Bone tendon bone assembly with cylindrical allograft bone block

• US 7,141,066 B2
• Filed: 05/06/2005
• Issued: 11/28/2006
• Est. Priority Date: 03/08/2002
• Status: Expired due to Term

• Current Assignee: Musculoskeletal Transplant Foundation
• Original Assignee: Musculoskeletal Transplant Foundation
• Inventors: Steiner, Anton J., Gertzman, Arthur A.
• Primary Examiner(s): McDermott, Corrine
• Assistant Examiner(s): MILLER, CHERYL L
• Application Number:
  US11/123,148
• Publication Number:
  US 20050203623A1
• Time in Patent Office: 571 Days
• Field of Search: 623 1311- 1413, 623/17.11, 623/17.16
• US Class Current: 623/13.12
• CPC Class Codes: A61B 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61F 2/08 Muscles; Tendons; Ligaments sutures A61B17/04
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2/28 Bones joints A61F2/30
• CPC Class Codes: A61F 2002/0858 Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
• CPC Class Codes: A61F 2002/087 Anchor integrated into tendons, e.g. bone blocks, integrated rings
• CPC Class Codes: A61F 2002/2817 Bone stimulation by chemical reactions or by osteogenic or biological products for enhancing ossification, e.g. by bone morphogenetic or morphogenic proteins [BMP] or by transforming growth factors [TGF]
• CPC Class Codes: A61F 2002/2839 Bone plugs or bone graft dowels
• CPC Class Codes: A61F 2002/30062 (bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
• CPC Class Codes: A61F 2002/30228 Cylinders of elliptical or oval basis
• CPC Class Codes: A61F 2002/30235 tubular, e.g. sleeves
• CPC Class Codes: A61F 2002/30785 parallel
• CPC Class Codes: A61F 2002/30787 inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/30881 Circumferential ribs, flanges or fins
• CPC Class Codes: A61F 2002/30891 Plurality of protrusions
• CPC Class Codes: A61F 2002/30892 parallel
• CPC Class Codes: A61F 2002/30894 inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/4649 Bone graft or bone dowel harvest sites
• CPC Class Codes: A61F 2210/0004 bioabsorbable
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2310/00179 : Ceramics or ceramic-like structures
• CPC Class Codes: A61L 27/3604 : characterised by the human or animal origin of the biological material, e.g. hair, fascia, fish scales, silk, shellac, pericardium, pleura, renal tissue, amniotic membrane, parenchymal tissue, fetal tissue, muscle tissue, fat tissue, enamel
• CPC Class Codes: A61L 27/3608 : Bone, e.g. demineralised bone matrix [DBM], bone powder
• CPC Class Codes: A61L 27/3662 : Ligaments, tendons
• CPC Class Codes: A61L 27/3695 : characterised by the function or physical properties of the final product, where no specific conditions are defined to achieve this A61L27/3687, A61L27/3691 take precedence
• CPC Class Codes: A61L 27/386 : Ligaments, tendons

Abstract

The invention is directed toward a bone block, a bone-tendon-bone assembly and method of tendon reconstruction in which at least one tendon replacement is extended between two bone blocks and fixed within each of two bone tunnels in the bones of a joint using interference screws. Each bone block has a central through going bore and at least one substantially parallel channel longitudinally cut in the exterior of the bone block body in which the ligament replacements are seated. One end of each bone block has a rounded recess leading from the central bore to the exterior parallel channel.

Claims

1. A sterile composite graft comprising:

first and second bone blocks, each bone block being cylindrical in shape with a plurality of ribs which extend outward from an exterior surface of said bone block and defining a central through going bore running through the length of said bone block, said central throughgoing bore having a cross section which will allow a ligament replacement to be passed there through and at least one longitudinal channel cut substantially parallel to the axis of the central through going bore in the exterior surface of said bone block, each bone block defining at least one hole drilled radially through said bone blocks to said longitudinal channel, a ligament replacement mounted to said bone blocks, said ligament replacement extending through said central bore of said bone blocks and around said first and second bone blocks and being seated in at least one of said longitudinal channels.

2. A sterile composite graft as claimed in claim 1 wherein said ligament replacement comprises at least one tendon taken from a group of tendons consisting of a semitendinous tendon, a patellar tendon, gracilis tendon, quadriceps tendon, adductor magnus tendon, peroneus tendons, tibialis tendons and hallucis achilles tendon.

3. A sterile composite graft as claimed in claim 1 wherein said first and second bone blocks further define a rounded notch in one end leading from said central bore to a parallel longitudinal channel to accommodate said ligament replacement extending around said bone block from said central bore to a parallel longitudinal channel.

4. A sterile composite graft as claimed in claim 1 wherein said first and second bone blocks further comprise a plurality of holes drilled radially through each of said bone blocks from an exterior surface through to the central bore.

5. A sterile composite graft as claimed in claim 1 wherein said first and second bone blocks are constructed of allograft cortical bone.

6. A sterile composite graft as claimed in claim 1 wherein said first and second bone blocks are constructed of xenograft cortical bone.

7. A sterile composite graft as claimed in claim 1 wherein said first and second bone blocks are constructed of ceramic.

8. A sterile composite graft as claimed in claim 1 wherein said first and second bone blocks are constructed of bioabsorbable polymers.

9. A sterile composite graft as claimed in claim 1 wherein each bone block includes an additive taken from a group of additives consisting of living cells such as chondrocytes, bone marrow cells, mesenchymal stem cells, natural extracts, tissue transplants, bioadhesives, transforming growth factor (TGF-beta), insulin-like growth factor (IGF-1), platelet derived growth factor, fibroblast GF, osteopontin VEGF, blood elements.

10. A sterile composite graft as claimed in claim 1 wherein said ribs are radial and are formed on a portion of said exterior surface forming an arc.

11. A sterile bone-tendon-bone assembly comprising:

a first allograft bone block defining a central through going bore and at least two channels cut in its outer surface;

a recessed pathway formed in the end of said bone block communicating with said central bore and one of said channels cut in its outer surface, a replacement member comprising a second allograft bone block with an integral tendon extending therefrom, said tendon extending through said central bore of said first bone block, being looped around said recessed pathway and seated in one of said channels cut in said first bone block outer surface and at least one suture hole cut in said first bone block transverse to said central bore and intersecting said central bore in said bone block.

12. A sterile bone-tendon-bone assembly comprising:

first and second cylindrical allograft bone blocks, each bone block defining a central through going bore and at least two channels cut in its outer surface;

a recessed pathway formed in the end of each bone block communicating with said central bore and one of said channels cut in its outer surface, a ligament replacement member comprising at least one tendon member extending between said first and second bone blocks through said central bore, looped around said recessed pathway and seated in said adjacent channel longitudinally alongside each of said first and second bone blocks and at least one suture hole cut through said bone block to said central bore and intersecting said central bore.

13. A sterile bone-tendon-bone assembly as claimed in claim 12 wherein said first and second bone blocks and said at least one tendon member are asymmetrically configured with respect to each other.

14. A sterile bone-tendon-bone assembly as claimed in claim 12 wherein said first and second bone blocks have at least four flow holes having a diameter of less than about 1 mm leading from the outer surface into said central bore.

15. A sterile bone-tendon-bone assembly as claimed in claim 12 wherein said ligament replacement member comprises at least one tendon taken from a group consisting of a semitendinous tendon, a patellar tendon, gracilis tendon, quadriceps tendon, adductor magnus tendon, peroneus tendons, tibialis tendons and hallucis achilles tendon.

16. A sterile bone block for use in implants comprising:

an allograft cylindrical bone block body having a central through going bore and at least one substantially parallel longitudinal channel cut in an exterior surface of said bone block body, said bone block body defining a rounded notch formed in one end to accommodate a ligament replacement, said notch extending around an end of bone block leading from said central bore to a substantially parallel longitudinal channel cut in the exterior surface of said bone block body, said bone block body further defining a plurality of holes drilled radially through the body of said bone block from an exterior surface through to the central bore.