IP Library Granted Patent US 12,458,366
Granted Patent B2
US 12,458,366 · App. 18/047,130 · Granted Nov 4, 2025

Tibial osteotomy system, instruments, and related methods

Inventors: Albert Dacosta (Lone Tree, CO); Laura Zagrocki Brinker (Lone Tree, CO); Richard David Hunt (Arvada, CO); Dirk C. Bernhardt (Scottsdale, AZ); Kareen A. Fajardo Cortes (Tucson, AZ); Joshua A. McLean (Tucson, AZ); Andrew A. Okonya (Oro Valley, AZ); Melissa R. Requist (Steamboat Springs, CO)
Assignee: Paragon 28, Inc.
A61B17/157A61B17/1775
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Quick Facts
Patent No.
US 12,458,366
App. No.
18/047,130
Granted
Nov 4, 2025
Kind
B2
Abstract

The present disclosure relates to a tibial osteotomy system. The system includes a base plate configured to interface with the tibia which includes a body with a first pair of apertures configured to receive a first pair of stabilization elements, a first end with a first aperture, and a second end with a second aperture. The system also includes a measuring arm coupled with the first end of the base plate via the first aperture and having a third aperture aligned with the first aperture to receive a first screw, and a cut guide pivotably coupled with the second end of the base plate via the second aperture and having a fourth aperture aligned with the second aperture to receive a second screw therein. The cut guide also has a slot, a measurement flag releasably couplable within the slot, and a protrusion configured to receive a second stabilization element.

Claims (46)

1 . A tibial osteotomy system, comprising:

a base plate comprising a first end and a second end;

a measuring arm coupled with and extending from the first end of the base plate; and

a cut guide coupled with and extending from the second end of the base plate, wherein the cut guide is translatable relative to the base plate and the measuring arm;

wherein the measuring arm is coupled with the first end of the base plate by a first screw and the cut guide is coupled with the second end of the base plate by a second screw; and

wherein the first and second screws each have a bore extending through a length of the screws along a central axis, the bores being configured to receive a stabilization element.

2 . The tibial osteotomy system of claim 1 , wherein the measuring arm comprises a curved geometry.

3 . The tibial osteotomy system of claim 2 , wherein the measuring arm further comprises:

a head portion comprising an aperture configured to fixedly couple with the first end of the base plate; and

an arm portion extending from the head portion comprising a guide portion.

4 . The tibial osteotomy system of claim 1 , wherein the cut guide is pivotably coupled with the second end of the base plate.

5 . The tibial osteotomy system of claim 4 , wherein the cut guide further comprises:

a head portion comprising an aperture configured to pivotable couple with the second end of the base plate; and

a body extending from the head portion comprising a first arm and a second arm, wherein the first arm and the second arm define a slot.

6 . The tibial osteotomy system of claim 5 , wherein the cut guide further comprises:

a measurement flag releasably couplable with the slot such that pivoting of the cut guide relative to the measuring arm positions the measurement flag adjacent to a guide portion of the measuring arm.

7 . The tibial osteotomy system of claim 5 , wherein the slot is configured to accommodate a blade of a cutting tool.

8 . The tibial osteotomy system of claim 5 , wherein the cut guide further comprises:

a protrusion extending from the body of the cut guide and having at least one aperture, wherein the aperture of the protrusion is configured to receive a stabilization element.

9 . The tibial osteotomy system of claim 1 , wherein the base plate comprises a body portion disposed between the first end and the second end, wherein a bottom surface of the base plate is configured to interface with an anterior surface of a tibia.

10 . The tibial osteotomy system of claim 9 , wherein a body portion of the base plate comprises a pair of apertures configured to receive a pair of stabilization elements, wherein the stabilization elements couple the base plate to the tibia.

11 . The tibial osteotomy system of claim 1 , wherein the first and second screws are configured the same.

12 . A tibial osteotomy system, comprising:

a base plate configured to interface with a tibia, wherein the base plate comprises:

a body comprising a first pair of apertures configured to receive a first pair of stabilization elements;

a first end comprising a first aperture; and

a second end comprising a second aperture, wherein the first end is opposite the second end;

a measuring arm fixedly coupled to the first end of the base plate via the first aperture and further comprising a third aperture, wherein the third aperture and the first aperture align to receive a first screw therein; and

a cut guide pivotably coupled with the second end of the base plate via the second aperture and a fourth aperture, the fourth aperture and second aperture are aligned to receive a second screw therein, wherein the cut guide further comprises:

a slot;

a measurement flag releasably couplable within the slot; and

a protrusion comprising a fifth aperture, wherein the fifth aperture is configured to receive a second stabilization element therethrough.

13 . The tibial osteotomy system of claim 12 , wherein the first screw and the second screw each comprise a bore configured concentrically about a central axis, the bores configured to receive a second pair of stabilization elements.

14 . The tibial osteotomy system of claim 13 , wherein the second pair of stabilization elements are K-wires.

15 . The tibial osteotomy system of claim 12 , wherein the first pair of stabilization elements are olive wires.

16 . The tibial osteotomy system of claim 12 , wherein the measuring arm comprises a guide portion, the guide portion comprising incremental measurement markings.

17 . The tibial osteotomy system of claim 12 , wherein a measurement flag is coupled within the slot such that pivoting the cut guide positions the measurement flag adjacent the incremental measurement markings.

18 . A method of preparing a tibia for a tibial osteotomy, the method comprising:

providing a tibial osteotomy system, the system comprising:

a base plate;

a measuring arm fixedly coupled with the base plate; and

a cut guide pivotably coupled with the base plate and comprising a measurement flag releasably coupled within a slot;

coupling the base plate with the tibia;

pivoting the cut guide such that the measurement flag of the cut guide is positioned adjacent the measuring arm;

removing the measurement flag from the slot; and

positioning a cutting tool such that a blade of the cutting tool is disposed within the slot of the cut guide and adjacent the tibia.

Assignments (3)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Oct 6, 2025
From: DACOSTA, ALBERT; BRINKER, LAURA ZAGROCKI; HUNT, RICHARD DAVID; BERNHARDT, DIRK C.; FAJARDO CORTES, KAREEN A.; MCLEAN, JOSHUA A.; OKONYA, ANDREW A.; REQUIST, MELISSA R.
To: PARAGON 28, INC.
Reel/Frame 072475/0879 →
RELEASE OF SECURITY INTEREST Recorded Apr 22, 2025
From: ARES CAPITAL CORPORATION
To: PARAGON 28, INC.; PARAGON ADVANCED TECHNOLOGIES, INC.
Reel/Frame 070908/0038 →
SECURITY INTEREST Recorded Nov 2, 2023
From: PARAGON 28, INC.; PARAGON ADVANCED TECHNOLOGIES, INC.
To: ARES CAPITAL CORPORATION
Reel/Frame 065448/0214 →
Continuity (3)
Continuation PCTUS2021027723 · Apr 16, 2021
Provisional Application 63011737 · Apr 17, 2020
Related Publication 20230060889A1 · Mar 2, 2023
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