Porous Soft Tissue Attachment Device for Bone Ingrowth
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Solution Overview
Problem
Existing soft tissue attachment devices for orthopedic surgical implants often fail to provide stable and reliable fixation of grafts to bone, risking damage to the graft or suboptimal repair due to direct contact with interference screws or reliance on button anchors and sutures.
Innovation Solution
A soft tissue attachment device featuring a body with a smooth contoured surface and a porous surface with outwardly extending fixation members, along with a channel for graft placement, facilitating bone and tissue ingrowth for enhanced fixation.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Strength
If interference screws are used to secure the graft within a tunnel, then the graft can be fixed to the bone, but direct contact between the graft and the interference screw threads could damage the graft or result in suboptimal repair
Solution Approach 1:
A porous insert is introduced as an intermediary component between the interference screw and the graft. The insert has a smooth bore surface that contacts the graft, preventing direct contact with the threaded interference screw. This mediator allows the graft to be securely fixed while avoiding thread-induced damage to the graft tissue.
Solution Approach 2:
The insert is made of porous material that allows bone ingrowth through its outer surface, providing biological fixation while maintaining a smooth internal channel for the graft. The porous structure enables bone tissue to grow into the insert, creating a strong biological anchor without compromising the graft interface.
2Strength
If button anchors with sutures are used to secure the graft, then the graft can be attached to bone, but the method relies on the strength of the button anchor and suture and requires precise adjustment of suture loop size
Solution Approach 1:
The suture and button anchor system is replaced by a direct interference fit mechanism. The graft is secured through the porous insert and interference screw without requiring external sutures or complex button anchor assemblies, simplifying the device while maintaining attachment strength.
Solution Approach 2:
The porous insert provides self-contained fixation functionality through its porous structure that allows bone ingrowth. The insert itself serves as the fixation element, eliminating the need for separate sutures and button anchors, and requires no precise adjustment of loop sizes.
3Object-affected harmful factors
If a porous insert is used to prevent direct contact between the graft and interference screw threads, then graft damage is avoided, but the device complexity increases
Solution Approach 1:
A porous insert is introduced as an intermediary component between the interference screw and the graft. The insert has a smooth bore surface that contacts the graft, preventing direct contact with the threaded interference screw. This mediator allows the graft to be securely fixed while avoiding thread-induced damage to the graft tissue.
Solution Approach 2:
The insert combines a smooth non-porous internal surface for graft contact with a porous external surface for bone ingrowth. This composite structure provides both mechanical protection of the graft and biological fixation to bone, resolving the contradiction between graft protection and device simplicity.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
The device achieves stable and reliable fixation of grafts to bone by promoting bone ingrowth into the porous material, thereby enhancing the integrity and durability of the graft attachment.
Implementation Method 1
a body having a smooth contoured first surface and a second surface opposite the first surface having a plurality of outwardly extending fixation members and at least partially formed of a porous material adapted for bone ingrowth
Implementation Method 2
The channel is at least partially formed of a porous material adapted for tissue ingrowth, bone ingrowth or a combination thereof
Data Source
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AI summary
A device (100) for attaching a soft tissue graft to bone includes a body with a smooth contoured first surface (106) and a second surface (110) opposite the first surface having a plurality of outwardly extending fixation members (140). The second surface is at least partially formed of a porous material adapted for bone ingrowth. A channel (130) extends at least partially through the body in between the first and second surfaces for receiving a portion of the graft. The channel is at least partially formed of a porous material adapted for tissue ingrowth, bone ingrowth or a combination thereof.