Assembled cartilage repair graft
View Patent ↗Bifunctional and assembled implants are provided for osteochondral implantation.
1. A bifunctional assembled implant adapted for implantation at a non-load bearing site of a bone cartilage junction, comprising:
an osteoconductive portion, comprising cancellous bone, adapted to fill a defect in a subchondral bone layer; and
a chondroinductive portion, comprising fully demineralized cortical bone, adapted to fill a cartilage layer adjacent to the subchondral bone layer;
wherein said osteoconductive portion and said chondroinductive portion are assembled in a stacked relationship without separate fasteners or adhesives;
wherein said osteoconductive portion and said chondroinductive portion each defines a characteristic depth and a characteristic width; and wherein said characteristic depth of said osteoconductive portion is substantially equivalent to or greater than said characteristic depth of said chondroinductive portion; and
wherein said osteoconductive portion and said chondroinductive portion are assembled to have an interference fit; and
wherein said implant is adapted to backfill a secondary site created during an autograft cartilage repair procedure in a human patient.
2. The implant of claim 1 , wherein said characteristic depth of said osteoconductive portion is at least about one and one half times greater than said characteristic depth of said chondroinductive portion; and wherein said characteristic width of said osteoconductive portion is substantially the same as said characteristic width of said chondroinductive portion.
3. The implant of claim 1 , wherein said interference fit is a hydration controlled shrink fit.
4. The implant of claim 1 , wherein said interference fit further comprises a shaft and bore fit between said osteoconductive portion and said chondroinductive portion, and the shaft is straight or tapered.
5. The implant of claim 1 , wherein said chondroinductive portion comprises from two to eight pieces of cortical bone.
6. The implant of claim 5 , wherein said chondroinductive portion comprises two pieces of cortical bone.
7. The implant of claim 6 , wherein said two pieces of cortical bone each make up about one half of said chondroinductive portion.
8. The implant of claim 1 , wherein said osteoconductive portion substantially surrounds at least one part of said chondroinductive portion.
9. The implant of claim 1 , wherein said chondroinductive portion comprises allograft bone, xenograft bone, or a combination thereof.
10. The implant of claim 1 , wherein said cortical bone material further includes one or more canals, said canals being oriented in a direction providing transport between said cancellous bone and said cortical bone.
11. A method of using an assembled osteochondral implant, comprising filling a defect site with said bifunctional assembled implant of claim 1 , such that a first region of said defect site is filled by osteoconductive cancellous bone material and a second region of said defect site is filled by chondroinductive cortical bone material.