Devices, systems, and methods for dynamic surgical guides

A surgical system comprising:

• a surgical guide including:
• a body having a top surface, a bottom surface, and a raised portion extending between the top surface and the bottom surface;
• one or more channels defined by the body and each channel configured to receive a k-wire to couple the body to a bone;
• two shoulders projecting outwardly from the raised portion, sized and oriented so as to receive a k-wire;
• a guide aperture disposed within the body and sized to receive a surgical instrument, wherein the guide aperture is substantially chevron-shaped;
• and
• an irrigation port defined through the body so as to be in fluid communication with a surgical site;
• and
• a surgical navigation system having a computing device with a processor, a memory, an interface, and a display, the surgical navigation system configured to track one or more radiopaque markers disposed within the surgical guide and display intraoperative adjustments of the guide aperture on the display.

A method for performing an osteotomy using a surgical guide, the method comprising:

• coupling a surgical guide to a bone by inserting one or more k-wires through each of one or more channels defined by the surgical guide and into the bone, wherein a raised portion of the surgical guide defines a pair of spaced-apart shoulders and a guide aperture that is substantially chevron-shaped;
• aligning the surgical guide with a desired surgical site on the bone;
• locking the surgical guide by inserting a k-wire into at least one of the channels;
• inserting a surgical instrument into the guide aperture;
• and
• making a first cut of the bone at a first angle with the surgical instrument;
• repositioning the surgical guide to a second angle;
• and
• making a second cut of the bone at a first angle with the surgical instrument at the second angle.

A method for performing an osteotomy using a surgical guide, the method comprising:

• providing a surgical guide including a top surface, a bottom surface, and a raised portion extending between the top surface and the bottom surface, one or more channels each sized and arranged so as to receive a k-wire to couple the surgical guide to a bone, a receiving surface extending between the top surface and the bottom surface, wherein a raised portion of the surgical guide on the top surface defines a pair of spaced-apart shoulders, a port disposed through the top surface, a chevron-shaped guide aperture received within the receiving surface, the guide aperture being sized and configured to receive a surgical instrument with an irrigation port received within the port in the top surface, wherein the guide aperture and the irrigation port define a canal communicating between the irrigation port and the guide aperture.
• coupling a surgical guide to a bone by inserting one or more k-wires through at least one of the one or more channels defined by the surgical guide and into the bone;
• aligning the surgical guide with a desired surgical site on the bone;
• locking the surgical guide by inserting a k-wire into at least one of the channels;
• inserting a surgical instrument into the guide aperture;
• and
• making a first cut of the bone at a first angle with the surgical instrument;
• repositioning the surgical guide to a second angle;
• and
• making a second cut of the bone at a first angle with the surgical instrument at the second angle.