A woven retention device that is configured to receive a fastener in a bone hole can be configured to promote bone ingrowth and impede biofilm formation. The woven retention device can be made of woven filaments that outline apertures of varying sizes and shapes and can serve as an interface between the fastener and the bone material. In a first relaxed state, the interwoven filaments can outline apertures of varying sizes and shapes within a predetermined range and in a second constricted state inside the bone hole with the fastener the interwoven filaments can outline apertures of decreased area that still fall within the predetermined range. The woven retention device can be configured to allow for optimal bone growth while at the same time minimizing the likelihood that biofilm forms thereon.

A bone graft containment device includes a body extending longitudinally from a first end to a second end. The body is defined via a strut framework sized and shaped to correspond to an outer surface of a target bone. The strut framework defines an interior space configured to receive a bone graft or bone graft substitute material. The device also includes a first grasping structure and a second grasping structure extending from an exterior of the body. The first and second grasping structures are configured to receive a bone fixation plate therebetween.

In a general aspect, an apparatus can include a plate configured for implantation in a body of a patient. The plate can include a plurality of pores and be configured for placement between a cancellous bone of a spinal vertebra and a corresponding cartilaginous endplate as a replacement for a bony endplate of the spinal vertebra.

An implant has a soft tissue attachment structure, and a surface defining a trough. An ingrowth plate spans a portion of the trough and defines a suture tunnel between the ingrowth plate and the trough for receiving suture. The ingrowth plate bows convexly away from the surface and is perforated to facilitate long-term ingrowth and biologic fixation of soft tissue to the implant.

An orthopedic assembly includes a tibial prosthesis that includes a body that defines an anterior side and a posterior side. The body further includes a recess in the anterior side of the joint prosthesis and a plurality of openings that extend through the body from the anterior side to the posterior side thereof. At least a first and second opening of the openings are positioned at respective lateral and medial sides of a longitudinal axis of the tibial prosthesis. A modular insert is positioned within the recess of the body such that at least a portion of the modular insert is positioned between the openings of the body. The modular insert is formed separately from the tibial prosthesis and has a porous outer surface to promote tissue ingrowth.

A bone implant includes a body having a porous structure and having a size and shape configured for fitting to a bone, preferably in a bone defect. The porous structure is comprised of regularly arranged elementary cells whose interior spaces form interconnected pores, the elementary cells are formed by basic elements arranged in layers, wherein the basic elements are shaped like tetrapods, the tetrapods in each layer being arranged in parallel orientation and being positioned in-layer rotated with respect to tetrapods of an adjacent layer. The layers with rotated and non-rotated tetrapods are alternatingly arranged. Thereby a porous structure can be achieved which features improved mechanical characteristics, leading to improved biocompatibility.

A bone implant for enclosing bone material is provided. The bone implant comprises a mesh having an inner surface and an outer surface opposing the inner surface. The inner surface is configured to receive a bone material when the inner surface of the mesh is in an open configuration. A plurality of projections are disposed on or in at least a portion of the inner surface of the mesh. The plurality of projections extend from at least the portion of the inner surface of the mesh and are configured to engage a section of the inner surface of the mesh or a section of the outer surface of the mesh or both sections of the inner and outer surfaces of the mesh in a closed configuration so as to enclose the bone material. A tray, a kit and a method of making the bone implant are also provided.

A balloon, a medical device, and a medical procedure for discoplasty are disclosed. The balloon has a compressed, collapsed or folded balloon body containing a first chamber for, in use, receiving injected bone cement. With the bone cement filled and cured therein, the balloon acts as a support in tissue of an intervertebral disc while preventing the bone cement from leakage and dispersion. The deployed balloon body defines a second chamber running therethrough. The second chamber is configured to receive a material or cells that activate osteogenesis and/or osteo-induction, so that the material or cells injected into the second chamber through a second sprue form osteocytes or induce human spontaneous local cellular differentiation to in turn form osteocytes in the cavity of the intervertebral disc and connect vertebrae above and below the intervertebral disc, thereby securely anchoring the balloon within the intervertebral space.

The methods disclosed herein of generating three-dimensional lattice structures and reducing stress shielding have applications including use in medical implants. One method of generating a three-dimensional lattice structure can be used to generate a structure lattice and/or a lattice scaffold to support bone or tissue growth. One method of reducing stress shielding includes generating a structural lattice to provide sole mechanical spacing across an area for desired bone or tissue growth. Some examples can use a repeating modified rhombic dodecahedron or radial dodeca-rhombus unit cell. Some methods are also capable of providing a lattice structure with anisotropic properties to better suit the lattice for its intended purpose.

Porous biocompatible structures suitable for use as medical implants and methods for fabricating such structures are disclosed. The disclosed structures may be fabricated using rapid manufacturing techniques. The disclosed porous structures each have a plurality of struts and nodes where no more than two struts intersect one another to form a node. Further, the nodes can be straight, curved, and can include portions that are curved and/or straight. The struts and nodes can form cells that can be fused or sintered to at least one other cell to form a continuous reticulated structure for improved strength while providing the porosity needed for tissue and cell in-growth.