Bone implants and cutting apparatuses and methods
Implant devices and cutting clamp apparatuses and methods for creating the implants for insertion into a patient's joint to restore anatomic length and assist in final positioning of the bones following removal of cartilage and/or bone in preparation for fusion. A first implant is a biplanar implant having a shape to mimic the normal anatomical shape of the bones the implant is configured to mate with. The first implant may be cut using a cutting clamp and jig having the anatomical shape of the bones the implant will be inserted within or between. A second implant is a cylindrical piece of bone having a convex end and a concave end for mating with bones reamed to have the opposite mating surfaces. The second implant is created using cup and cone reamers having dimensions corresponding to the size of the patient's bones. Surgical methods for inserting the implants within a patient.
1. A tarso-metatarsal joint implant for insertion between a first bone and a second bone in a patient's body, comprising:
a solid, homogeneous, wedge-shaped body portion having a proximal face opposite a distal face, a dorsal side opposite a plantar side, a lateral side opposite a medial side, and wherein the dorsal side, the plantar side, the lateral side, and the medial side extend between the proximal face and the distal face;
the proximal face and the distal face have an oblong shape;
wherein the body portion tapers from the medial side to the lateral side and tapers from the dorsal side to the plantar side, forming a bi-planar taper along a diagonal axis from a dorsal-medial point to a plantar-lateral point,
wherein the first bone is a metatarsal and the second bone is a cuneiform,
wherein the oblong shape is a kidney shape.
2. The implant of claim 1 , wherein the body portion comprises at least one of cancellous bone and cancellous and cortical bone, wherein the bone is not gamma irradiated and is not exposed to peroxides.
3. The implant of claim 1 , wherein the body portion is a metal material.
4. The implant of claim 1 , wherein the body portion is at least one of a polymer and composite material.
5. The implant of claim 1 , further comprising:
a height between the dorsal side and the plantar side;
a thickness between the proximal face and the distal face; and
a width between the medial side and lateral side.
6. The implant of claim 5 , wherein the height ranges from about 25 mm to 40 mm, the width ranges from about 15 mm to 30 mm, and the thickness ranges from about 0 mm to 20 mm at the dorsal side and tapers from the dorsal side to the plantar side at an angle ranging from about 0° to 15°.
7. The implant of claim 6 , wherein the height is about 32 mm, the width is about 21 mm, and the thickness is about 14 mm.