Implant and Method for Covering Large-Scale Bone Defects for Thorax
An implant for covering a thorax bone defect includes at least one lattice structure of individual lattice cells, each lattice cell comprising one or more ring elements, with each ring element comprising a through-hole configured for receiving a fixation device. At least some of the ring elements of each lattice structure are connected via non-linear bridge elements to one another. The implant can be made, at least predominantly, from a plastic material.
1 . An implant for covering a thorax bone defect, comprising:
at least one lattice structure of a plurality of individual lattice cells, each lattice cell comprising one or more ring elements, each ring element comprising a through-hole configured for receiving a fixation device,
wherein at least some of the ring elements of each lattice structure are connected via non-linear bridge elements to one another, and
wherein the implant is made, at least predominantly, from a plastic material.
2 . The implant of claim 1 , wherein the implant is made from the plastic material using additive manufacturing, AM, and/or injection molding.
3 . The implant of claim 1 , wherein the material comprises one or more of: polyetheretherketone, PEEK, Polyethylene, PE, polyphenylsulfone, PPSU, polyetherketoneketone, PEKK, Magnesium, Molybdenum and/or a compound therewith.
4 . The implant of claim 1 , wherein the material comprises one or more of: a compound including hydroxylapatite, HA, tricalciumphosphate, TCP, Silver, and/or Magnesium.
5 . The implant of claim 1 , wherein at least the at least one lattice structure has anti-bacterial properties.
6 . The implant of claim 1 , wherein the at least one lattice structure has a thickness of from about 0.1 mm to about 5 mm.
7 . The implant of claim 1 , wherein the lattice structure is an essentially 2-dimensional lattice, in particular a triclinic lattice, a monoclinic lattice, an orthorhombic lattice, a tetragonal lattice, a hexagonal lattice or a cubic lattice.
8 . The implant of claim 7 , wherein the 2-dimensional lattice is one of a triclinic lattice, a monoclinic lattice, an orthorhombic lattice, a tetragonal lattice, a hexagonal lattice or a cubic lattice.
9 . The implant of claim 1 , wherein at least some of the plurality of lattice cells consist of a single ring element, together with at least a portion of at least one bridge element.
10 . The implant of claim 1 , wherein all connections between all ring elements are non-linear.
11 . The implant of claim 1 , wherein the implant comprises at least one lower-density lattice cell, LDLC, and at least one higher-density lattice cell, HDLC, having the same size and contour as the at least one lower-density lattice cell, LDLC, but comprising a higher number of ring elements.
12 . The implant of claim 1 , wherein the implant further comprises at least one bar unit, wherein the at least one the lattice structure and the at least one bar unit are arranged in a regular pattern.
13 . The implant of claim 12 , wherein the at least one lattice structure and the at least one bar unit are arranged alternatingly.
14 . The implant of claim 12 , wherein lattice cells of the at least one lattice structure that are immediately adjacent to a bar unit of the at least one bar unit are connected to the bar unit by linear bridge elements.
15 . The implant of claim 12 , wherein the bridge elements connecting ring elements in a direction in parallel to the longitudinal direction of the at least one bar unit are linear bridge elements.
16 . The implant of claim 12 , comprising a plurality of bar units arranged in a staggered manner with respect to one another.
17 . The implant of claim 12 , comprising a plurality of bar units arranged in parallel with one another, and exactly aligned with respect to their longitudinal ends.
18 . The implant of claim 12 , wherein each bar unit comprise at least one line of through-holes for receiving fixation devices.
19 . The implant of claim 12 , wherein the at least one bar unit comprises a plurality of pairs of through-holes, the pairs being arranged along the longitudinal axis of the bar unit.
20 . The implant of claim 19 , wherein the pairs of the plurality of pairs of through-holes are arranged in parallel to each other but neither in parallel nor perpendicular to the longitudinal axis of the at least one bar unit.
21 . A system for covering a large-scale bone defect, comprising the implant of claim 1 and a plurality of fixation devices.
22 . The system of claim 21 , wherein the plurality of fixation devices comprise one or more of: bio-degradable or non-bio-degradable metal screws or pins, and resorbable or non-resorbable polymeric pins or screws.
23 . A method for covering a thorax bone defect, comprising:
providing the system of claim 21 ; and
fixing the implant to at least two portions of bone of a patient using the plurality of fixation devices.
24 . The method of claim 23 , wherein the at least two portions of bone are portions of one or more ribs.
25 . The method of claim 24 , wherein one or more ribs have been partially resected.
26 . The method of claim 23 , wherein the system comprises an implant according to claim 10 with at least one bar unit, wherein the implant is fixed, by one or more ring elements of at least one lattice structure, to at least one rib of a patient, such that the at least one bar unit substitutes at least a missing section of another rib of the patient.
27 . The method of claim 23 , wherein the implant, after manufacturing, is tailored, by removing parts of at least one lattice structure, to a specific patient and/or a specific bone defect.
28 . A method for producing the implant of claim 1 , comprising additive manufacturing, AM, or injection molding of the entire implant.
29 . A data structure which defines a digital representation of the implant of claim 1 .
30 . A non-volatile, computer-readable data storage medium storing data which defines a digital representation of the implant of claim 1 .
31 . A data stream comprising, or configured to generate, data defining a digital representation of the implant of claim 1 .
32 . The data structure of claim 29 including data further defining operating instructions adapted to control an additive manufacturing device to fabricate the implant using the digital representation of the implant when said data is relayed to the additive manufacturing device.
33 . The data of claim 30 including data further defining operating instructions adapted to control an additive manufacturing device to fabricate the implant using the digital representation of the implant when said data is relayed to the additive manufacturing device.
34 . The data stream of claim 31 including data further defining operating instructions adapted to control an additive manufacturing device to fabricate the implant using the digital representation of the implant when said data is relayed to the additive manufacturing device.