Bioresorbable tissue engineered fibrocartilage replacement with three-dimensional matrix of fibers
Fibrocartilage implants characterized by circumferential fiber networks embedded in arcuate or torroidal scaffolds with orthogonal fiber networks embedded therein to prevent separation of the circumferential fiber networks. The fiber networks convert axial compressive forces on the scaffolds to tensile loads on the circumferential fibers. Artificial knee meniscus and vertebral disc implants are disclosed, as well as articular disc implants for joints such as the temporomandibular joint and wrist. Methods for implanting the fibrocartilage devices are also disclosed.
1. An artificial fibrocartilage implant comprising:
an arcuate or torroidal bioresorbable scaffold;
a network of circumferential bioresorable fibers independent from and embedded in said scaffold; and
a network of orthogonal bioresorbable fibers independent from and embedded in said scaffold to prevent separation of said circumferential fiber network;
wherein the bioresorbable circumferential fibers and the bioresorbable orthogonal fibers define a reinforcing matrix having a three-dimensional shape and geometry which is substantially the same as the three-dimensional shape and geometry of the bioresorbable scaffold so as to convert an axial compressive force on said bioresorbable scaffold to tensile loads along the network of circumferential bioresorbable fibers.
2. The implant of claim 1 , wherein the scaffold is an arcuate scaffold comprising an anterior end, a posterior end and a middle section therebetween defining a curved path between said anterior and posterior ends.
3. The implant of claim 2 , wherein the network of circumferential bioresorbable fibers extends between said anterior and posterior ends along the path of said curve and exits the anterior and posterior ends of the scaffold to form respective anterior and posterior attachment points.
4. The artificial implant of claim 2 , wherein said implant is fabricated in the shape of a knee meniscus.
5. The artificial implant of claim 1 , wherein said implant is fabricated in the shape of a vertebral disc or an articular disc for a joint.
6. The artificial implant of claim 5 , characterized by being an articular disc for the temporomandibular joint or the wrist.
7. The artificial implant of claim 1 further comprising at least one peripheral attachment point.
8. The artificial implant of claim 7 , wherein the at least one peripheral attachment point coincides with a point at which at least one of said circumferential fibers intersects with at least one of said orthogonal fibers.
9. The artificial implant of claim 1 , wherein the scaffold is formed from a material selected from the group consisting of proteins, proteoglycans, biocompatible synthetic polymers and combinations thereof.
10. The implant of claim 1 , wherein the scaffold is formed from proteins comprising collagen.
11. The implant of claim 10 , wherein the collagen is cross-linked.
12. The artificial implant of claim 1 , wherein at least one of the bioresorbable scaffold, the network of circumferential bioresorbable fibers or the network of orthogonal bioresorbable fibers comprises a biocompatible synthetic polymeric material.
13. The artificial implant of claim 1 , wherein the materials of the bioresorbable scaffold, the bioresorbable circumferential fibers and the bioresorbable orthogonal fibers are selected such that degradation profile of the bioresorbable scaffold, the bioresorbable circumferential fibers and the bioresorbable orthogonal fibers closely matches the rate of neotissue formation.
14. The artificial implant of claim 1 , wherein the three-dimensional shape and geometry of the reinforcing matrix is an arcuate c-shape wedge or a torroidal-shape structure.
15. An artificial knee meniscus implant comprising:
a c-shaped bioresorbable scaffold having an arcuate middle section extending between an anterior end and a posterior end; and
a reinforcing network of bioresorbable fibers independent from and embedded in the scaffold;
wherein fibers of said network of bioresorbable fibers exit each end of the scaffold to form respective anterior and posterior attachment points and said network of bioresorbable fibers has a three-dimensional shape and geometry which is substantially the same as the three-dimensional shape and geometry of the bioresorbable scaffold so as to convert an axial compressive force on said scaffold to tensile loads on said attachment points.
16. The artificial meniscus of claim 15 , wherein at least a portion said network of bioresorbable fibers extends along said arcuate middle section in a substantially circumferential direction.
17. The artificial meniscus of claim 16 , wherein said network of bioresorbable fibers further comprises an orthogonal fiber network embedded within said scaffold to prevent separation of said circumferential fiber network.
18. The artificial implant of claim 17 , further comprising at least one peripheral attachment point.
19. The artificial implant of claim 18 , wherein the at least one peripheral attachment point coincides with a point at which said fibers extending in a substantially circumferential direction intersect with said orthogonal fiber network.
20. The artificial implant of claim 15 , wherein the scaffold has a wedge-shaped cross-section.
21. The artificial implant of claim 20 , wherein the reinforcing network extends throughout said wedge-shaped cross section of said arcuate middle section.
22. The artificial meniscus of claim 15 , wherein the materials of the bioresorbable scaffold and the reinforcing network are selected such that degradation profile of the bioresorbable scaffold and the reinforcing network closely matches the rate of neotissue formation.
23. The artificial implant of claim 15 , wherein the three-dimensional shape and geometry of the reinforcing matrix is an arcuate c-shape wedge.
24. A method for replacement of a damaged meniscus comprising replacing the damaged portion of said meniscus with an implant according to claim 15 corresponding to the damaged portion being replaced by inserting said implant between the tibial plateau and the corresponding femur condyle.
25. The method of claim 24 , wherein said method comprises a total or sub-total meniscectomy and said method further includes the step of securing said attachment points to corresponding anterior and posterior anchor plugs inserted into said tibial plateau.
26. The method of claim 25 , wherein said implant further comprises at least one additional attachment point on the exterior periphery of said arc-shaped the middle section and said method further comprises the step of attaching the implant to the surrounding tissue wall through at least of said additional attachment points.
27. The method of claim 26 , wherein at least one additional attachment point coincides with a point at which a fiber extending circumferentially along said arc-shaped middle section contacts said exterior periphery of said arc-shaped middle.
28. The method of claim 24 , wherein the scaffold is formed from a material selected from the group consisting of proteins, proteoglycans, biocompatible synthetic polymers and combinations thereof.
29. The method of claim 28 , wherein the proteins comprise collagen.
30. The method of claim 29 , wherein the collagen is cross-linked.
31. The method of claim 24 , wherein at least one of the scaffold, the circumferential fiber network or the orthogonal fiber network comprises a biocompatible synthetic polymeric material.