Porous metal device for regenerating soft tissue-to-bone interface
The present disclosure relates, in some aspects, to orthopaedic implants for securing soft tissue to bone and methods for using the same. One particular implant comprises a first exposed porous surface region, having pores for promoting bone ingrowth, and a second exposed porous surface, having pores for promoting soft tissue ingrowth. At least some of the pores of the first exposed porous surface region may be seeded with osteocytic factors and at least some of the pores of the second exposed porous surface region may be seeded with fibrocytic factors. Such orthopaedic implants can advantageously facilitate regeneration of the soft tissue to bone interface.
1. An implant for securing soft tissue to bone, comprising:
a tubular body providing an inner passageway for receiving soft tissue of a patient, wherein said inner passageway includes an interior side wall provided by a tubular first open porous metal structure with pores of a first nominal pore diameter for suitably receiving soft tissue ingrowth, said tubular body including an exterior side wall provided by a plate-shaped second open porous metal structure with pores of a second nominal pore diameter greater than said first nominal pore diameter for suitably receiving bone ingrowth, wherein said plate-shaped second open porous metal structure is located to a side of said tubular first open porous metal structure along a length of said tubular first open porous metal structure such that said inner passageway does not pass through said plate-shaped second open porous metal structure.
2. The implant of claim 1 , wherein said tubular first open porous metal structure includes an inner passageway corresponding to the inner passageway of said tubular body.
3. The implant of claim 2 , wherein said second open porous metal structure is non-tubular.
4. The implant of claim 1 , wherein said tubular body includes a side wall thickness extending between the interior side wall of the inner passageway and the exterior side wall of the tubular body, said thickness provided entirely by open porous metal.
5. The implant of claim 1 , wherein said first open porous metal structure extends around a full circumference of the inner passageway.
6. The implant of claim 1 , wherein said tubular body includes a second exterior side wall that is essentially non-porous.
7. The implant of claim 1 , wherein said first open porous metal structure and said second open porous metal structure are provided by a monolithic implant piece.
8. The implant of claim 3 , wherein said monolithic implant piece incorporates a non-porous exterior layer providing a second exterior side wall of the tubular body.
9. The implant of claim 1 , wherein the tubular body includes an exposed side exterior which includes the exterior side wall provided by the second open porous metal structure, and wherein the exterior side wall provided by the second open porous metal structure forms only part of said exposed side exterior.
10. The implant of claim 9 , wherein said exposed side exterior includes a second exterior side wall provided by said first open porous metal structure.
11. The implant of claim 10 , wherein said first open porous metal structure extends around a full circumference of the inner passageway.
12. The implant of claim 9 , wherein said exposed side exterior includes a second exterior side wall provided by a non-porous coating or layer.
13. The implant of claim 12 , wherein said first open porous metal structure extends around a full circumference of the inner passageway.
14. The implant of claim 9 , wherein said tubular body is a monolithically-formed body.
15. The implant of claim 1 , wherein said tubular body is a monolithically-formed body and includes an exposed side exterior which includes the exterior side wall provided by the second open porous metal structure, and wherein the exterior side wall provided by the second open porous metal structure forms only part of said exposed side exterior, the exposed side exterior including a second exterior side wall provided by an integrally-formed non-porous layer.
16. The implant of claim 1 , wherein said tubular body includes a second exterior side wall provided by said first open porous metal structure such that said first open porous metal structure extends from said second exterior side wall to said interior side wall.
17. The implant of claim 2 , wherein said exterior side wall that is provided by the second open porous metal structure is a first exterior side wall of the tubular body, and wherein said tubular first open porous metal structure provides a second exterior side wall of the tubular body.
18. An implant for securing soft tissue to bone, comprising:
a tubular body providing an inner passageway for receiving soft tissue of a patient, wherein said inner passageway includes an interior side wall provided by a tubular first open porous metal structure with pores of a first nominal pore diameter for suitably receiving soft tissue ingrowth, said tubular body including a first exterior side wall provided by a plate-shaped second open porous metal structure with pores of a second nominal pore diameter greater than said first nominal pore diameter for suitably receiving bone ingrowth, wherein said plate-shaped second open porous metal structure is located to a side of said tubular first open porous metal structure along a length of said tubular first open porous metal structure such that said inner passageway does not pass through said plate-shaped second open porous metal structure, said tubular body including a second exterior side wall that is less porous than said first open porous metal structure, said second exterior side wall being essentially non-porous.
19. The implant of claim 18 , wherein said second exterior side wall is provided by a non-porous exterior layer integrally formed into said first open porous metal structure.
20. The implant of claim 19 , wherein said first open porous metal structure and said second open porous metal structure are provided by a monolithic implant piece.
21. The implant of claim 18 , wherein said exterior side wall that is provided by the second open porous metal structure is a first exterior side wall of the tubular body, and wherein said tubular first open porous metal structure provides a second exterior side wall of the tubular body, and wherein said tubular first open porous metal structure includes an inner passageway corresponding to the inner passageway of said tubular body.
22. An implant for securing soft tissue to bone, comprising:
a tubular body providing an inner passageway for receiving soft tissue of a patient, wherein said inner passageway includes an interior side wall provided by a tubular first open porous metal structure with pores of a first nominal pore diameter for suitably receiving soft tissue ingrowth, said tubular body including a first exterior side wall provided by a plate-shaped second open porous metal structure with pores of a second nominal pore diameter greater than said first nominal pore diameter for suitably receiving bone ingrowth, wherein said plate-shaped second open porous metal structure is located to a side of said tubular first open porous metal structure along a length of said tubular first open porous metal structure such that said inner passageway does not pass through said plate-shaped second open porous metal structure, said tubular body including a second exterior side wall provided by said first open porous metal structure such that said first open porous metal structure extends from said second exterior side wall to said interior side wall.
23. The implant of claim 22 , wherein said first open porous metal structure extends around a full circumference of the inner passageway.
24. The implant of claim 23 , wherein said first open porous metal structure and said second open porous metal structure are provided by a monolithic implant piece.
25. The implant of claim 22 , wherein said tubular first open porous metal structure includes an inner passageway corresponding to the inner passageway of said tubular body.
26. An implant for securing soft tissue to bone, comprising:
an implant body including a tubular first open porous metal structure providing an inner passageway for receiving soft tissue of a patient, said inner passageway including an interior side wall with pores of a first nominal pore diameter for suitably receiving soft tissue ingrowth, said implant body further including a plate-shaped second open porous metal structure providing an exterior side wall of the implant body, said exterior side wall having pores of a second nominal pore diameter greater than said first nominal pore diameter for suitably receiving bone ingrowth, wherein said plate-shaped second open porous metal structure is located to a side of said tubular first open porous metal structure along a length of said tubular first open porous metal structure such that said inner passageway does not pass through said plate-shaped second open porous metal structure.
27. The implant of claim 26 , wherein said tubular first open porous metal structure and said plate-shaped second open porous metal structure are provided by a monolithic implant piece.