US20140067080A1

US20140067080A1 - Hip stem prosthesis with a porous collar to allow for bone ingrowth

Info

Publication number: US20140067080A1
Application number: US14/019,374
Authority: US
Inventors: Christopher G. Sidebotham
Original assignee: Individual
Current assignee: Biomedtrix LLC
Priority date: 2012-09-05
Filing date: 2013-09-05
Publication date: 2014-03-06
Also published as: US20180243099A1; US11583406B2

Abstract

A femoral hip implant includes a first end, a second end, and a collar with a porous surface, all fabricated from a single piece of material. The entire area of the collar is porous, and the collar elastically deflects under load to promote bone ingrowth.

Description

CROSS-REFERENCE TO RELATED APPLICATION

This application claims the benefit of U.S. Provisional Application No. 61/697,177, which was filed on Sep. 5, 2012, and U.S. Provisional Application No. 61/790,528, which was filed on Mar. 15, 2013, both of which are incorporated herein by reference in their entirety.

FIELD

The present disclosure relates to embodiments of a femoral hip implant.

BACKGROUND

There are two primary methods of fixation for femoral hip implants in total hip replacement. The first method utilizes bone cement to bond the femoral hip implant to the surrounding bone. The second method relies on a press fit between the femoral hip implant and the bone to promote long term stability. Such press fit implants are commonly tapered to resist post-operative subsidence into the bone canal, and can include porous surfaces to promote bone ingrowth. Many press fit implants also include a collar that rests on the calcar area of the femur, acting to restrain subsidence and allow load sharing between the bone and the implant.

SUMMARY

In some embodiments, a bone implant apparatus is provided. The apparatus comprises a first end having a substantially smooth surface to inhibit bone ingrowth, a second end extending from the first end in a non-coaxial fashion with a tapered shape and a surface, at least a portion of which comprises a porous surface to allow bone ingrowth, and a collar located between the first and second end. The collar further comprises a porous surface to allow bone ingrowth into the collar.
In some implementations, a femoral hip implant is provided comprising a first end, the first end having a substantially smooth surface to inhibit bone ingrowth, a second end having a substantially tapered shape and extending from the first end in a non-coaxial fashion, at least a portion of which comprises a porous surface to allow bone ingrowth, and a collar located between the first end and the second end, at least a portion of the collar having a porous surface to allow bone ingrowth. The second end of the femoral hip implant is inserted into a femur, and the femoral hip implant is positioned to subside into the femur until the collar contacts the femur so that the porous surfaces of the second end and the collar are aligned with bone to allow bone ingrowth.
The foregoing and other objects, features, and advantages of the invention will become more apparent from the following detailed description, which proceeds with reference to the accompanying figures.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a side elevation view of a femoral hip implant.

FIG. 2 is an enlarged isometric view of a femoral hip implant.

FIG. 3 is a cross-sectional view of a femoral hip implant in a femur.

FIG. 4A is a front view showing a hip joint before total hip replacement.

FIG. 4B is a front view of a femoral hip implant showing a gap between a femur and a collar.

FIG. 4C is a front view of a femoral hip implant showing a collar in contact with a femur.

FIG. 4D is a magnified view of FIG. 4B.

FIG. 4E is a magnified view of FIG. 4C.

FIG. 5 is a representation of the geometric pattern of a porous surface.

FIG. 6 is a micrograph of the geometric pattern of a porous surface.

FIG. 7 is a front view of a diamond cubic unit cell geometry of a porous surface of a femoral hip implant.

FIG. 8 is a diagram showing cross-section of a collar and application of a force to the collar.

FIG. 9 is a diagram showing the deflection of a collar under load.

FIG. 10 is a side elevation view of a femoral hip implant having an alternative embodiment of a collar.

FIG. 11 is a side elevation view of the femoral hip implant of FIG. 1 illustrating a length of the collar.

FIG. 12 is a side elevation view of the femoral hip implant of FIG. 10 illustrating a length of the collar.

FIG. 13 is a side elevation view of another embodiment of a femoral hip implant.

FIG. 14 is an enlarged isometric view of a portion of the femoral hip implant of FIG. 13.

DETAILED DESCRIPTION

For purposes of this description, certain aspects, advantages, and novel features of the embodiments of this disclosure are described herein. The disclosed methods, apparatuses, and systems should not be construed as limiting in any way. Instead, the present disclosure is directed toward all novel and nonobvious features and aspects of the various disclosed embodiments, alone and in various combinations and sub-combinations with one another. The methods, apparatus, and systems are not limited to any specific aspect or feature or combination thereof, nor do the disclosed embodiments require that any one or more specific advantages be present or problems be solved.
Although the operations of some of the disclosed methods are described in a particular, sequential order for convenient presentation, it should be understood that this manner of description encompasses rearrangement, unless a particular ordering is required by specific language set forth below. For example, operations described sequentially may in some cases be rearranged or performed concurrently. Moreover, for the sake of simplicity, the attached figures may not show the various ways in which the disclosed methods can be used in conjunction with other methods. Additionally, the description sometimes uses terms like “provide” or “achieve” to describe the disclosed methods. These terms are high-level abstractions of the actual operations that are performed. The actual operations that correspond to these terms may vary depending on the particular implementation and are readily discernible by one of ordinary skill in the art.
As used in this application and in the claims, the singular forms “a,” “an,” and “the” include the plural forms unless the context clearly dictates otherwise. Additionally, the term “includes” means “comprises.” Further, the terms “coupled” and “associated” generally mean electrically, electromagnetically, and/or physically (e.g., mechanically or chemically) coupled or linked and does not exclude the presence of intermediate elements between the coupled or associated items absent specific contrary language.
As used herein, the term “porous” means a structure having one or more openings, gaps, or other such surfaces that allow bone to grow into the structure and mechanically interlock with the structure. “Bone ingrowth” refers to the growing of bone into a porous structure in a manner that allows the bone to interlock with the structure.
As used herein, the term “smooth” means a structure lacking in openings, gaps, or other such surfaces that would allow bone to grow into the structure.
A collar with a porous surface acts to stabilize a femoral hip implant by promoting bone ingrowth. However, due to manufacturing limitations, the existing art implants often comprise a solid metal collar with only a textured undersurface. Such textured undersurfaces are ineffective at promoting bone ingrowth, and frequently cause bone resorption under the collar instead. Such bone resorption in turn can cause the femoral hip implant to loosen in some cases, and can result in undesirable revision surgery.
FIGS. 1-2 depict an embodiment of a femoral hip implant 10. Femoral hip implant 10 comprises a first end 12 (e.g., a proximal portion) having a substantially smooth surface, a second end 14 (e.g., a distal portion) extending distally from the first end 12 in a non-coaxial fashion, and a collar 16 positioned between the first end 12 and the second end 14. In some embodiments, the first end 12 is adapted to receive a femoral head (not shown) and the second end 14 has a tapered shape generally comprising a femoral stem and a porous region 18. In some embodiments, first end 12, second end 14, and the collar 16 are integrally formed from a single piece of material. Additionally, the femoral hip implant 10 can be configured for both human and veterinary applications.
The collar 16 can comprise a substantially semicircular projection from second end 14 generally normal to the second end 14, as shown in FIGS. 1-2. In this configuration, the collar 16 can contact the hard calcar area 20 of the femur 22, as shown in FIGS. 3 and 4E, allowing the femoral hip implant 10 to transfer force to the bone when loaded. Additionally, the collar 16 can prevent the femoral hip implant 10 from subsiding into the femur 22 by contacting the calcar area 20 of the femur 22 to arrest motion of the femoral hip implant 10 into the bone canal.
Collar 16 can comprise a top surface 24 and a bottom surface 26, as shown in FIGS. 1-2. In some cases, the bottom surface 26 of the collar 16 will not contact the calcar area 20 of the femur 22 when the femoral hip implant 10 is first implanted. Rather, the femoral hip implant 10 will generally achieve a sufficiently tight press fit before it impacts into the femur 22 far enough to allow the bottom surface 26 of the collar 16 to contact the calcar area 20, as shown in FIG. 4D. However, in some cases, the tightness of the original press fit can decrease post-operatively, allowing the femoral hip implant 10 to subside further into the femur 22 and causing collar 16 to make contact with the calcar area 20 of the femur 22, as shown in FIG. 4E. This action arrests further subsidence of the femoral hip implant 10 into the femur 22 and aligns the porous surfaces of the second end and the collar with bone to facilitate bone ingrowth.
In some embodiments, the collar 16 can be fully porous, with the entire surface area of the collar 16 exhibiting porosity as shown in FIGS. 1-2. Porous surfaces exhibiting proper geometry can promote bone ingrowth, creating mechanical interlocking between the bone and the femoral hip implant 10. Such bone ingrowth improves the long term stability of the implant by reducing stress concentrations and bone resorption, as well as improving the torsional strength of the implant and reducing the likelihood of the need for revision surgery.
In some embodiments, the top surface 24 of the collar 16 can comprise a solid (i.e., non-porous) metal surface or skin. The solid metal surface can be from about 0.005 inches to about 0.025 inches thick, and can further strengthen the collar 16. In other embodiments, the thickness of the metal at top surface 24 (the surface facing away from the femur 22) can vary between between 0.005 inches to 0.08 inches thick, or more preferably between 0.01 to 0.06 inches thick. An embodiment with the top surface 24 being formed with a metal surface (e.g., a thin metal “skin”) is shown in FIGS. 12 and 13. All of the side of the collar 16 can be formed with a porous surface as shown in FIG. 1; alternatively, all or some of the side of the collar 16 can be formed with a non-porous metal surface as shown in FIG. 14. In either embodiment (FIG. 1; FIG. 12), the lower surface (i.e., the bone-contacting surface as shown in FIG. 3) of collar 16 is preferably formed with a porous surface that can promote bone ingrowth as discussed above.
In some embodiments, the length L₁of the collar 16 can be related to a cross-sectional dimension D of the second end 14, as shown in FIG. 11. The length L₁of the collar 16 can be from about 12% to about 26% of the cross-sectional dimension D of the second end 14. In some embodiments, the length L₁of the collar 16 can be about 26% of the dimension D of the second end.
The femoral hip implant 10 described herein can be formed of various biocompatible materials. In some embodiments, the femoral hip implant 10 can be formed of titanium alloys, such as ASTM F-136 (Ti6Al4V ELI Titanium Alloy). In other embodiments, the implants can be formed using other biocompatible materials, such as cobalt chromium, stainless steel, and various composite materials or plastics.
Existing art implants require that the implant comprise multiple parts joined together to achieve a porous surface on both the collar and tapered body of the implant. However, using additive machining techniques such as electron beam melting (EBM) or laser sintering, the femoral hip implant 10 can be made from a single piece of material. In the case of the EBM technique, the implant can be produced by building the implant layer-by-layer from metal powder (e.g., a titanium alloy powder) using a powerful electron beam. In the case of the laser sintering technique, a high-powered laser is used to fuse beads of material to form the desired three-dimensional structure. These techniques can be used to produce an implant with the desired porous surfaces, allowing the porous surface of the femoral hip implant 10 to extend from the porous region 28 of the second end 14 to cover the entire surface area of the collar 16, as shown in FIGS. 1-2.
The porosity of the femoral hip implant 10 is generally of a diamond cubic unit cell geometry, as shown in FIGS. 5-6, although any geometry creating a three-dimensional structure of sufficient porosity to allow bone ingrowth may be used. In some embodiments, the diamond cubic unit cell geometry comprises a 7-14 diamond cubic unit cell structure with approximately sixty-five percent of the interior volume comprising space and thirty-five percent comprising solid material. Although any ratio of space to solid material may be used, in some embodiments this ratio can comprise a majority of space as compared to solid material. In some embodiments, the diameter of the diamond unit cell structure is approximately 300 μm and the height is approximately 350 μm, with a pore size ranging from approximately 350-700 μm, as shown in FIG. 7. In some embodiments, the thickness is approximately 1000 μm, although any effective thickness may be used. Porosity of this size promotes bone ingrowth with sufficient vascularity to the underlying bone without compromising the structural integrity of the collar 16 under load.
An additional feature of the collar 16 is its greater ability to elastically deflect under load compared to existing art solid collars with porous or textured surface treatments. The porosity of the collar 16 increases the elastic deflection of the collar 16 when subjected to loading by reducing the ultimate strength of the collar 16. Existing art collars fabricated from ASTM F-136 (Ti6Al4V ELI Titanium Alloy) with cross-sections of 0.310 inches by 0.120 inches exhibit an ultimate material stress of approximately 138,000 pounds per square inch with a fracture force of approximately 466 pounds. Such existing art solid collars generally are too stiff to deflect under normal loading conditions induced in femoral implants, leading to stress disuse bone resorption in the calcar area and destabilization of the implant. However, in some embodiments of the femoral hip implant 10, the collar 16 exhibits an ultimate material stress of approximately 48,000 pounds per square inch and a fracture load of approximately 163 pounds with a cross-section of 0.310 inches by 0.120 inches, as shown in FIG. 8. This reduction in the ultimate material stress and fracture force caused by the porosity of collar 16 in turn causes increased elastic deflection of collar 16 under load. As can be seen in FIG. 9, elastic deflection of collar 16 ranges from less than 0.004 inches to nearly 0.020 inches as a load ranging from 0 pounds to 188 pounds is applied. This elastic deflection of collar 16 can stimulate bone regeneration around collar 16, promoting bone ingrowth and long-term stabilization of the femoral hip implant 10.
Referring now to FIG. 10, there is shown an alternative embodiment of a collar 116. The collar 116 can have a top surface 124 and a bottom surface 126, and can be positioned between the first and second ends 12, 14 of the implant 10, similar to the collar 16 of FIG. 1. The collar 116 can also have an entirely porous surface to promote bone ingrowth. As shown in FIG. 10, the bottom surface 126 of the collar 116 can form an angle α with a longitudinal axis of the implant. In some embodiments, the angle α can be from about 45 degrees to about 130 degrees. In some embodiments, the angle α can be about 110 degrees, and the collar 116 can have a generally tapered shape corresponding to the angle α. In this manner, the bending stress experienced by the collar 116 in use can be further reduced.
In some embodiments, the top surface 124 of the collar 116 can comprise a solid (i.e., non-porous) metal surface similar to the solid metal surface discussed above with respect to the embodiment of FIG. 1. In some embodiments, the length L₂of the collar 116 can be related to the cross-sectional dimension D of the second end 14, as shown in FIG. 12. The length L₂of the collar 116 can be from about 12% to about 26% of the cross-sectional dimension D of the second end 14, similar to the collar of FIG. 1. In some embodiments, the length L₂of the collar 16 can be about 12% of the dimension D of the second end, as shown in FIG. 12. In this manner, the bending stress experienced by the collar 116 in use can be further reduced.
In view of the many possible embodiments to which the principles of the disclosed invention may be applied, it should be recognized that the illustrated embodiments are only preferred examples of the invention and should not be taken as limiting the scope of the invention. Rather, the scope of the invention is defined by the following claims. I therefore claim as my invention all that comes within the scope and spirit of these claims.

Claims

I claim:

1. A bone implant apparatus comprising:

a first end having a substantially smooth surface to inhibit bone ingrowth;

a second end extending from the first end in a non-coaxial fashion, the second end having a tapered shape and a surface, at least a portion of which comprises a porous surface to allow bone ingrowth; and

a collar located between the first end and the second end, the collar comprising a surface at least a portion of which comprises a porous surface to allow bone ingrowth into the collar.

2. The bone implant apparatus of claim 1, wherein the first end, the second end, and the collar comprise a single piece of material.

3. The bone implant apparatus of claim 1, wherein the entire surface area of the collar is porous.

4. The bone implant apparatus of claim 1, wherein the collar further comprises a top surface and a bottom surface, both of which are porous.

5. The bone implant apparatus of claim 4, wherein the top surface and the bottom surface of the collar are generally parallel.

6. The bone implant apparatus of claim 4, wherein the portion of the surface of the second end comprising a porous surface extends along the top surface and the bottom surface of the collar.

7. The bone implant apparatus of claim 4, wherein the bottom surface of the collar forms an angle with a longitudinal axis of the bone implant apparatus of from about 45 degrees to about 130 degrees.

8. The bone implant apparatus of claim 7, wherein the bottom surface of the collar forms an angle with the longitudinal axis of the bone implant apparatus of about 110 degrees.

9. The bone implant apparatus of claim 1, wherein the collar comprises a substantially semicircular projection from the second end of the bone implant apparatus in a direction substantially normal to the second end.

10. The bone implant apparatus of claim 1, wherein at least a portion of the surface of the bone implant apparatus comprises a substantially smooth surface that restricts bone ingrowth.

11. The bone implant apparatus of claim 1, wherein the collar elastically deflects under load to stimulate bone growth.

12. The bone implant apparatus of claim 11, wherein the elastic deflection of the collar is between 0.004 inches and 0.02 inches when subjected to a load of 188 pounds.

13. The bone implant apparatus of claim 11, wherein the elastic deflection of the collar is greater than 0.004 inches when subjected to a load of 188 pounds.

14. The bone implant apparatus of claim 1, wherein the porous surfaces of the second end and the collar comprise a diamond cubic unit cell geometry.

15. The bone implant apparatus of claim 1, wherein the bone implant apparatus is fabricated from a biocompatible material.

16. The bone implant apparatus of claim 1, wherein the collar comprises a non-porous metal surface with a thickness of from about 0.005 inches to about 0.025 inches.

17. The bone implant apparatus of claim 1, wherein the collar has a length of from about 12% to about 26% of a cross-sectional dimension of the second end of the implant.

18. A method for total hip replacement, comprising:

providing a femoral hip implant comprising a first end, the first end having a substantially smooth surface to inhibit bone ingrowth, a second end having a substantially tapered shape and extending from the first end in a non-coaxial fashion, at least a portion of which comprises a porous surface to allow bone ingrowth, and a collar located between the first end and the second end, at least a portion of the collar having a porous surface to allow bone ingrowth;

inserting the second end of the femoral hip implant into a femur; and

positioning the femoral hip implant to subside into the femur until the collar contacts the femur so that the porous surfaces of the second end and the collar are aligned with bone to allow bone ingrowth.

19. The method of claim 18, wherein the collar of the femoral hip implant elastically deflects upon loading and unloading of the femoral hip implant.

20. The method of claim 19, wherein the elastic deflection of the collar is between 0.004 inches and 0.02 inches when subjected to a load of 188 pounds.

21. The method of claim 19, wherein the elastic deflection of the collar is greater than 0.004 inches when subjected to a load of 188 pounds.

22. The method of claim 18, wherein the inserting of the femoral hip implant into the femur comprises press-fitting the femoral hip implant into the femur.

23. The method of claim 18, wherein the first end, the second end, and the collar of the femoral hip implant comprise a single piece of material.

24. The method of claim 18, wherein the collar comprises a substantially semicircular projection from the second end of the femoral hip implant in a direction generally normal to the second end of the femoral hip implant.

25. The method of claim 18, wherein the entire surface area of the collar comprises a porous surface.

26. The method of claim 18, wherein the porous surfaces of the second end and the collar comprise a diamond cubic unit cell geometry.

27. The method of claim 18, wherein the bone implant apparatus is fabricated from a biocompatible material.

28. A bone implant comprising:

a proximal portion adapted for receiving a femoral head, the proximal portion being fabricated from a biocompatible material;

a distal portion having a generally tapered shape and extending distally from the proximal portion in a non-coaxial fashion, the distal portion comprising a femoral stem configured for press-fit insertion into a femur without the use of bone cement, the distal portion comprising a surface at least a portion of which is porous, the porosity of the porous surface of the distal portion comprising a diamond cubic unit cell geometry to allow bone ingrowth, the distal portion and the proximal portion comprising a single piece of material, the distal portion being fabricated from a biocompatible material;

a collar, the entire surface area of which is porous, the collar being generally disposed between the proximal portion and the distal portion, the collar being generally disposed about a proximal end of the distal portion, the collar comprising a generally semicircular projection, the collar comprising a top surface and a bottom surface, both of which are porous, the top surface and bottom surface being generally parallel, the porous surface of the collar integrally extending onto the surface of the distal portion, the porosity of the collar comprising a diamond cubic unit cell geometry to allow bone ingrowth, the collar elastically deflecting more than 0.004 inches under a load of 188 pounds, the collar, the proximal portion, and distal portion comprising a single piece of material, and the collar being fabricated from a biocompatible material.