Meniscus prosthetic devices with anti-migration or radiopaque features
A prosthetic device for use as an artificial meniscus is disclosed. The prosthetic device restores stress distribution, stability, and function to the knee joint after removal of the damaged natural meniscus. In some embodiments, the prosthetic device includes an anti-migration feature that inhibits extreme movement within the joint while permitting free floating over a significant range. In one aspect, the anti-migration feature is an enlarged anterior structure or a posterior meniscus remnant engaging channel while in another aspect, the anti-migration feature includes a tethering member. Still further, removable radiopaque features are provided to enhance trialing of the implant prior to final implantation within the joint.
1. A prosthetic meniscus device for placement in a knee joint, comprising:
a meniscus body portion having an upper surface for engagement with a femur and an opposing lower surface for engagement with a tibia, the meniscus body portion formed of a polymer and having a sidewall extending between the upper surface and the lower surface, the sidewall defining a perimeter of the meniscus body portion; and
an elongated radiopaque member removably positioned on and around the perimeter of the meniscus body portion and arranged to be removed from the knee joint while the meniscus body portion remains positioned between the femur and the tibia, wherein the radiopaque member comprises:
a secured configuration in which the radiopaque member is tightly positioned around the perimeter of the meniscus body portion;
an intermediate configuration in which the radiopaque member is loosely positioned around the perimeter of the meniscus body portion; and
a released configuration in which the radiopaque member is removed from the knee joint while the meniscus body portion remains positioned between the femur and the tibia; and
a releasable attachment mechanism arranged to maintain the radiopaque member tightly positioned around the perimeter of the meniscus body portion in the secured configuration,
wherein, in the intermediate configuration, a portion of the radiopaque member is spaced from the meniscus body portion, and
wherein the portion of the radiopaque member spaced from the meniscus body portion comprises an end arranged to be grasped and pulled by a user to extract the radiopaque member from the knee joint while the meniscus body portion remains positioned between the femur and the tibia.
2. The device of claim 1 , wherein the radiopaque member transitions from the secured configuration to the released configuration via the intermediate configuration.
3. The device of claim 2 , wherein, in the secured configuration, the radiopaque member is positioned around the perimeter of the meniscus body portion in a single revolution.
4. The device of claim 2 , wherein, in the secured configuration, the radiopaque member is positioned around the perimeter of the meniscus body portion in a plurality of revolutions.
5. The device of claim 2 , wherein the meniscus body portion comprises a plurality of loops extending outwardly from the sidewall, wherein the radiopaque member is threaded through the plurality of loops.
6. The device of claim 2 , wherein the radiopaque member comprises at least one of a filament or an elongated sheet.
7. The device of claim 1 , wherein the attachment mechanism comprises an adhesive member disposed between the radiopaque member and the sidewall of the meniscus body portion.
8. The device of claim 1 , wherein the attachment mechanism comprises an arrangement of the radiopaque member.
9. The device of claim 8 , wherein the arrangement of the radiopaque member comprises at least one of a knot or an overlap of different portions of the radiopaque member.