Bone instruments and methods

Abstract

Bone guides for sizing or shaping bone are disclosed. The guides can be configured and sized for placement on a surgery table, instrument table or similar structure in an operating room. The guides provide for real time preparation of a bone graft during a surgical procedure.

1 - 20 . (Cancelled)  
     
     
         21 . A guide device for use in sizing and shaping bone, the device comprising: 
 a base;    a bone holding arrangement; and    a cutting guide configured to translate and pivot relative to the base.    
     
     
         22 . The device of  claim 21 , wherein the cutting guide is configured to translate in a first direction, and a second direction perpendicular to the first direction.  
     
     
         23 . The device of  claim 21 , wherein the cutting guide is configured to translate in at least one of a horizontal direction relative to the base and a vertical direction relative to the base.  
     
     
         24 . The device of  claim 21 , wherein the cutting guide is configured to translate in a first horizontal direction relative to the base and a second vertical direction relative to the base.  
     
     
         25 . The device of  claim 21 , wherein the cutting guide is a first cutting guide, the guide device further including a second cutting guide configured to translate and pivot relative to the base.  
     
     
         26 . A guide device for use in configuring a bone piece, the device comprising: 
 a base;    a bone holding arrangement; and    a bone cutting arrangement including a first cutting guide and a second cutting guide, each of the first and second cutting guides being configured move relative to a bone piece positioned in the bone holding arrangement.    
     
     
         27 . The device of  claim 26 , wherein at least one of the first and second cutting guides is configured to pivot relative to the bone piece.  
     
     
         28 . The device of  claim 26 , wherein each of the first and second cutting guides is configured to pivot relative to the bone piece.  
     
     
         29 . The device of  claim 26 , wherein each of the first and second cutting guides is configured to move in a first direction, and a second direction perpendicular to the first direction.  
     
     
         30 . The guide of  claim 26 , wherein each of the first and second cutting guides is configured to move in at least one of a horizontal direction relative to the bone piece and a vertical direction relative to the bone piece.  
     
     
         31 . The guide of  claim 26 , wherein each of the first and second cutting guides is configured to move in a first horizontal direction relative to the bone piece and a second vertical direction relative to the bone piece.  
     
     
         32 . A method of modifying the configuration of a bone piece, the method comprising the steps of: 
 providing a bone device, the bone device including a bone holding arrangement and a bone cutting arrangement;    selecting a piece of bone to be modified;    positioning the bone piece in the bone holding arrangement;    translating the bone cutting arrangement to a selected position relative to the bone piece;    pivoting the bone cutting arrangement to a selected orientation relative to the bone piece; and    modifying the bone piece to a desired configuration.    
     
     
         33 . The method of  claim 32 , wherein the step of modifying the bone piece includes cutting the bone piece with a cutting element.  
     
     
         34 . The method of  claim 32 , wherein the step of modifying the bone piece includes shaping the bone piece with a shaping element.  
     
     
         35 . The method of  claim 32 , wherein the step of translating the bone cutting arrangement includes moving a cutting guide of the cutting arrangement in at least one of a first horizontal direction relative to the bone piece and a second vertical direction relative to the bone piece.  
     
     
         36 . A method of modifying the configuration of a bone piece, the method comprising the steps of: 
 providing a bone device, the bone device including a bone holding arrangement and a bone cutting arrangement, the bone cutting arrangement including first and second cutting guides;    selecting a piece of bone to be modified;    positioning the bone piece in the bone holding arrangement;    moving the first and second cutting guides of the bone cutting arrangement to selected positions relative to the bone piece; and    modifying the bone piece to a desired configuration.    
     
     
         37 . The method of  claim 36 , wherein the step of moving the first and second cutting guides of the bone cutting arrangement includes translating the first and second cutting guides in at least one of a horizontal direction relative to the bone piece and a vertical direction relative to the bone piece.  
     
     
         38 . The method of  claim 37 , wherein the step of moving the first and second cutting guides of the bone cutting arrangement further includes pivoting at least one of the first and second cutting guides relative to the bone piece.  
     
     
         39 . The method of  claim 37 , wherein the step of moving the first and second cutting guides of the bone cutting arrangement includes pivoting the first and second cutting guides relative to the bone piece.  
     
     
         40 . The method of  claim 36 , wherein the step of modifying the bone piece includes cutting the bone piece with a cutting element.  
     
     
         41 . The method of  claim 36 , wherein the step of modifying the bone piece includes shaping the bone piece with a shaping element.