摘要:
Prosthetic intervertebral discs, systems including such prosthetic intervertebral discs, and methods for using the same are described. The subject prosthetic discs include upper and lower endplates separated by a compressible core member. The subject prosthetic discs exhibit stiffness in the vertical direction, torsional stiffness, bending stiffness in the saggital plane, and bending stiffness in the front plane, where the degree of these features can be controlled independently by adjusting the components, construction, and other features of the discs. The upper and lower endplates comprise pluralities of pins extending into recesses (572) in the compressible core member (570), in order to provide a chosen torsional stiffness.
摘要:
A spinal implant is provided in which the implant includes a porous component (7) and one or more filling elements (22) provided within the porous component. Tissue in-growth is promoted.
摘要:
Prosthetic intervertebral discs and methods for using the same are described. The subject prosthetic discs include upper and lower end plates (110, 120) separated by a compressible core member (130). Fibres (140) or a fibrous material extend between the endplates and hold them together. The core member may be tillable or may be slidably introduced between the endplates. The distance between the endplates may be varied by a threaded mechanism or by shifting the endplates or the core member with respect to each other.
摘要:
A method and apparatus for adjusting the modulus of elasticity, flexural strength, or porosity of metal and ceramic implants is disclosed in one embodiment of the invention as including a green tape comprising metal or ceramic particles, or a combination thereof, for incorporation into a solid implant structure (44). Apertures (32) are cut in selected regions of the green tape (34) in order to create a desired pore structure in the solid implant structure (44). This pore structure may be designed to give the solid structure (44) a desired modulus of elasticity, flexural strength, or porosity as well as to promote bone ingrowth. The green tape (34) may then be layered in an orientation that will provide the desired pore structure and the metal or ceramic particles and layers may be fused together to create the solid implant structure (44).
摘要:
Disc prostheses, particularly for use in the lumbar region of the spine are provided. The disc prosthesis includes a core comprising one or more filling elements provided within an inner component of fabric. The inner component is provided within an outer component of fabric. By providing a smooth inner contact surface between the inner component and the core filling, movement between the inner and outer components is facilitated in preference to movement between the inner component and core. Core abrasion is thus avoided. The use of an inner component and an outer component also means that the characteristics of each can be optimised to meet different aims.
摘要:
The present application relates to a prosthesis comprising a flexible portion (1) and at least one less flexible portion (2), which flexible portion comprises a fibre-reinforced hydrogel. In addition to that, the application relates to a prosthesis consisting of a fibre-reinforced hydrogel, which prosthesis is intended to replace cartilaginous materials. The application further relates to the use of the prosthesis and to a method for manufacturing the prosthesis. The application furthermore relates to a method of preparing the flexible portion for a prosthesis. Finally, the application relates to a fibre material apparently intended for use in the prosthesis.
摘要:
The fusion implant apparatus comprises at least one biocompatible structure (12,13,14), wherein the structure is made of a composite material having reinforcing fibers (4,5). The structure has a first and second face (16,17) to engage adjacent bone structures (2,3) to be fused. Struts extend between said first and second faces. The structure includes a hollow interior space for reception of bone growth induding substances (8). The fibers are long fibers and wherein the majority of these long fibers (4) have a direction that follows the longitudinal forces upon said first and second faces, which is the direction of trabecular structures of the adjacent bone structure, so that said majority of long fibers (4) are essentially an extension of these trabecular structures.
摘要:
A cylindrical, fibrous, porous joint spacer is provided, having excellent properties, flexibility of formation, and operability, which is intended to be implanted as a prosthesis between bones (8, 9) to be joined together. The joint spacer can be formed from a strip of fabric (1), which is comprised of bioabsorbable fibers and made by a knitting, weaving, non-woven or other technique. The fabric (1) is typically relatively narrow (e.g. 1 to 10 mm wide) and thin (e.g. 0.1 to 1.0 mm thick), depending on the intended application of the prosthetic device to be formed from the fabric (1). The joint spacer is made by wrapping said fabric (1) to yield a cylindrical body (2); and fixing the free end of the fabric (1) to the surface of the cylindrical body (2) so formed. The joint spacer can be implanted in conjunction with one or more fixation parts (14', 14'), to hold the joint spacer in place between the bones (15, 16) to be joined.
摘要:
The cylindrical fiber reinforced implant (1) is designed to be inserted between two adjacent vertebrae. The implant having an outer wall (2) with a general cylindrical or oval shape and preferably an open volume for bone filling. Said wall (2) having reinforcing fibers (12,17) which at least in part are oriented in a first direction. A support (6) extending within said volume having reinforcing fibers (10,11) which are at least in part oriented in a second direction, said first and said second directions are different. Preferably the fibers (12,17) of the outer wall (2) are at least partly concentrically oriented. The support (6) is preferably a separately formed part, that is inserted into the outer wall.
摘要:
The invention relates to novel materials for replacement of bones or cartilages, characterized primarily by their unique structure comprising substances known per se. Since these structures can be produced by selecting the suitable physical and geometric parameters, it is possible to manufacture implants either to replace bone and cartilage or to manufacture cartilage bone composite implants which closely resemble the relevant natural bones or cartilages in terms of elasticity, porosity and solidity and which behave in a similar biological manner to the direct in vivo environment.