Shaped osteochondral grafts and methods of using same
First Claim
Patent Images
1. A method for repairing articular cartilage in a patient, comprising:
- implanting at least one osteochondral plug graft at an articular cartilage site in the patient;
said plug graft comprising a cartilage layer attached to an underlying body of bone;
said body of bone, as implanted, comprising a bone sidewall positioned adjacent to a bone surface;
said bone sidewall and said bone surface together configured to provide a mechanical interlock to resist rotation of the implanted osteochondral plug graft.
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Accused Products
Abstract
Described are plug grafts and in particular embodiments osteochondral plug grafts and grafting methods which utilize unique plug geometries and cooperative graft/host tissue interfaces to improve stability of grafted plugs within host tissue. Embodiments of the invention include harvested osteochondral or synthetic plug grafts having bore geometries other than circular cylinders and which are implantable in correspondingly prepared host sites to resist rotation and improve stability.
118 Citations
103 Claims
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1. A method for repairing articular cartilage in a patient, comprising:
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implanting at least one osteochondral plug graft at an articular cartilage site in the patient;
said plug graft comprising a cartilage layer attached to an underlying body of bone;
said body of bone, as implanted, comprising a bone sidewall positioned adjacent to a bone surface;
said bone sidewall and said bone surface together configured to provide a mechanical interlock to resist rotation of the implanted osteochondral plug graft. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 12, 13, 16, 17, 18, 23, 24, 25)
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28. A method for repairing an articular cartilage site in a patient, comprising:
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implanting at least one plug body at an articular cartilage site in the patient;
said plug body, as implanted, comprising a sidewall positioned adjacent to a contact surface, said contact surface provided by subchondral bone of the patient and/or a surface of an adjacent plug body;
said sidewall and contact surface together configured to provide a mechanical interlock to resist rotation of the implanted plug body.
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29. An osteochondral graft configured for stable implantation within a prepared surgical opening in subchondral bone of a patient at an articular cartilage site, the surgical opening having a three-dimensional contour other than a circular cylinder, the osteochondral graft comprising:
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an osteochondral graft plug having a cartilage cap and a body of bone attached to the cartilage cap;
said body of bone including a stabilizing portion for receipt within the surgical opening;
said stabilizing portion of said body of bone presenting a three-dimensional contour other than a circular cylinder and configured for mated receipt within the surgical opening to provide a mechanical interlock against rotation. - View Dependent Claims (30, 31, 33, 34, 39, 40, 41, 45, 46, 47)
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48. A medical implant configured for stable implantation within a prepared surgical opening in subchondral bone of a patient at an articular cartilage site, the surgical opening having a three-dimensional contour other than a circular cylinder, the implant comprising:
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a plug body with a stabilizing portion for receipt within the surgical opening;
said stabilizing portion of said plug body presenting a three-dimensional contour other than a circular cylinder and configured for mated receipt within the surgical opening to provide a mechanical interlock against rotation.
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49. A method for repairing articular cartilage in a patient, comprising:
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implanting a first osteochondral plug graft at an articular cartilage site in the patient, the first osteochondral graft having a first body of bone and a first cartilage layer attached to the first body of bone;
implanting a second osteochondral plug graft adjacent to the first osteochondral plug graft at the articular cartilage site, the second osteochondral graft having a second body of bone and a second cartilage layer attached to the second body of bone; and
wherein first and second bodies of bone, as implanted, are in a nested relationship with one another. - View Dependent Claims (50, 56, 58, 61, 62, 63)
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65. A method for repairing articular cartilage in a patient, comprising:
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implanting a first plug body at an articular cartilage site in the patient;
implanting a second plug body adjacent to the first plug body at the articular cartilage site; and
wherein first and second plug bodies, as implanted, are in a nested relationship with one another.
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66. An implant for receipt within an opening in subchondral bone at an articular cartilage site of a patient, the implant comprising:
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a plug body configured for receipt within said opening in subchondral bone, wherein said plug body has at least a portion having sidewalls presenting a cross sectional profile selected from a) a non-circular profile that includes at least one circular arc;
b) a polygonal profile;
c) an ovate profile; and
d) a multi-lobed profile having two to four lobes. - View Dependent Claims (67, 68, 69, 70, 77, 78)
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- 79. An implant system for receipt within an opening in subchondral bone at an articular cartilage site in patient, comprising a first plug body and a second plug body, wherein said first and second plug bodies are configured to cooperate with one another to nest, to mechanically lock at least one of the bodies against rotation, and/or to mechanically lock the bodies against lateral separation, when implanted in the opening.
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94. A method for repairing an articular cartilage site in a patient, comprising:
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providing a prepared surgical opening in subchondral bone of a patient at an articular cartilage site; and
inserting a plurality of plug bodies into said surgical opening, said plurality of plug bodies together providing a plug assembly substantially filling said opening. - View Dependent Claims (95, 96, 97, 98)
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- 99. An implant system configured for stable implantation within a prepared surgical opening in subchondral bone of a patient at an articular cartilage site, comprising a plurality of plug bodies together providing a plug assembly configured to substantially fill the surgical opening.
Specification