Bone fixation implants
A plating system is described that uses various configurations of bone fixation implants that are configured to be attached to one or more portions of bone. The bone fixation implant may include at least one structural portion (e.g., a wire, plate, mesh, etc.) that includes metal and a polymer body at least partially surrounding the at least one structural portion. The polymer body may define an engaging surface that is configured to engage an attachment member that is applied to the bone fixation implant to fix the bone fixation implant to the bone, such that direct contact between the metal of the structural portion and the attachment member is prevented. Overlying muscle and tissue may be secured to the bone fixation implant to encourage incorporation of the tissue structure into the implant and promote stabilization and healing.
1. A method of fixating bone of a chest wall of a patient, the method comprising:
separating muscle or soft tissue from the bone of the chest wall;
applying a bone fixation implant to at least one portion of the bone of the chest wall, wherein the bone fixation implant has a bone-engaging surface and a muscle or soft tissue-engaging surface opposite the bone-engaging surface, wherein the bone fixation implant defines a plurality of openings arranged across an overall length and an overall width of the bone fixation implant and extending through the bone-engaging surface and the muscle or soft tissue-engaging surface,
inserting an attachment member into a respective one of the openings to secure the bone fixation implant to an underlying bone structure such that the bone-engaging surface of the bone fixation implant engages the underlying bone structure, and
suturing an overlying muscle or soft tissue structure to the bone fixation implant such that the muscle or soft tissue-engaging surface of the bone fixation implant engages the overlying muscle or soft tissue structure, thereby encouraging incorporation of the muscle or soft tissue structure into the bone fixation implant to promote stabilization of the underlying bone structure during healing.
2. The method of claim 1 further comprising modifying an overall shape of the bone fixation implant by cutting off a portion of the bone fixation implant to correspond to a shape of an area of the underlying bone structure to be treated.
3. The method of claim 1 , wherein the muscle or soft tissue-engaging surface comprises a plurality of enclosed channels extending substantially parallel to the bone fixation implant wherein suturing the overlying muscle or soft tissue structure to the bone fixation implant comprises passing a suturing needle through the overlying muscle or soft tissue structure and at least some of the enclosed channels.
4. The method of claim 3 , wherein the enclosed channels are arranged at different angles with respect to each other.
5. The method of claim 3 , wherein the bone fixation implant further comprises:
at least one structural portion formed of metal; and
a polymer body at least partially surrounding the at least one structural portion,
wherein the polymer body defines an overall shape of the bone fixation implant comprising the overall width, the overall length, and an overall thickness,
wherein the polymer body defines the openings, such that direct contact between the metal of the structural portion and the attachment member is prevented, and
wherein the polymer body defines the bone-engaging surface, the muscle or soft tissue-engaging surface, and the enclosed channels such that direct contact between the metal of the structural portion and any of the bone structure, the muscle or soft tissue structure, or sutures is prevented.
6. The method of claim 1 , wherein suturing the overlying muscle or soft tissue structure to the bone fixation implant comprises passing a suturing needle through a region of the bone fixation implant between adjacent openings, wherein an overall thickness of the bone fixation implant at a rim of each opening is greater than the overall thickness in the region between adjacent openings.
7. The method of claim 1 , wherein inserting the attachment member into the respective one of the openings comprises thorocoscopically monitoring the attachment member as it is inserted.
8. The method of claim 1 , wherein the muscle or soft tissue-engaging surface comprises a plurality of eyelets extending outwardly from the muscle or soft tissue-engaging surface, wherein suturing the overlying muscle or soft tissue structure to the bone fixation implant comprises passing a suturing needle through the overlying muscle or soft tissue structure and at least some of the eyelets.
9. The method of claim 8 , wherein the eyelets are arranged at different angles with respect to each other.
10. The method of claim 8 , wherein the bone fixation implant comprises:
at least one structural portion formed of metal; and
a polymer body at least partially surrounding the at least one structural portion,
wherein the polymer body defines an overall shape of the bone fixation implant comprising the overall width, the overall length, and an overall thickness,
wherein the polymer body defines the openings, such that direct contact between the metal of the structural portion and the attachment member is prevented, and
wherein the polymer body defines the bone-engaging surface, the muscle or soft tissue-engaging surface, and the eyelets such that direct contact between the metal of the structural portion and any of the bone structure, the muscle or soft tissue structure, or sutures is prevented.
11. The method of claim 1 , wherein the bone fixation implant comprises polyether ether ketone (PEEK).
12. The method of claim 1 , wherein the bone fixation implant comprises:
at least one structural portion formed of metal; and
a polymer body at least partially surrounding the at least one structural portion,
wherein the polymer body defines an overall shape of the bone fixation implant comprising the overall width, the overall length, and an overall thickness,
wherein the polymer body defines the openings, such that direct contact between the metal of the structural portion and the attachment member is prevented, and
wherein the polymer body defines the bone-engaging surface and the muscle or soft tissue-engaging surface such that direct contact between the metal of the structural portion and any of the bone structure or the muscle or soft tissue structure is prevented.
13. The method of claim 12 , wherein the polymer body comprises polyether ether ketone (PEEK).
14. The method of claim 12 , wherein the structural portion comprises at least one of titanium, aluminum, stainless steel, or Nitinol.
15. The method of claim 12 , wherein the structural portion comprises at least one of a wire, a plate, or a mesh.
16. The method of claim 1 , wherein:
at least one of the bone-engaging surface or the muscle or soft tissue-engaging surface defines a texture configuration, and
the texture configuration of the bone-engaging surface or the muscle or soft tissue-engaging surface enhances engagement of the bone fixation implant with the underlying bone structure or the overlying muscle or soft tissue structure, respectively.