Claims Analysis
Total Claims: 12
Claim 1
Independent Claim
185 words
A surgical method for repair of hallux valgus comprising: (a) entering the tissues of the foot affected with hallux valgus using a medial incision at the first metatarsal; (b) excising the medial eminence of the first metatarsal head; (c) correcting the pronation deformity, maintaining the proper plantar displacement of the first metatarsal, and retaining these structures in position thereafter by mechanically linking the first and second metatarsal necks with a stabilization device and retaining said stabilization device in place during the remainder of the surgery; (d) thereafter performing a proximal chevron osteotomy on the first metatarsal shaft, forming two metatarsal segments; (e) reorienting the metatarsal segments relative to each other to compensate for the hallux valgus, thereby creating a medial dislocation gap at the terminus of the reoriented osteotomy surfaces; (f) grafting excised medial eminence tissue into the medial dislocation gap; and (g) stabilizing the reoriented first metatarsal during healing by replacing the stabilization device with a fixation device which splints the first metatarsal and links the first metatarsal to the second metatarsal and which is removable after healing, with limited trauma to surrounding tissues.
Claim 2
Dependent Claim
185 words
A surgical method for repair of hallux valgus comprising: (a) entering the tissues of the foot affected with hallux valgus using a medial incision at the first metatarsal; (b) excising the medial eminence of the first metatarsal head; (c) correcting the pronation deformity, maintaining the proper plantar displacement of the first metatarsal, and retaining these structures in position thereafter by mechanically linking the first and second metatarsal necks with a stabilization device and retaining said stabilization device in place during the remainder of the surgery; (d) thereafter performing a proximal chevron osteotomy on the first metatarsal shaft, forming two metatarsal segments; (e) reorienting the metatarsal segments relative to each other to compensate for the hallux valgus, thereby creating a medial dislocation gap at the terminus of the reoriented osteotomy surfaces; (f) grafting excised medial eminence tissue into the medial dislocation gap; and (g) stabilizing the reoriented first metatarsal during healing by replacing the stabilization device with a fixation device which splints the first metatarsal and links the first metatarsal to the second metatarsal and which is removable after healing, with limited trauma to surrounding tissues.
Claim 3
Dependent Claim
34 words
A method as in claim 1 further comprising making a dorsal incision on the foot performing a soft tissue release through the dorsal incision prior to performing said medial incision at the first metatarsal.
Claim 4
Dependent Claim
61 words
A method as in claim 1 wherein said step of retaining the first metatarsal in position by mechanically linking the first and second metatarsal necks comprises splinting the first metatarsal to the second metatarsal with a stabilization device before performing the proximal chevron osteotomy to retain the proper position and orientation of the first metatarsal during the remainder of the surgery.
Claim 5
Dependent Claim
15 words
A method as in claim 3 wherein the stabilization device is a biocompatible rigid pin.
Claim 6
Dependent Claim
14 words
A method as in claim 3 wherein the stabilization device is a K wire.
Claim 7
Dependent Claim
14 words
A method as in claim 1 further comprising removing the fixation device after healing.
Claim 8
Dependent Claim
26 words
A method as in claim 1 wherein the fixation device which splints the first metatarsal to the second metatarsal is a bolt with a C-clamp nut.
Claim 9
Dependent Claim
26 words
A method as in claim 1 wherein the fixation device which splints the first metatarsal to the second metatarsal is a bolt with a locking nut.
Claim 10
Dependent Claim
28 words
A method as in claim 1 wherein the fixation device which splints the first metatarsal to the second metatarsal is a shoulder bolt with a self-locking castle nut.
Claim 11
Dependent Claim
178 words
A surgical method for repair of hallux valgus comprising: (a) entering the tissues of the foot affected with hallux valgus using a medial incision at the first metatarsal; (b) excising the medial eminence of the first metatarsal head; (c) correcting the pronation deformity, maintaining the proper plantar displacement of the first metatarsal, and retaining these structures in position thereafter by mechanically linking the first and second metatarsal necks with a stabilization device and retaining said stabilization device in place during the remainder of the surgery; (d) thereafter performing a proximal chevron osteotomy on the first metatarsal shaft, forming two metatarsal segments; (e) reorienting the metatarsal segments relative to each other to compensate for the hallux valgus, thereby creating a medial dislocation gap at the terminus of the reoriented osteotomy surfaces; (f) grafting excised medial eminence tissue into the medial dislocation gap; and (g) stabilizing the reoriented first metatarsal during healing by retaining said stabilization device in a linked condition between said first and said second metatarsal necks, thereby stabilizing the reoriented first metatarsal during the post-operative healing period.
Claim 12
Dependent Claim
178 words
A surgical method for repair of hallux valgus comprising: (a) entering the tissues of the foot affected with hallux valgus using a medial incision at the first metatarsal; (b) excising the medial eminence of the first metatarsal head; (c) correcting the pronation deformity, maintaining the proper plantar displacement of the first metatarsal, and retaining these structures in position thereafter by mechanically linking the first and second metatarsal necks with a stabilization device and retaining said stabilization device in place during the remainder of the surgery; (d) thereafter performing a proximal chevron osteotomy on the first metatarsal shaft, forming two metatarsal segments; (e) reorienting the metatarsal segments relative to each other to compensate for the hallux valgus, thereby creating a medial dislocation gap at the terminus of the reoriented osteotomy surfaces; (f) grafting excised medial eminence tissue into the medial dislocation gap; and (g) stabilizing the reoriented first metatarsal during healing by retaining said stabilization device in a linked condition between said first and said second metatarsal necks, thereby stabilizing the reoriented first metatarsal during the post-operative healing period.