneiform, wherein the first and second members are engaged in a linear sliding relationship.
7. A method of performing an osteotomy between a metatarsus and a cuneiform defining a metatarsocuneiform joint of a human foot, the method comprising:
positioning an osteotomy guide across the metatarsocuneiform joint, the osteotomy guide comprising a first cutting guide slot and a second cutting guide slot spaced apart from each other, wherein the first cutting guide slot and second cutting guide slot are angled relative to one another;
securing the osteotomy guide to at least one of the metatarsus and the cuneiform;
cutting the metatarsus using a saw that is guided by a first guide slot in the osteotomy guide to form a metatarsus cut surface;
cutting the cuneiform using a saw that is guided by a second guide slot in the osteotomy guide that is spaced apart from the first guide slot to form a cuneiform cut surface;
removing the osteotomy guide;
compressing the metatarsus and cuneiform to bring the metatarsus cut surface and the cuneiform cut surface together; and
fixing the metatarsus and cuneiform together with one or more pins, plates, screws, or rods.
8. The method of claim 7 , wherein securing the osteotomy guide to the at least one of the metatarsus and the cuneiform comprises inserting one or more pins through one or more holes in the osteotomy guide and into the at least one of the metatarsus and the cuneiform.
9. The method of claim 7 , comprising inserting a first pin through a first hole in the osteotomy guide into the metatarsal and inserting a second pin through a second hole in the osteotomy guide into the cuneiform.
10. The method of claim 7 , wherein the osteotomy guide comprises a one-piece guide body comprising both the first and second guide slots.
11. The method of claim 7 , wherein compressing the metatarsus and cuneiform comprises controlled reduction of the metatarsus and cuneiform using a compressor comprising a first member secured to the metatarsus and a second member secured to cuneiform, wherein the first and second members are engaged in a linear sliding relationship.
12. A method of performing an osteotomy between a metatarsus and a cuneiform defining a metatarsocuneiform joint of a human foot, the method comprising:
positioning an osteotomy guide across the metatarsocuneiform joint, the osteotomy guide comprising a joint alignment slot, a first cutting guide slot, and a second cutting guide slot, wherein each of the joint alignment slot, the first cutting guide slot, and the second cutting guide slot are spaced apart from each other, wherein positioning the osteotomy guide comprises positioning a joint-seeking paddle within the metatarsocuneiform joint and through the joint alignment slot;
securing the osteotomy guide to at least one of the metatarsus and the cuneiform;
cutting the metatarsus using a saw that is guided by a first guide slot in the osteotomy guide to form a metatarsus cut surface;
cutting the cuneiform using a saw that is guided by a second guide slot in the osteotomy guide that is spaced apart from the first guide slot to form a cuneiform cut surface;
removing the osteotomy guide;
compressing the metatarsus and cuneiform to bring the metatarsus cut surface and the cuneiform cut surface together; and
fixing the metatarsus and cuneiform together with one or more pins, plates, screws, or rods.
13. The method of claim 12 , wherein securing the osteotomy guide to the at least one of the metatarsus and the cuneiform comprises inserting one or more pins through one or more holes in the osteotomy guide and into the at least one of the metatarsus and the cuneiform.
14. The method of claim 12 , comprising inserting a first pin through a first hole in the osteotomy guide into the metatarsal and inserting a second pin through a second hole in the osteotomy guide into the cuneiform.
15. The method of claim 12 , wherein the osteotomy guide comprises a one-piece guide body comprising both the first and second guide slots.
16. The method of claim 12 , wherein compressing the metatarsus and cuneiform comprises controlled reduction of the metatarsus and cuneiform using a compressor comprising a first member secured to the metatarsus and a second member secured to cuneiform, wherein the first and second members are engaged in a linear sliding relationship.