Meniscus prosthetic devices with anti-migration or radiopaque features
A prosthetic device for use as an artificial meniscus is disclosed. The prosthetic device restores stress distribution, stability, and function to the knee joint after removal of the damaged natural meniscus. In some embodiments, the prosthetic device includes an anti-migration feature that inhibits extreme movement within the joint while permitting free floating over a significant range. In one aspect, the anti-migration feature is an enlarged anterior structure or a posterior meniscus remnant engaging channel while in another aspect, the anti-migration feature includes a tethering member. Still further, removable radiopaque features are provided to enhance trialing of the implant prior to final implantation within the joint.
1. A prosthetic meniscus device for placement in a knee joint, the prosthetic meniscus device having a substantially ellipsoidal shape having an anterior end, a posterior end, a lateral side, and a medial side, the prosthetic meniscus device comprising:
a central portion having an upper femur-contacting surface for engagement with a portion of a femur and an opposing lower tibial-contacting surface for engagement with a portion of a tibia, the central portion comprising a resilient material;
an outer portion surrounding the central portion and having an increased thickness relative to the central portion, the outer portion comprising a resilient material with at least one reinforcing fiber embedded in the resilient material of the outer portion, the at least one reinforcing fiber disposed circumferentially around the central portion; and
an anti-migration structure formed on the outer portion along the anterior end of the prosthetic meniscus device, the anti-migration structure defined by an enlarged anterior flange sized and shaped to prevent posterior migration of the prosthetic meniscus device in the knee joint, wherein the enlarged anterior flange extends generally transverse to the anterior end,
wherein the enlarged anterior flange comprises a superior arcuate extension having an inner femur-contacting surface configured to engage an anterior femoral side surface, said inner femur-contacting surface extending continuously with said upper femur-contacting surface of the central portion,
wherein the enlarged anterior flange comprises an inferior arcuate extension having an inner tibial-contacting surface configured to engage an anterior tibial side surface, said inner tibial-contacting surface extending continuously with said lower tibial-contacting surface of the central portion,
wherein a maximum height of the enlarged anterior flange is at least 50 percent larger than a maximum height of the posterior end of the prosthetic meniscus device,
wherein the anti-migration structure is not permanently fixed or attached to the knee joint,
wherein the posterior end, the lateral side, and the medial side are devoid of any penetrating fixation device, and
wherein the anti-migration structure is configured to inhibit extreme movement of the prosthetic meniscus device within the knee joint while permitting free floating of the prosthetic meniscus device over a significant range.
2. The device of claim 1 , wherein the retention structure forms a portion of a sidewall of the outer portion.
3. The device of claim 1 , wherein the maximum height of the enlarged anterior flange is up to twice as large as the the maximum height of the posterior end.