Prosthesis surface treatment and method for soft tissue attachment thereto
The improved endoprosthetic device surface treatment encourages soft tissue attachment thereto. A porous mesh surface treatment creates on an outer surface of the endoprosthetic device a three-dimensional surface structure similar to cancellous bone. Suture attachment features are provided at various locations around the treated surface structure to initially affix a vascularized soft tissue to the treated surface. As the patient heals the soft tissue grows and infiltrates the porous mesh surface to achieve an attachment strength substantially equal to the surrounding tissue.
1. An endoprosthetic device, the device comprising:
a bone endoprosthesis including a prosthetic bone segment having a defined outer surface comprising:
a plurality of suture attachment features, the suture attachment features adapted to accept a tendon suture for affixation of a tendon to said prosthetic bone segment; and
a porous mesh surface, the pores of which are adapted to encourage the growth and infiltration of tendon collagen fibers for formation of an enthesis.
2. The endoprosthetic device of claim 1 , the suture attachment features comprising a through-hole feature for passage of the tendon suture therethrough.
3. The endoprosthetic device of claim 1 , the porous mesh comprising a three-dimensional structure forming the pores.
4. The endoprosthetic device of claim 1 , the porous mesh comprising a three-dimensional structure forming the pores, wherein the average pore size is in the range of approximately 600 to 800 microns.
5. The endoprosthetic device of claim 1 , the porous mesh comprising a three-dimensional structure forming the pores, wherein the three-dimensional structure is formed using thermal deposition of biocompatible metal.
6. The endoprosthetic device of claim 1 , the porous mesh comprising a three-dimensional structure forming the pores, wherein the three-dimensional structure is formed using trabecular metal.
7. A method for soft tissue attachment to an endoprosthetic device, the method steps comprising:
providing a bone endoprosthetic device including a prosthetic bone segment with a defined outer surface comprising:
a plurality of suture attachment features, the suture attachment features adapted to accept a tendon suture for affixation of a tendon to said prosthetic bone segment; and a porous mesh surface, the pores of which are adapted to encourage the growth and infiltration of tendon collagen fibers for formation of an enthesis; and
affixing a sutured tendon end to at least one of the suture attachment features, wherein the tendon end is maintained in direct contact with the porous mesh surface for growth and infiltration of the tendon collagen fibers therein.
8. The method of claim 7 , wherein the suture attachment features comprise a through-hole feature for passage of the tendon suture therethrough.
9. The method of claim 7 , wherein the porous mesh comprises a three-dimensional structure forming the pores.
10. The method of claim 7 , wherein the porous mesh comprises a three-dimensional structure forming the pores, wherein the average pore size is in the range of approximately 600 to 800 microns.
11. The method of claim 7 , wherein the porous mesh comprises a three-dimensional structure forming the pores, wherein the three-dimensional structure is formed using thermal deposition of biocompatible metal.
12. The method of claim 7 , wherein the porous mesh comprises a three-dimensional structure forming the pores, wherein the three-dimensional structure is formed using trabecular metal.