# Patent

## Title
Removable augment for medical implant

## Abstract

An orthopaedic augment includes a porous material, which is removably attached to a medical implant. The porous material has a bone ingrowth surface for interfacing with an existing bone material and another surface for interfacing with the medical implant.

## Background
CROSS REFERENCE TO RELATED APPLICATIONS
This is a non-provisional application based upon U.S. Provisional Patent Application Ser. No. 61/787,598, entitled “POROUS ORTHOPAEDIC AUGMENTS”, filed Mar. 15, 2013, which is incorporated herein by reference.
BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates to medical implants, and, more particularly, to medical implants with a bone in-growth surface.
2. Description of the Related Art
Orthopaedic implants are medical devices used for replacing or providing for stabilization and fixation of a bone or for replacement of articulating surfaces of a joint. The need for surgery requiring the implantation of such a medical device is usually the result of osteoarthritis, also known as degenerative joint disease, or injury. In the past, such orthopaedic implants have been formed of a solid, biocompatible material, which have been utilized with the goal of giving the patient an improved quality of life with reduced pain and inflammation, as well as increased stability, mobility and directed flexibility. Additionally, orthopaedic implants are known which have a rigidly attached, hard porous surface, which allows for minimal tissue ingrowth. Further, with each successive orthopaedic surgery, more and more of the natural bone is often removed.
What is needed in the art is a medical implant which improves stabilization of the implant through bone ingrowth over time and which reduces the amount of natural bone which must be removed during the course of successive revision surgeries.
SUMMARY OF THE INVENTION
The present invention provides an orthopaedic augment including a porous material which is removably attached to a medical implant. The porous material provides a bone ingrowth surface for interfacing with an existing bone material.
The present invention further provides an orthopaedic implant including a main body and a porous augment which is removably attached to the main body. The porous augment has a bone ingrowth surface for interfacing with a bone material. Another surface of the porous augment is coupled with the main body of the orthopaedic implant.
Additionally, the present invention provides a method of using the orthopaedic implant, which includes providing a main body, as well as a porous augment having a bone ingrowth surface. The main body is removably attached with another surface of the porous augment to form an orthopaedic implant. A portion of a bone is extracted from the body of a patient and, subsequently, the orthopaedic implant is implanted into the body of the patient. The porous augment is positioned such that a bone interfacing surface of the porous augment interfaces with a cut surface of the bone from which the portion of bone is extracted to facilitate bone ingrowth into the porous augment.
An advantage of the present invention is that the present invention provides orthopaedic augments and implants that aid in the process of rebuilding bone by utilizing the porous surface to permit subsequent bone growth into the pores of the augment. The use of porous material, which permits bone ingrowth, provides a more reliable fixation and aids in rebuilding the bone in the event of a subsequent required revision surgery.
An additional advantage of the present invention is that during a subsequent revision surgery, the augment and ingrown bone can be cut through, instead of cutting through additional natural bone mass during the course of each successive surgery, as is the current practice. The present invention also provides for the provision of augments of different shapes and sizes such that the augment can be easily reconfigured or formed to meet a set of specific circumstances.



BRIEF DESCRIPTION OF THE DRAWINGS
The above-mentioned and other features and advantages of this invention, and the manner of attaining them, will become more apparent and the invention will be better understood by reference to the following description of embodiments of the invention taken in conjunction with the accompanying drawings, wherein:
FIG. 1 is an exploded view of a tibial tray with an augment according to the present invention;
FIG. 2 is an assembled perspective view of the tibial tray with the augment illustrated in FIG. 1;
FIG. 3 is an exploded view of femoral implant with a pair of posterior augments according to the present invention;
FIG. 4 is an assembled prospective view of the femoral implant with the pair of posterior augments illustrated in FIG. 3; and
FIG. 5 is a prospective view of a femoral implant with a distal augment according to the present invention.



Corresponding reference characters indicate corresponding parts throughout the several views. The exemplifications set out herein illustrates embodiments of the invention and such exemplifications are not to be construed as limiting the scope of the invention in any manner.
DETAILED DESCRIPTION OF THE INVENTION
Referring now to the drawings, and more particularly to FIGS. 1 and 2, there is shown an orthopaedic implant 10, which generally includes a main body 12 and an orthopaedic augment 14.
The main body 12 is illustrated in FIGS. 1 and 2 as a tibial tray, however, it may be any conventional total or partial orthopaedic implant. The main body 12 is formed of a biocompatible material, for example, metals such as alumina, titanium and titanium alloys, tantalum and tantalum alloys, cobalt chrome alloys, stainless steel, as well as biocompatible polymers such as polyaryletherketone (PAEK) and polyetheretherketone (PEEK). Main body 12 may further include a rigidly attached, optional porous layer 16 on the bone facing side 18 of the main body 12. Porous layer 16 may be formed, for example, of beads, mesh, lattice, etc.
Orthopaedic augment 14 is formed of a porous material, and more particularly from any suitable clinically usable, biocompatible porous material. Exemplary materials include porous polymer materials including polyetheretherketone (PEEK), polymer scaffolds, allograft bone, authograft bone, easily cut metal scaffold, or other similar bone or tissue ingrowth surfaces. Orthopaedic augment 14 includes a porous ingrowth surface 20 for interfacing with existing bone material and another surface 22 for interfacing with a corresponding interface surface of the main body 12. Although only one orthopaedic augment 14 is shown in combination with main body 12, any number of orthopaedic augments 14 may be provided for use with main body 12, for example at least one, two, three, or four or more. Further, as can be seen in FIGS. 1 and 2, the orthopaedic augment 14 can have varying thickness throughout the augment 14. For example, the orthopaedic augment 14 can have a first portion adjacent to the periphery of the orthopaedic augment 14 with a first thickness and a second portion adjacent to a solid post of the orthopaedic implant 10, which extends away from the main body 12 past the porous ingrowth surface 20, having a second thickness which is less than the first thickness of the first portion of the orthopaedic augment 14. The orthopaedic augment 14 having a varying thickness throughout can provide differing amounts of material to be cut, in a direction from the periphery toward the solid post, by a surgeon during a revision surgery.
Orthopaedic augment 14 is removably attachable with main body 12 by a mechanical apparatus, adhesion or bonding. For example, as illustrated in FIGS. 1 and 2, orthopaedic augment 14 is removably attached to main body 12 using fasteners 24, for example screws 24 including a plurality of threads 26 adapted to thread into a respective threaded hole or opening 28 in main body 12. In this embodiment, orthopaedic augment 14 includes a bore 30 through which fastener 24 is passed, bore 30 being positioned to correspond with opening 28 in main body 12. Bore 30 may be formed with a countersink to accommodate the fasteners 24, for example in the case of a screw, such that the screw head is positioned flush with or below the surface of the augment 14. Any number of fasteners 24 and corresponding bores 30 and threaded openings 28 may be provided for implant 10. Fasteners 24 are also formed of a biocompatible material, for example, PEEK, or any known biocompatible polymeric material or metallic material.
Referring now to FIGS. 3 and 4, there is shown an additional embodiment of the orthopaedic implant according to the present invention in the form of a femoral implant 10′. Femoral implant 10′ includes main body 12 and a pair of orthopaedic augments 14. Main body 12 is shown here as including an optional porous layer 16, as described more fully above with respect to the implant 10, illustrated in FIGS. 1 and 2. In FIGS. 3 and 4, orthopaedic augments 14 are removably attached to main body 12 using a pair of fasteners 24 (screws 24) inserted through corresponding bores 30. Screws 24 again include threads 26 adapted to thread into a respective threaded opening 28 in main body 12. Although the orthopaedic augments 14 of the present invention are shown in FIGS. 3 and 4 as being positioned on a posterior surface 30 of main body 12 with a corresponding screw 24, the positioning of the orthopaedic augments 14 within main body 12, as well as the number of fasteners 24 utilized for securing orthopaedic augments 14 to main body 12, are unrestricted. For example, referring now to FIG. 5, an orthopaedic implant in the form of a femoral implant 10′′, is shown including main body 12 with porous layer 16, to which a pair of porous orthopaedic augments 14 are each attached with a single fastener 24 in the form of a centrally positioned stake or post 24 on a distal surface of main body 12.
The present orthopaedic augment and orthopaedic implants according to the present invention allow for bone ingrowth, such that should subsequent revision surgery be required, the combination of added bone material and porous augment may be cut through, as opposed to sacrificing more bone during the course of each successive surgery. The orthopaedic augment and orthopaedic implants of the present invention may be utilized for purposes of any primary or revision orthopaedic surgery.
While this invention has been described with respect to at least one embodiment, the present invention can be further modified within the spirit and scope of this disclosure. This application is therefore intended to cover any variations, uses, or adaptations of the invention using its general principles. Further, this application is intended to cover such departures from the present disclosure as come within known or customary practice in the art to which this invention pertains and which fall within the limits of the appended claims.

## Claims

1. An orthopaedic augment, comprising a porous material removably attachable to an interface surface of a medical implant, said porous material having a bone ingrowth surface for interfacing with an existing bone material and another surface for interfacing with said medical implant, said medical implant including a post extending from said interface surface past said bone ingrowth surface of said porous material, said post having a solid exposed surface.

2. The orthopaedic augment according to claim 1, wherein said porous material is removably attached to said medical implant with at least one fastener.

3. The orthopaedic augment according to claim 2, wherein said fastener is formed from polyether ether ketone (PEEK).

4. The orthopaedic augment according to claim 2, said at least one fastener being configured to thread into an opening on said medical implant.

5. The orthopaedic augment according to claim 1, wherein said porous material is one of a polymer scaffold, allograft bone, autograft bone, and cuttable metal scaffold.

6. The orthopaedic augment according to claim 5, wherein said porous material is a polymer scaffold, said polymer scaffold being formed from polyether ether ketone (PEEK).

7. An orthopaedic implant, comprising:
a main body having an interface surface;
a porous augment removably attached to said interface surface of said main body, said porous augment having a bone ingrowth surface for interfacing with a bone material and another surface coupled with said main body; and
a post extending from said interface surface of said main body past said bone ingrowth surface of said porous augment, said post having a solid exposed surface.

8. The orthopaedic implant according to claim 7, wherein said porous material is removably attached to said main body with at least one fastener.

9. The orthopaedic implant according to claim 8, wherein said at least one fastener is formed from polyether ether ketone (PEEK).

10. The orthopaedic implant according to claim 7, said porous augment being formed from one of a polymer scaffold, allograft bone, autograft bone, and cuttable metal scaffold.

11. The orthopaedic implant according to claim 10, wherein said porous augment is a polymer scaffold, said polymer scaffold being formed from polyether ether ketone (PEEK).

12. The orthopaedic implant according to claim 7, wherein said main body includes a porous layer of material to which said other surface of said porous augment is coupled.

13. The orthopaedic implant according to claim 7, wherein said main body is one of a tibial tray and a femoral implant.

14. The orthopaedic implant according to claim 13, wherein said main body is a femoral implant and said porous augment is removably attached with said femoral implant using a post.

15. The orthopaedic implant according to claim 7, wherein said porous augment has at least two thicknesses.

16. The orthopaedic implant according to claim 15, wherein said porous augment has a first portion having a first thickness and a second portion adjacent said solid post, said second portion having a second thickness which is less than said first thickness of said first portion.