Temporary antimicrobial cement spacer, assembly, kit, and method of manufacture
The present disclosure is directed to temporary antimicrobial-eluting cement spacer implants, and assemblies, kits, and methods for forming the same. Particularly preferred disclosures are to modular spacers, assemblies, and kits, as well as methods of manufacturing the same, where the modular nature of the spacer permits the selection of specific desired length spacers, as well as specific selection of antimicrobial compounds and dosages, along with the components and processes for forming the same.
1. A temporary cement spacer, comprising:
a spacer core including:
a rod defining a central axis of the spacer core and having a proximal rod end and a distal rod end opposite the proximal rod end along the central axis, the rod further defining an outer rod surface extending between the proximal rod end and the distal rod end;
a locking component defining a distal locking end and a proximal locking end opposite the distal locking end along the central axis, the distal locking end attached to the rod at the proximal rod end, the locking component further defining at least one locking bore extending through the locking component in a radial direction with respect to the central axis, the at least one locking bore configured to receive a locking screw; and
a cap defining a proximal cap end and a distal cap end opposite the proximal cap end along the central axis, the proximal cap end attached to the distal rod end; and
a cement coating surrounding at least a portion of the outer rod surface, the cement coating comprising a mixture of a cement material and one or more antimicrobial agents,
wherein the cap is configured to define a leading end of the temporary cement spacer during implantation.
2. The temporary cement spacer of claim 1 , wherein:
the outer rod surface comprises a threaded surface at the proximal rod end, and wherein the distal locking end defines a distal locking opening configured to threadingly engage with the proximal rod end; and
the outer rod surface comprises another threaded surface at the distal rod end, and wherein the proximal cap end defines a proximal cap opening configured to threadingly engage with the distal rod end.
3. The temporary cement spacer of claim 1 , wherein the locking component extends in an axial direction from the distal locking end to the proximal locking end such that the proximal locking end is angularly offset with respect to the central axis by an angle in a range of about 5 degrees to about 20 degrees.
4. The temporary cement spacer of claim 1 , wherein the cap defines a cross-sectional area in a plane perpendicular to the central axis, and wherein the cap cross-sectional area is at least about 90 percent of the maximum cross sectional area of the temporary cement spacer.
5. The temporary cement spacer of claim 1 , wherein the locking component defines an outer locking surface extending from the proximal locking end to the distal locking end.
6. The temporary cement spacer of claim 5 , wherein a majority of the outer locking surface defines a main recessed surface portion and at least one projection surrounding the at least one locking bore, the at least one projection defining an outer surface spaced radially outwardly from the main recessed surface portion, wherein the cement coating (1) extends radially outward from the main recessed surface portion, and (2) is flush with the outer surface of the at least one projection.
7. The temporary cement spacer of claim 6 , wherein the main recessed surface portion extends from the distal locking end toward the proximal locking end and further extends around an entire outer circumference of the locking component.
8. The temporary cement spacer of claim 6 , wherein the at least one projection defines opposed sides that taper towards each other and inwardly toward the central axis.
9. The temporary cement spacer of claim 1 , wherein the cap comprises a distal cap opening that is centrally located about the central axis, the cap defining a plurality of channels that are in fluid communication with the distal cap opening and extend from the distal cap opening toward the proximal cap end.
10. The temporary cement spacer of claim 9 , wherein the cap defines:
a distal cap portion that defines the distal cap opening;
a proximal hub that is spaced proximally from the distal cap portion; and
a plurality of arms that extend proximally from the distal cap portion to the proximal hub,
wherein the plurality of channels are defined circumferentially between respective adjacent ones of the plurality of arms.