Acetabular spacer device comprising a pharmaceutical substance
An acetabular spacer device, of a type that is temporary and disposable, adapted to be implanted in use in a bone cavity placed at a joint of the human body, such as a hip or shoulder joint, has a cup-like shape, substantially hemispherical, and includes a first convex surface, adapted to be positioned at the bone cavity, a second concave surface, which defines a cavity, further includes at least one pharmaceutical or medical substance, such as at least one antibiotic, adapted to treat during use an ongoing infection in the bone cavity.
1 . An acetabular spacer device adapted to be implanted in a bone cavity at a joint of a human body, the acetabular spacer device comprising:
a body made from polymethylmethacrylate and having,
a substantially hemispherical cup shape,
an outer first surface that is convex and is configured to be positioned in the bone cavity, and
an inner second surface that is concave and that defines an inner cavity; and
a pharmaceutical or medical substance adapted to treat an ongoing infection in the bone cavity, the pharmaceutical or medical substance being provided within the body of the acetabular spacer device,
wherein the inner second surface is configured to be articulated with a head of a stem component that is present at the joint of the human body, or with a head of a stem of a permanent prosthesis or of a spacer device configured to be arranged at the joint of the human body,
wherein the outer first surface comprises a plurality of elongated recesses or projections that have perimeters that each defines a linear segment or a trapezoidal shape or a substantially rectangular shape and that extend inwardly or outwardly in relation to the outer first surface;
a base, an apex of the outer first surface being opposite to the base at a top point of the outer first surface; and
an annular tab disposed at the base or at a terminal circular perimeter of the outer first surface, the annular tab extending outwardly for a distance in relation to the outer first surface and/or to the elongated recesses or projections,
wherein the annular tab provides an abutment or support for a patient's articular seat or acetabular bone, so as to increase stability of positioning or implantation of the acetabular spacer device.
2 . The acetabular spacer device according to claim 1 , wherein the annular tab extends radially further than the outer first surface and the plurality of elongated recesses or projections.
3 . The acetabular spacer device according to claim 1 , wherein the elongated recesses or projections depart from the apex or from a zone surrounding the apex and extend toward or to the circular terminal perimeter of the outer first surface, or have a radial arrangement in relation to the apex.
4 . The acetabular spacer device according to claim 3 , wherein the plurality of elongated recesses or projections comprise a first elongated projection and second elongated projections that extends outwardly, wherein the second elongated projections are radially disposed with respect to the apex and are spaced therefrom by a distance, and wherein the first elongated projection further extends along a portion of an outer circumference of the outer first surface crossing the apex or along an arc of circumference of the outer first surface crossing the apex.
5 . The acetabular spacer device according to claim 1 , wherein the plurality of elongated recesses or projections comprise elongated recesses that extend inwardly and that are radially arranged in relation to the apex and/or to a recessing groove defined around the apex.
6 . The acetabular spacer device according to claim 5 , wherein the recessing groove and the elongated recesses define angular sectors of the outer first surface having a triangular shape with a vertex at the recessing groove and a base at a portion of the circular terminal perimeter of the outer first surface.
7 . The acetabular spacer device according to claim 1 , wherein the plurality of elongated recesses or projections comprise elongated recesses having a polygonal or ovoidal shape.
8 . An acetabular spacer device adapted to be implanted in a bone cavity at a joint of a human body, the acetabular spacer device comprising:
a body made from polymethylmethacrylate, the body having a substantially hemispherical cup shape and defining,
an outer first surface that is convex and configured to be positioned in the bone cavity,
an inner second surface that is concave and defines an inner cavity,
a base, and
an apex opposite to the base and positioned at a top point of the outer first surface,
wherein the outer first surface defines a plurality of elongated recesses or projections that extend inwardly or respectively outwardly in relation to the outer first surface,
wherein the plurality of elongated recesses or projections have a radial arrangement in relation to the apex and depart from the apex or from a surrounding zone of the apex, and
wherein the inner second surface is configured to be articulated with a head of a stem component that is present at the joint of the human body, or with a head of a stem of a corresponding permanent prosthesis or spacer device of the joint of the human body.
9 . The acetabular spacer device according to claim 8 , wherein the body comprises a pharmaceutical or medical substance arranged therein to be eluted in the bone cavity.
10 . The acetabular spacer device according to claim 8 , further comprising an annular tab extending outwardly of the base and/or of the elongated recesses or projections.
11 . The acetabular spacer device according to claim 8 , wherein the plurality of elongated recesses or projections extend longitudinally along the outer first surface for at least a portion of a distance between the apex and the base and have longitudinal axes that meet at the apex.
12 . The acetabular spacer device according to claim 11 , wherein the plurality of elongated recesses or projections extend longitudinally along the outer first surface for only a portion of a distance between the apex and the base and have longitudinal axes that meet at the apex.
13 . The acetabular spacer device according to claim 12 , wherein the plurality of elongated recesses or projections extend longitudinally along the outer first surface and are spaced both from the apex and the base.
14 . The acetabular spacer device according to claim 11 , wherein the plurality of elongated recessed or projections are configured as longitudinal ribs extending outwardly of the outer first surface.
15 . The acetabular spacer device according to claim 11 , wherein the elongated recesses or projections are configured as longitudinal cavities.
16 . The acetabular spacer device according to claim 11 , wherein the elongated recesses or projections define triangular portions of the outer first surface therebetween.
17 . The acetabular spacer device according to claim 11 , wherein the elongated recesses or projections define therebetween trapezoidal portions of the outer first surface, the trapezoidal portions having a smaller upper base and a larger lower base, the smaller upper base being closer to the apex than the larger lower base.
18 . The acetabular spacer device according to claim 8 , wherein the base of the body is perpendicular to a longitudinal axis of the body.
19 . The acetabular spacer device according to claim 8 , wherein the acetabular spacer device consists of said body.