Bone graft material containment structures
View Patent ↗The present invention provides biocompatible, non-resorbable porous containment structures for containment of bone graft material at a desired location for stimulation of bone growth. The porous containment structures have interconnected pores sized to allow fibrovascular integration with surrounding tissue and conduction of vascular tissue through the structure into the bone graft material.
1. A method of facilitating growth of bone at a desired location comprising:
shaping, by bending, a biocompatible, non-resorbable porous material comprising a porous matrix of interconnected pores into a shaped porous material for placement into the desired location, the shaped porous material comprising a base portion, a side portion, and a top portion, the side portion sharing a first shaped edge with the base portion to define an interior region of the shaped porous material, the top portion being hingedly attached to a second shaped edge of the side portion such that the top portion forms open and closed positions with the side portion, the top portion providing an opening into the interior region in the open position;
placing a bone graft material inside the interior region of the shaped porous material;
placing the top portion in the closed position by bending the top portion relative to the side portion at the second shaped edge to cover the placed bone graft material;
stably fixing the shaped porous material containing the bone graft material to structures adjacent to the desired location; and
permitting bone to grow in the desired location.
2. The method of claim 1 , wherein after fixing the shaped porous material containing the bone graft material to structures adjacent to the desired location, soft tissues are closed over the shaped porous material.
3. The method of claim 1 , further comprising permitting blood vessels to infiltrate into the shaped porous material.
4. The method of claim 1 , wherein the porous material is formed by sintering particles of polymer or metal into the desired shape.
5. The method of claim 1 , wherein the porous material further comprises a metal mesh, a metal wire, or multiple layers of metal mesh or metal wire sintered together.
6. The method of claim 1 , wherein the bone graft material is bone, a synthetic material, a growth factor, a cell, or a combination thereof.
7. The method of claim 6 , wherein the bone is autologous bone, autologous bone particulate, allogenic bone, human cadaver bone, xenograft bone, animal bone, or bone chips.
8. The method of claim 6 , wherein the synthetic material is hydroxyapatite, calcium phosphate, ceramics, bioactive glass, calcium sulfate, or a polymer-based bone graft substitute.
9. The method of claim 6 , wherein the growth factor is bone morphogenic protein (BMP), a BMP mimetic, recombinant human bone morphogenic protein 2 (rhBMP-2), platelet-rich plasma (PRP), transforming growth factor-beta (TGF-beta), platelet-derived growth factor (PDGF), recombinant human platelet derived growth factor (rhPDGF), insulin-like growth factor, fibroblast growth factor, a xenographic bone protein, a growth differentiation factor, calcitonin, or a calcitonin mimetic.
10. The method of claim 6 , wherein the cell is a stem cell, a bone marrow cell, a mesenchymal stem cell, or a combination thereof.
11. The method of claim 1 , wherein the porous matrix contains pores of average diameter of 40 to about 1000 microns, about 100 to about 800 microns, about 100 to about 500 microns, about 50 to about 500 microns, about 60 to about 400 microns, about 200 to about 400 microns, or about 100 to about 200 microns.
12. The method of claim 1 , wherein the porous material has a pore volume from about 20% to about 60%, or from about 40% to about 50%.
13. The method of claim 1 , wherein the porous material has a thickness of about 0.1 to about 2.0 mm, about 0.1 to about 1.0 mm, about 0.1 to about 0.9 mm, about 0.1 to about 0.8 mm, about 0.2 to about 0.4 mm, about 0.2 to about 0.3 mm, or about 0.25 mm.
14. The method of claim 1 , wherein the pores are omnidirectional.
15. The method of claim 1 , wherein the pores are multidimensional.
16. The method of claim 1 , wherein the porous material is sintered polyethylene, the pores are in the range of about 40 to about 1000 microns in average diameter, the pore volume is about 20% to about 60%, and the porous material is about 0.1 to about 3.0 mm in thickness.
17. The method of claim 1 , wherein the shaped porous material includes opposing side portions, and wherein the shaped porous material is placed in a trough-like manner between the bone graft material and the desired location to contain the bone graft material.
18. The method of claim 1 , further comprising inserting a bone plate through the porous material and the structures adjacent to the desired location, the structures being bone.
19. The method of claim 18 , wherein the bone plate includes openings therethrough.
20. The method of claim 1 , wherein the shaped porous material has a cylindrical-like shape.
21. The method of claim 1 , wherein the shaped porous material is box-shaped.