CN216221849U

CN216221849U - Center-fixed artificial ligament for achieving bone screw healing

Info

Publication number: CN216221849U
Application number: CN202123174056.3U
Authority: CN
Inventors: 黄裕程; 孙杨; 向冬
Original assignee: Lixin Shenzhen Medical Devices Co ltd
Current assignee: Lixin Shenzhen Medical Devices Co ltd
Priority date: 2020-12-21
Filing date: 2021-12-16
Publication date: 2022-04-08
Anticipated expiration: 2031-12-16
Also published as: CN114642771A

Abstract

The utility model describes an artificial ligament for central fixation for achieving bone screw healing, comprising a first woven part for implanting into a first bone tunnel, a second woven part for implanting into a second bone tunnel, a connecting part for connecting the first woven part and the second woven part, and a first traction part for fixing the first woven part to the first bone tunnel and having at least three first traction units, wherein the first traction units are uniformly distributed on one side of the first woven part, the first woven part and the second woven part have a net structure, and artificial bone material is arranged on at least one of the net structure of the first woven part, the net structure of the second woven part and the first traction part. According to the present invention, an artificial ligament having a healing function that improves the ability to heal the tendon bone can be provided.

Description

Center-fixed artificial ligament for achieving bone screw healing

Technical Field

The present invention generally relates to an artificial ligament for central fixation for achieving bone screw healing.

Background

Ligament injury is a common sports injury, has high incidence rate, is particularly good for young people, and shows a trend of increasing year by year along with the increase of sports consciousness of people. The current main method for clinically treating ligament injury is to reconstruct ligament by using graft surgery, and clinically commonly used grafts mainly comprise three main types: autologous, allogeneic and artificial grafts. Wherein, autograft has the problems of large surgical trauma, impaired function of a supply area, more complications, slow recovery, multiple knee joint injuries and the like; allografts have problems with lack of source, risk of infection, disease transmission, and immune rejection. Therefore, in view of the above-mentioned problems with autografts and allografts, most surgical options use artificial grafts, i.e., artificial ligaments.

However, as the artificial graft is often difficult to form tendon bone healing in clinic, the problems of ligament joint bone canal loosening, joint stability reduction, repair failure and the like can occur after the artificial graft is implanted into a body for a certain time; furthermore, the instability of the artificial ligament in the bone tunnel can have an effect on the subsequent healing of the tendon bone. Therefore, the development of a new artificial implant for the treatment of insufficient healing ability of the tendon bone and unstable fixation in the bone tunnel is imperative. Meanwhile, if the artificial ligament is not installed at the central position of the bone tunnel when being installed in the bone tunnel, uneven stress on the ligament can be caused, and the accurate position of the artificial ligament can not be positioned by a doctor in the subsequent operation process.

SUMMERY OF THE UTILITY MODEL

The present invention has been made in view of the above-mentioned state of the art, and an object thereof is to provide an artificial ligament which has a healing function and is capable of improving the ability to heal the tendon bone and is stably fixed to a bone tunnel.

To this end, the present invention provides an artificial ligament for central fixation for achieving bone screw healing, comprising a first traction portion having a first braided portion, a second braided portion, a connecting portion connecting the first braided portion and the second braided portion, a first traction portion fixing the first braided portion to a first bone tunnel and having at least three first traction units, the first traction units being uniformly distributed on one side of the first braided portion, the first braided portion and the second braided portion having a mesh structure, at least one of the mesh structure of the first braided portion, the mesh structure of the second braided portion and the first traction portion having an artificial bone material. In this case, the artificial bone material can promote the generation of bone cells and induce the growth of bone tissue into the woven fabric, so that the artificial ligament can improve the healing ability of the tendon bone; in addition, the first braid is fixed to the first bone tunnel by at least three first traction units so that the first braid may be uniformly stressed after being implanted in the first bone tunnel, and thus the artificial ligament may be stably fixed.

In addition, the artificial ligament according to the present invention may further include a second traction portion having a plurality of second traction means, which is fixed to the second woven portion in the second bone tunnel, and the plurality of second traction means may be uniformly distributed on one side of the second woven portion. Thereby, the second weaving portion may be uniformly stressed after being implanted into the second bone tunnel, so that both ends of the artificial ligament may be stably fixed in the bone tunnel by the first weaving portion and the second weaving portion.

In the artificial ligament according to the present invention, the first woven part and the second woven part may be woven from warp yarns and weft yarns, and the connecting part may be formed from the warp yarns, the warp yarns may be formed of polymer fibers extending in a longitudinal direction of the artificial ligament, and the weft yarns may be formed of polymer fibers extending in a width direction of the artificial ligament. Thereby, a woven fabric having a net structure can be formed.

In addition, in the artificial ligament according to the present invention, the first traction unit may be woven by a plurality of warps. In this case, the first traction unit is formed using the constituent parts of the first weave portion, so that the integrity of the artificial ligament can be improved.

In the artificial ligament according to the present invention, the connecting portion may have a breaking force of not less than 1000N. Therefore, the artificial ligament can have good mechanical property.

In the artificial ligament according to the present invention, the first knitted part and the second knitted part may have a mesh structure formed by knitting the polymer fibers. In this case, artificial bone cells may be provided on the mesh structure, thereby improving the tendon-bone healing ability of the artificial ligament.

In addition, in the artificial ligament according to the present invention, the artificial ligament may have an elongated shape, and the artificial ligament may have a first implantation segment including the first woven portion and the first traction portion, a connection segment including the connection portion, and a second implantation segment including the second woven portion and the second traction portion. Thereby, reconstruction of the ligament applied to the joint cavity can be facilitated.

In the artificial ligament according to the present invention, the first implant block may be disposed and fixed in the first bone tunnel through the first traction portion, and the second implant block may be disposed and fixed in the second bone tunnel through the second traction portion. Thereby, implantation and fixation of the artificial ligament can be facilitated.

In addition, in the artificial ligament according to the present invention, optionally, the first traction part has 5 to 6 first traction units, and the second traction part has 5 to 6 second traction units. Thereby, the number of the first traction unit and the second traction unit can be appropriately selected according to the condition of the patient.

In addition, in the artificial ligament according to the present invention, the artificial bone material may be an absorbable artificial bone material. Thereby, the formation of the artificial ligament can be facilitated.

According to the present disclosure, it is possible to provide an artificial ligament having a healing function and being stably fixed to a bone tunnel, which improves a healing capability of a tendon bone.

Drawings

Embodiments of the utility model will now be explained in further detail, by way of example only, with reference to the accompanying drawings, in which:

fig. 1 is a schematic diagram showing an example of an application scenario of an artificial ligament to which an example of the present invention relates.

Fig. 2 is a schematic view showing a structure of an artificial ligament according to an example of the present invention.

Fig. 3 is a schematic view showing the structure of a braid according to an example of the present invention.

Fig. 4 is a schematic view showing the structure of a braid according to another example of the present invention.

Figure 5a is a schematic diagram illustrating artificial ligament wrapping in accordance with one example of the present disclosure.

Figure 5b is a schematic diagram illustrating an artificial ligament forming traction in accordance with an example of the present disclosure.

Fig. 6 is a flowchart illustrating a method of preparing an artificial ligament according to an example of the present invention.

Fig. 7 is a flowchart illustrating a method of preparing an artificial ligament according to another example of the present invention.

Detailed Description

The present invention will be described in further detail with reference to the accompanying drawings and specific embodiments. In the drawings, the same components or components having the same functions are denoted by the same reference numerals, and redundant description thereof will be omitted.

The artificial ligament 1 having a healing function (hereinafter referred to as "artificial ligament 1") according to the present invention can be applied to ligament reconstruction. In clinical applications, the artificial ligament 1 may be implanted in the body (e.g., in a bone joint cavity).

For example, the artificial ligament 1 may be applied to shoulder joint ligament reconstruction (such as coracoid clavicle reconstruction), elbow joint ligament reconstruction (such as elbow joint medial collateral ligament reconstruction), knee joint ligament reconstruction (such as cruciate ligament reconstruction), and the like.

Fig. 1 is a schematic diagram showing an example of an application scenario of an artificial ligament 1 according to an example of the present invention.

Hereinafter, the application of the artificial ligament 1 will be described by taking reconstruction of the cruciate ligament of the knee joint as an example. In the reconstruction of the cruciate ligament of the knee joint, as shown in fig. 1, the artificial ligament 1 may be implanted into the knee joint cavity by respectively implanting and fixing both ends of the artificial ligament 1 (single bundle) into bone tunnels of different bones (i.e., femur and tibia), and the middle section of the artificial ligament 1 may be located at the joint cavity position. Wherein the bone tunnel may be a channel drilled at the bone. In addition, the two ends of the artificial ligament 1 can be fixed by fixing parts such as extrusion nails, suspension plates, button plates and the like. Further, the fasteners may be absorbable or non-absorbable.

The shape of the artificial ligament 1 according to the present invention is not particularly limited. For example, the artificial ligament 1 may be formed in an elongated shape (such as a column, a tube), a membrane shape, or the like. Further, the artificial ligament 1 may be a single-bundle ligament or a double-bundle ligament. In some examples, the size of the artificial ligament 1 is not particularly limited and may be selected according to actual needs.

Fig. 2 is a schematic view showing the structure of an artificial ligament 1 according to an example of the present invention.

In some examples, the artificial ligament 1 may include woven tissue (not shown) and artificial bone material 20 (see fig. 2). Wherein the woven tissue and the artificial bone material 20 may be combined by a coating method, a dipping method, or a hot pressing method. For example, a solution containing the artificial bone material 20 may be coated or infiltrated into the woven tissue and dried.

In some examples, the artificial ligament 1 may have woven tissue as a scaffold for mechanical support. In other examples, the braided tissue may be biocompatible. This reduces the occurrence of immunological rejection, and facilitates the growth of cells (tissues) into the artificial ligament 1. That is, the woven tissue may be formed of a material having biocompatibility.

In some examples, the knit weave may be comprised of one or more braids 10. For example, in the example shown in fig. 2, the braid structure may be constituted by one braid 10. In other examples, the braid structure may be composed of 2 to 10 braids 10. In other examples, the braid structure may be formed of 10 or more braids 10. Additionally, in some examples, the plurality of braids 10 may be identical in the weave. In other examples, there may be a difference in at least one braid 10 of the plurality of braids 10.

In some examples, the knit tissue may be layered (stacked one above the other) by a plurality of braids 10 and joined by means of knitting or stitching. In addition, the size and configuration of the plurality of braids 10 may be matched. For example, the plurality of braids 10 may be the same size and configuration. In other examples, the weave may have an upper surface and a lower surface opposite the upper surface.

In some examples, the braid 10 may include a first braided part 10a, a connecting part 10c, and a second braided part 10b (see fig. 2). In some examples, the first braided part 10a, the connecting part 10c, and the second braided part 10b may be connected in sequence. In some examples, the bone tunnel may include a first bone tunnel and a second bone tunnel. In some examples, the first braided portion 10a may be disposed in a first bone tunnel. In some examples, the second braided portion 10b may be disposed in a second bone tunnel.

Additionally, in some examples, the first braided portion 10a may be disposed in a second bone tunnel.

In some examples, the second braided portion 10b may be disposed in a first bone tunnel.

In some examples, the braid 10 may include a first traction portion 30a (see fig. 2). In some examples, the first traction part 30a may have 3 to 10 first traction units 31. For example, the number of first traction units 31 may be 3, 4, 5, 6, 7, 8, 9 or 10. Preferably, the number of traction units may be 5-6. In the example shown in fig. 2, the first drawing part 30a may have 3 first drawing units 31. In some examples, the first traction units 31 may be evenly distributed at one side of the first weaving portion 10 a. In this case, at least 3 first traction units 31 may be uniformly disposed in the first bone tunnel, so that the 3 first traction units 31 may be uniformly stressed when the first braided part 10a is fixed in the first bone tunnel, and thus the first braided part 10a may be stably fixed in the first bone tunnel.

In some examples, the braid 10 may include a second traction portion 30b (see fig. 2). In some examples, the second traction portion 30b may have 3 to 10 second traction units 32. For example, the number of second traction units 32 may be 3, 4, 5, 6, 7, 8, 9 or 10. Preferably, the number of traction units may be 5-6. In the example shown in fig. 2, the first traction portion 30a may have 3 second traction units 32. In some examples, the second traction units 32 may be evenly distributed on one side of the second weaving portion 10 b. In this case, at least 3 second traction units 32 may be uniformly disposed in the second bone tunnel, so that the 3 second traction units 32 may be uniformly stressed when the second braided part 10b is fixed in the second bone tunnel, and thus the second braided part 10b may be stably fixed in the second bone tunnel.

In some examples, the first traction portion 30a and the second traction portion 30b may have a length greater than the first woven portion 10a and the second woven portion 10 b.

In some examples, the length of first distraction portion 30a may match the length of the first medullary canal, e.g., the length of first distraction portion 30a may be slightly less than the length of the first medullary canal. In some examples. In some examples, the length of second distraction portion 30b may match the length of the second medullary canal, e.g., the length of second distraction portion 30b may be slightly less than the length of the second medullary canal.

In some examples, when the first braided part 10a is disposed in the first bone tunnel, the first traction unit 31 may be disposed on an inner wall of the first bone tunnel. In some examples, the first traction unit 31 may be secured to the inner wall of the first bone tunnel by compressing the first traction unit 31. Additionally, in some examples, the first traction unit 31 may be adhesively secured to the inner wall of the first bone tunnel. In this case, the first braided part 10a may be fixed in the first bone tunnel by a force between the first traction unit 31 and the first bone tunnel.

In some examples, the first traction unit 31 may have a cylindrical shape. In some examples, the first traction unit 31 may have a predetermined diameter. In this case, a predetermined force may be applied to the first traction unit 31 to fix the first traction unit 31 on the inner wall of the first bone tunnel. Additionally, in some examples, the first traction unit 31 may also be twist-shaped.

In some examples, when the second braided portion 10b is disposed in a second bone tunnel, the second traction unit 32 may be disposed on an inner wall of the second bone tunnel. In some examples, second distraction unit 32 may be secured to the inner wall of the second bone tunnel by squeezing second distraction unit 32. Additionally, in some examples, second distraction unit 32 may be adhesively secured to the inner wall of the second bone tunnel. In this case, the second braided part 10b can be fixed in the second bone tunnel by the force between the second traction unit 32 and the second bone tunnel.

In some examples, second traction unit 32 may be cylindrical. In some examples, second traction unit 32 may have a predetermined diameter. In this case, a predetermined force may be applied to second distraction unit 32 to fix second distraction unit 32 to the inner wall of the second bone tunnel. Additionally, in some examples, second traction unit 32 may also be twist-shaped.

Fig. 3 is a schematic view showing the structure of the braid 10 according to an example of the present invention.

In some examples, as shown in fig. 3, the braid 10 may be formed of polymer fibers 11. Further, the braid 10 may be formed by braiding polymer fibers 11. In other examples, braid 10 may be formed from metal wire.

In some examples, braid 10 may be formed by a weaving process such as plain weave, twill weave, satin weave, and the like. That is, the weave structure of the braid 10 may be plain, twill, satin, or the like. In other examples, the braid 10 may be in the form of a sheet.

In some examples, as shown in fig. 3, the woven fabric 10 may be woven from warp yarns 11b and weft yarns 11 a. That is, the polymer fibers 11 may include warp threads 11b and weft threads 11 a. In addition, the woven fabric 10 may be woven by a plurality of warp threads 11b and a plurality of weft threads 11 a. In other examples, as shown in fig. 3, the warp 11b may be a polymer fiber 11 extending along a length direction of the braid 10 (or the artificial ligament 1), and the weft 11a may be a polymer fiber 11 extending along a width direction of the braid 10 (or the artificial ligament 1).

Figure 5a is a schematic diagram illustrating artificial ligament wrapping in accordance with one example of the present disclosure. Figure 5b is a schematic diagram illustrating an artificial ligament forming traction in accordance with an example of the present disclosure.

In some examples, the braid 10 has a first surface a and a second surface B opposite the first surface a (see fig. 5a and 5B). In other examples, the braid 10 may have a braided portion. In addition, the knitted part may have a mesh structure.

In some examples, the mesh size of the mesh structure of the woven portion may be 0.1mm to 2 mm. For example, the mesh size of the mesh structure of the woven portion may be 0.1mm, 0.2mm, 0.5mm, 1mm, 1.2mm, 1.5mm, 1.8mm, or 2 mm.

In some examples, the braided portion may be formed via braiding. In addition, in some examples, the braid 10 may be composed of a braided part. In other examples, the woven portion may be formed by weaving the weft 11a with the warp 11 b. Thereby, the formation of the mesh structure can be facilitated.

In some examples, the woven portion may be formed by a weaving process of plain weaving, twill weaving, satin weaving, or the like. That is, the weave structure of the weave portion may be a plain weave, a twill weave, or a satin weave.

In some examples, the braid 10 may have multiple braids, at least one of which may be used for implantation into a bone tunnel. Additionally, in some examples, different weaves are used for implanting different bone tunnels.

In some examples, the plurality of weaving portions may be formed by weaving different pluralities of weft threads 11a with the same plurality of warp threads 11b, respectively. The knitting structures of the plurality of knitting portions may be the same or at least one knitting portion may have a different knitting structure.

In some examples, the braid 10 may also have a non-woven portion. In addition, the non-woven portion may be composed of a plurality of polymer fibers 11. Specifically, the non-woven portion may be formed by arranging a plurality of polymer fibers 11 in parallel.

In some examples, the non-woven portion may be composed of warp threads 11b (see fig. 3). The non-woven portion may be composed of a plurality of warp threads 11 b. In other examples, the warp threads 11b arranged in the non-woven portion may be the same as the warp threads 11b woven in the woven portion. That is, in the woven fabric 10, the same warp yarn 11b may be used as both the warp yarn 11b in the woven portion and the warp yarn 11b in the non-woven portion. That is, the same warp 11b may be used to weave with the weft 11a to form a woven portion and to align with the warp 11b to form a non-woven portion. In other words, the plurality of warp threads 11b of the woven portion may extend to form the non-woven portion.

In some examples, the non-woven portion may include a transition portion for connecting the woven portions. In addition, the breaking force of the transition portion may be not less than 1000N. This enables the artificial ligament 1 to have good mechanical properties. For example, the breaking force of the transition may be 1000N, 1500N, 2000N, 2500N, or 3000N.

In some examples, as shown in fig. 3, braid 10 may have a first end D₁And a second end D₂. In addition, the first end part D₁And a second end D₂May be located in the lengthwise direction of the braid 10. In some examples, the first end D₁And a second end D₂May be respectively located at both ends of the braid 10 along the length direction of the braid 10. Thereby, passing through the first end portion D can be facilitated₁And/or the second end D₂The braiding forms the first traction unit 31 and/or the second traction unit 32. For example in the example shown in figure 3,first end part D₁And a second end D₂May be formed by a plurality of warp threads 11b extending through the woven portion along the length direction of the woven fabric 10. In other words, the first traction unit 31 and/or the second traction unit 32 may be formed by warp knitting.

In some examples, first traction unit 31 may include first end D₁And (4) weaving. In addition, in some examples, the first traction unit 31 may also be connected to the second end D₂And (4) weaving.

In some examples, second traction unit 32 may include second end D₂And (4) weaving. In addition, the second traction unit 32 may also be composed of the first end portion D₁And (4) weaving.

In some examples, first traction unit 31 may have a first end D₁And a slit formed by weaving. In some examples, second traction unit 32 may have a second end D₂And a slit formed by weaving.

In some examples, the non-woven portion may include a turn Z for folding in half (see fig. 4). This enables the artificial ligament 1 to be folded in two to form a double bundle. For example, the braid 10 may be folded in half along the folding line L, thereby forming a double bundle of the artificial ligament 1. In addition, the inflection portion Z may be formed by extending a plurality of warp threads 11b of the woven portion.

In some examples, as shown in fig. 3, the braid 10 may have a first braid part 10a, a second braid part 10b, and a connection part 10 c. The first woven portion 10a and the second woven portion 10b may be implanted in a bone tunnel, and the connection portion 10c may connect the first woven portion 10a and the second woven portion 10 b. In addition, the first braided part 10a and the second braided part 10b may be used for implantation into different bone tunnels. For example, the first braided portion 10a may be used to implant a first bone tunnel and the second braided portion 10b may be used to implant a second bone tunnel. In some examples, the first and

second braided portions

10a, 10b may be used to implant a bone tunnel of adjacent bones.

In some examples, the first and second

knitted parts

10a and 10b may have a mesh structure woven from the polymer fibers 11. In addition, the mesh sizes of the mesh structures of the first knitted part 10a and the second knitted part 10b may be the same or different.

In some examples, the mesh size of the mesh structures of the first and second

knitted portions

10a and 10b may be 0.1mm to 2 mm. For example, the mesh size of the mesh structure of the first knitted part 10a and the second knitted part 10b may be 0.1mm, 0.2mm, 0.5mm, 1mm, 1.2mm, 1.5mm, 1.8mm, or 2 mm.

In some examples, as shown in fig. 3, the first and second

woven parts

10a and 10b may be woven by warp threads 11b and weft threads 11a, and the connecting part 10c may be composed of warp threads 11 b. Thereby, the formation of the mesh structure can be facilitated. In other examples, the knitting structures of the first knitted portion 10a and the second knitted portion 10b may be the same or different.

In some examples, as shown in fig. 3, the first woven portion 10a and the second woven portion 10b may be formed by weaving different pluralities of weft threads 11a with the same plurality of warp threads 11b, respectively, and the connecting portion 10c may be composed of the plurality of warp threads 11b (arranged in parallel). That is, the plurality of weft threads 11a of the first woven portion 10a may be different from the plurality of weft threads 11a of the second woven portion 10b, and the plurality of warp threads 11b of the first woven portion 10a, the plurality of warp threads 11b of the second woven portion 10b, and the plurality of warp threads 11b of the connecting portion 10c may be the same.

In some examples, the connection portion 10c may have a breaking force of not less than 1000N. This enables the artificial ligament 1 to have good mechanical properties. For example, the connection portion 10c may have a breaking force of 1000N, 1500N, 2000N, 2500N, or 3000N.

In some examples, as shown in fig. 3, the braid 10 may be formed with a first braid part 10a, a connection part 10c, and a second braid part 10b in this order. In other examples, the braid 10 may be formed with a first end portion D1, a first braid portion 10a, a connection portion 10c, a second braid portion 10b, and a second end portion D2 (see fig. 3) in this order. The first knitted fabric portion 10a, the connecting portion 10c, and the second knitted fabric portion 10b may be formed as a first knitted fabric by connecting them in this order.

Fig. 4 is a schematic view showing the structure of a braid 10 according to still another example of the present invention.

In some examples, as shown in fig. 4, the braid 10 may have a third braid portion 10d, a fourth braid portion 10e, and a joining portion 10 f. The third braided part 10d and the fourth braided part 10e may be used for implantation into a bone tunnel. In addition, the third braided part 10d and the fourth braided part 10e may be used to implant different bone tunnels, and the linking part 10f may link the third braided part 10d and the fourth braided part 10 e. For example, the first braided portion 10a may be used to implant a third bone tunnel and the second braided portion 10b may be used to implant a fourth bone tunnel. In some examples, the first and

second braided portions

10a, 10b may be used to implant a bone tunnel of adjacent bones.

In some examples, the third braided part 10d and the fourth braided part 10e may have a mesh structure braided from polymer fibers 11. The mesh sizes of the mesh structures of the third knitted fabric portion 10d and the fourth knitted fabric portion 10e may be the same or different. In addition, the mesh sizes of the mesh structures of the third knitted fabric portion 10d and the fourth knitted fabric portion 10e and the first knitted fabric portion 10a (or the second knitted fabric portion 10b) may be the same or different.

In some examples, the mesh size of the mesh structures of the third and fourth

knitted portions

10d and 10e may be 0.1mm to 2 mm. For example, the mesh size of the mesh structure of the third woven portion 10d and the fourth woven portion 10e may be 0.1mm, 0.2mm, 0.5mm, 1mm, 1.2mm, 1.5mm, 1.8mm, or 2 mm.

In some examples, the third and fourth

woven portions

10d and 10e may be woven from warp threads 11b and weft threads 11a, and the joint portion 10f may be composed of warp threads 11b (see fig. 4). Thereby, the knitted fabric 10 having the net structure can be formed.

In some examples, the pull-off force of the joint 10f may be not less than 1000N. This enables the artificial ligament 1 to have good mechanical properties. For example, the pull-off force of the joining portion 10f may be 1000N, 1500N, 2000N, 2500N, or 3000N.

In some examples, as shown in fig. 4, the first woven portion 10a, the second woven portion 10b, the third woven portion 10d, and the fourth woven portion 10e may be formed by weaving different pluralities of weft threads 11a with the same plurality of warp threads 11b, respectively, and the connecting portion 10c and the engaging portion 10f are composed of the same plurality of warp threads 11b (arranged in parallel).

In some examples, the knitting structures of the third knitted portion 10d and the fourth knitted portion 10e may be the same or different. In other examples, the knitting structures of the third knitted portion 10d and the fourth knitted portion 10e and the first knitted portion 10a (or the second knitted portion 10b) may be the same or different.

In some examples, the third knitted part 10d, the fourth knitted part 10e, and the joining part 10f connected in sequence may be formed as a second knitted fabric. In other examples, the second woven cloth may be connected to the first woven cloth by a turn Z.

In some examples, the braid 10 may be formed with a first braid cloth, a turn Z, and a second braid cloth in this order. That is, the knitted fabric 10 may be formed with a first knitted part 10a, a connecting part 10c, a second knitted part 10b, a turning part Z, a third knitted part 10d, a joining part 10f, and a fourth knitted part 10e in this order (see fig. 4).

In some examples, the braid 10 may be formed with a first end D1, a first braid cloth, a turn Z, a second braid cloth, and a second end D2 in this order. That is, the knitted fabric 10 may be formed with the first end portion D1, the first knitted portion 10a, the connecting portion 10c, the second knitted portion 10b, the turn Z, the third knitted portion 10D, the joining portion 10f, the fourth knitted portion 10e, and the second end portion D2 in this order.

In some examples, the braid 10 may be non-degradable. In this case, the non-degradable braid 10 can provide a long-term mechanical strength support, thereby providing a long-term mechanical support to the artificial ligament 1, enabling the artificial ligament 1 to be used for a long term.

In some examples, the braid 10 may be semi-degradable. Specifically, the braid 10 may be formed of degradable polymer fibers 11 and non-degradable polymer fibers 11, and thus the braid 10 may be partially degradable and partially non-degradable. In this case, the artificial ligament 1 can provide both good mechanical properties and promote the growth and attachment of ligament tissue. In addition, the degradation rate of the braid 10 of degradable parts may be less than that of the artificial bone material 20.

In some examples, in the woven fabric 10, the warp 11b may be non-degradable and the weft 11a may be degradable. In addition, in some examples, in the woven fabric 10, the warp threads 11b may be degradable and the weft threads 11a may not be degradable. In other examples, both the warp 11b and weft 11a may have degradable polymer fibers 11 and non-degradable polymer fibers 11 present in the woven fabric 10.

In some examples, the braid 10 may be degradable. In this case, growth of ligament tissue can be promoted. In addition, the degradable braid 10 may be degraded at a rate less than that of the artificial bone material 20.

As described above, the braid 10 may be formed of the polymer fibers 11. In some examples, the polymer fibers 11 may be made of a non-degradable material. This provides a long-term mechanical strength support, and enables the artificial ligament 1 to be used for a long period of time. Formed with a non-degradable material may be non-degradable polymeric fibers 11. In other examples, the polymer fibers 11 may be made of at least one selected from polyethylene terephthalate and ultra-high molecular weight polyethylene. Thereby, a long-term mechanical strength support and good biocompatibility can be provided.

In some examples, the polymer fibers 11 may be made of a degradable material. Thereby, growth and attachment of ligament tissue can be facilitated. Formed with degradable materials may be degradable polymer fibers 11. Additionally, in some examples, the polymer fibers 11 may be made of collagen, silk, starch, polyglycolic acid, polylactic acid, or polyvinylpyrrolidone.

In some examples, the polymer fibers 11 may be cylindrical, tubular, flat, and the like. In addition, the shape of the polymer fibers 11 used to form the braid 10 may be the same or different.

In some examples, the braid 10 may employ a commercially available artificial ligament.

As described above, the artificial ligament 1 may comprise an artificial bone material 20, as shown in fig. 2. In some examples, the artificial bone material 20 may be distributed at least in the woven tissue. In other examples, the artificial bone material 20 may be distributed in interstices of the woven tissue. In addition, the artificial bone material 20 may fill the gaps of the woven tissue. In some examples, the artificial bone material 20 may also be attached to the woven polymer fibers 11 (e.g., the warp 11b and weft 11a woven in the woven fabric 10).

In some examples, the artificial bone material 20 may be distributed at least over the surface of the woven tissue. For example, the artificial bone material 20 may be distributed at least on the upper and/or lower surfaces of the woven tissue.

In some examples, as shown in fig. 2, the artificial bone material 20 may be distributed in the braid 10. In addition, in some examples, the artificial bone material 20 may be distributed at least on the surface of the braid 10. For example, the artificial bone material 20 may be distributed on at least the first surface a and/or the second surface B of the braid 10.

In some examples, the artificial bone material 20 may be distributed in the slits of the braid 10. In addition, the artificial bone material 20 may fill the gaps of the braid 10. In other examples, the artificial bone material 20 may be distributed in the woven portion of the woven fabric 10.

In some examples, the artificial bone material 20 may be distributed at least in the mesh structure of the woven portion. In addition, in some examples, the artificial bone material 20 may be distributed at least in the net structure of the first woven part 10a and the net structure of the second woven part 10b of the woven fabric 10 (see fig. 2). In other examples, the artificial bone material 20 may be distributed at least in the net structure of the third braided part 10d and the net structure of the fourth braided part 10e of the braid 10.

In some examples, the artificial bone material 20 may fill the mesh structure of the braid. This can improve the ability of the artificial ligament 1 to heal the tendon and bone. For example, the artificial bone material 20 may be filled in the mesh structure of the first woven part 10a, the artificial bone material 20 may be filled in the mesh structure of the second woven part 10b, the artificial bone material 20 may be filled in the mesh structure of the third woven part 10d, the artificial bone material 20 may be filled in the mesh structure of the fourth woven part 10e, and the like.

As described above, as shown in fig. 3, the braid 10 may include the first braid part 10a and the second braid part 10b, in which case the mesh structure of the first braid part 10a and the mesh structure of the second braid part 10b may be filled with the artificial bone material 20 (see fig. 2). This can improve the effect of the artificial ligament 1 on promoting the healing of the tendon bone. In addition, in some examples, the artificial bone material 20 may fill the mesh structure of the first braided part 10a and the mesh structure of the second braided part 10b of the braid 10.

As described above, as shown in fig. 2, the braid 10 may include the first traction part 30a and the second traction part 30b, in which case the artificial bone material 20 may be provided on the first traction part 30a and/or the second traction part 30 b. In other words, the artificial bone material 20 may be filled in the gap formed on the first traction unit 31 and/or the gap formed on the second traction unit 32.

As described above, as shown in fig. 4, the braid 10 may further include the third braid 10d and the fourth braid 10e, in which case the mesh structure of the third braid 10d and the mesh structure of the fourth braid 10e may be filled with the artificial bone material 20. This can improve the ability of the artificial ligament 1 to heal the tendon and bone. In other examples, the artificial bone material 20 may fill the mesh structure of the third braided part 10d and the mesh structure of the fourth braided part 10e of the braid 10.

In some examples, after implantation of the artificial ligament 1, bone tissue may grow into the woven tissue along the artificial bone material 20. Thereby, the artificial ligament 1 can be fixed. In other examples, after implantation of the artificial ligament 1, bone tissue may grow into the braid 10 along the artificial bone material 20. In addition, after the artificial ligament 1 is implanted, bone tissue may grow into the woven portion along the artificial bone material 20. Further, after the artificial ligament 1 is implanted, bone tissue may grow along the artificial bone material 20 into the mesh structure of the woven portion and the gaps on the first traction unit 31 and/or the gaps on the second traction unit 32.

For example, the artificial ligament 1 formed of the braid 10 having the first braid 10a, the second braid 10b, the first traction part 30a and the second traction part 30b and the artificial bone material 20 is explained in detail, as described above, the first woven part 10a and the first traction part 30a may be implanted into a first bone tunnel, the second woven part 10b and the second traction part 30b may be implanted into a second bone tunnel, after the artificial ligament 1 is implanted into the first and second bone tunnels, bone tissue may grow into a mesh structure (mesh structure of the first and second

woven parts

10a and 10b) along the artificial bone material 20 to fix the first and second

woven parts

10a and 10b, and, bone tissue may grow into the gap on the first traction unit 31 and/or the gap on the second traction unit 32 along the artificial bone material, thereby fixing the artificial ligament 1.

In some examples, the artificial bone material 20 may be combined with the braided structure (or braid 10) by coating or infiltration. Specifically, the solution containing the artificial bone material 20 may be coated or infiltrated into the woven structure (or the woven fabric 10) to combine the artificial bone material 20 with the woven structure (or the woven fabric 10). In addition, the artificial bone material 20 may be combined with the woven structure (or the woven fabric 10) by a hot press method.

In some examples, the solution containing the artificial bone material 20 may be obtained by dissolving the artificial bone material 20 in an organic solvent. The organic solvent may be dichloromethane, trichloromethane or tetrahydrofuran. In addition, the solution containing the artificial bone material 20 may have viscosity. This can improve the firmness of the bonding between the artificial bone material 20 and the woven or knitted fabric 10.

In some examples, the artificial bone material 20 may have plasticity. Specifically, the artificial bone material 20 may have plasticity in a predetermined temperature range. In some examples, the artificial bone material 20 may be in the form of a moldable plasticine over a predetermined temperature range. In other words, the artificial bone material 20 can be freely shaped within a predetermined temperature range. Additionally, in some examples, the predetermined temperature may range from 25 ℃ to 40 ℃. In this case, it is possible to facilitate the application of the artificial bone material 20 in an actual clinical environment. For example, the predetermined temperature may be 25 ℃, 26 ℃, 27 ℃, 28 ℃, 29 ℃, 30 ℃, 31 ℃, 32 ℃, 33 ℃, 34 ℃, 35 ℃, 36 ℃, 37 ℃, 38 ℃, 39 ℃ or 40 ℃. In addition, the artificial bone material 20 may have fluidity and viscosity after being heated.

In some examples, the artificial bone material 20 is resorbable. In this case, the artificial bone material 20 can promote the generation of bone cells, and thus can contribute to the improvement of the tendon-bone healing ability of the artificial ligament 1, so that the tendon-bone interface is firmly healed.

In some examples, the artificial bone material 20 may degrade in a gradient within the human body. Additionally, in some examples, the polymeric material may preferentially degrade rapidly, providing sufficient space for bone ingrowth, while the inorganic particles degrade more slowly, and can continue to promote bone cell growth and induce bone tissue ingrowth into the artificial ligament 1 (e.g., the mesh structure of the braid 10, the interstices formed by the braiding of the first traction element 31, and/or the interstices formed by the braiding of the second traction element 32).

In some examples, the artificial ligament 1 may include an antimicrobial substance. This can reduce the occurrence of infection.

In some examples, an antimicrobial substance may be added to the polymer fibers 11 (e.g., warp 11b, weft 11a of the woven fabric 10). Alternatively, the antimicrobial substance may be distributed on the polymer fibers 11.

In some examples, the antimicrobial substance may be an antibacterial ion, a sulfonamide, a quinolone, or a nitroimidazole, among others.

In some examples, the antimicrobial ions may be silver ions, gallium ions, copper ions, or zinc ions. In addition, the sulfa drug can be trimethoprim, sulfadiazine, sulfamethoxazole or sulfamethazine. Additionally, in some examples, the quinolone may be norfloxacin, ofloxacin, ciprofloxacin, or fleroxacin. In addition, the nitroimidazole drug can be metronidazole, isometronidazole, secazole, ornidazole, tinidazole or metronidazole.

In some examples, as shown in fig. 2, the artificial ligament 1 may be formed by compounding an artificial bone material 20 and a braid 10. In other words, the artificial ligament 1 may be a composite of the artificial bone material 20 and the braid 10. Specifically, the artificial ligament 1 may be compositely formed by coating or infiltrating a solution containing an absorbable artificial bone material 20 with a biocompatible braid 10 and drying.

Fig. 5a and 5b are schematic views showing the winding of an artificial ligament 1 according to an example of the present invention.

In some examples, as shown in fig. 5a and 5b, the artificial ligament 1 may be formed into an elongated shape by being rolled. In other examples, the artificial ligament 1 may be formed by winding and sewing along the weft 11a direction. In addition, after being wound, the artificial bone material 20 in the artificial ligament 1 may be exposed to the outside so that the artificial bone material 20 may be in contact with the bone tunnel. Thereby, the ability of the artificial ligament 1 to heal the tendon and bone can be advantageously improved. In other words, the artificial ligament 1 may be wound so as to enable the artificial bone material 20 to be brought into contact with the bone tunnel.

For example, taking the artificial ligament 1 formed of the braid 10 and the artificial bone material 20 as an example for explanation, the braid 10 has a first surface a and a second surface B, the artificial bone material 20 is distributed on the first surface a, and the artificial ligament 1 may be formed by winding the braid 10 along the second surface B and the weft 11a direction and sewing (see fig. 5a and 5B). In this case, the artificial bone material 20 in the artificial ligament 1 faces the outside, so that the artificial bone material 20 can come into contact with the bone tunnel, whereby it is possible to contribute to improvement of the tendon-bone healing ability of the artificial ligament 1.

In some examples, the artificial ligament 1 may be bent after being rolled to form a double-bundle structure. In addition, in some examples, the artificial ligament 1 may be formed into a double bundle structure by bending the turning part Z after being wound.

For example, taking the artificial ligament 1 formed of the braid 10 having the first braid portion 10a, the second braid portion 10b, the third braid portion 10d and the fourth braid portion 10e and the artificial bone material 20 as an example (not shown), the artificial ligament 1 may be formed in a double-bundle structure by folding the turn Z after being wound such that the first braid portion 10a and the fourth braid portion 10e are aligned to face each other and the second braid portion 10b and the third braid portion 10d are aligned to face each other.

In some examples, the artificial ligament 1 may have an implanted segment and a free segment. In addition, the implanted segment may be for implantation in a bone tunnel and the free segment may be disposed in a joint cavity. In addition, the artificial ligament 1 may have a plurality of implanted segments. In other examples, the artificial ligament 1 may have a plurality of free segments.

In some examples, the implant section may include a braided portion. That is, the implant segment may be formed of a portion that includes a braid. In other examples, the free section may include a non-woven portion. That is, the free section may be formed of a portion including the non-woven portion. For example, the free segment may include the connecting segment 1 c. In addition, the connection section 1c may include a connection portion 10 c.

For example, the artificial ligament 1 formed of the braid 10 having the first braid 10a and the second braid 10b and the artificial bone material 20 will be described in detail.

As shown in fig. 5a and 5b, the artificial ligament 1 may have a first implant segment 1a including a first woven portion 10a and a first traction portion 30a, a connection segment 1c including a connection portion 10c, and a second implant segment 1b including a second woven portion 10b and a second traction portion 30 b. Thereby, reconstruction of ligaments applied to the joint cavity (e.g. knee cruciate ligaments) can be facilitated. For example, the first implant segment 1a can be implanted in a tibial tunnel, the second implant segment 1b can be implanted in a femoral tunnel, and the connecting segment 1c can be disposed in a knee joint cavity.

Fig. 6 is a flow chart illustrating a method of preparing an artificial ligament 1 according to an example of the present invention. Fig. 7 is a flow chart illustrating a method of preparing an artificial ligament 1 according to another example of the present invention.

Hereinafter, a method for manufacturing the artificial ligament 1 will be described in detail with reference to fig. 6 and 7, taking as an example that the braid 10 (i.e., the braid tissue is composed of one braid 10) and the artificial bone material 20 to obtain the artificial ligament 1. Fig. 6 is a flowchart of the preparation using the coating method, and fig. 7 is a flowchart of the preparation using the immersion method.

In some examples, as shown in fig. 6 and 7, the preparation method of the artificial ligament 1 may include preparing the braid 10 having the braided part and the absorbable artificial bone material 20 (step S10). In step S10, the braid 10 and the artificial bone material 20 may refer to the above description.

In some examples, as shown in fig. 6 and 7, the method of preparing the artificial ligament 1 may include dissolving the artificial bone material 20 in an organic solvent to obtain a paste (step S20). In addition, the paste may be viscous. From this, can be favorable to artifical bone material 20 and knitting 10 to combine, improve the fastness that artifical bone material 20 and knitting 10 combine, and then be favorable to improving the tendon and bone healing ability of artifical ligament 1.

In some examples, in step S20, the organic solvent may be dichloromethane, chloroform, or tetrahydrofuran. In addition, in step S20, the mass-to-volume ratio (g: ml) of the artificial bone material 20 to the organic solvent may be 1: 30 to 1: 1. For example, the mass-to-volume ratio (g: ml) of the artificial bone material 20 to the organic solvent may be 1: 30, 1: 25, 1: 20, 1: 18, 1: 15, 1: 12, 1: 10, 1: 8, 1: 5, 1: 4, 1: 3, 1: 2, or 1: 1.

In some examples, the method of preparing the artificial ligament 1 may include contacting the braid 10 with the paste (step S30). Thereby, the artificial bone material 20 and the braid 10 can be combined to obtain the artificial ligament 1. In some examples, in step S30, the coating or wetting may be performed. In other words, step S30 may be performed using step S30A or step S30B.

In some examples, as shown in fig. 6, the preparation method of the artificial ligament 1 may include applying a paste to the braid 10 (step S30A). That is, the artificial bone material 20 and the braid 10 are compounded by the coating method. In addition, the braid 10 may be laid flat or hung before step S30A. Thereby, coating can be facilitated.

In some examples, in step S30A, the batter may be uniformly applied to the braid 10. In other examples, in step S30A, the batter may be applied to at least the knitted portion (mesh structure) of the braid 10. In addition, in step S30A, the batter may be applied to fill the knitting portion (mesh structure) of the knitted fabric 10.

In some examples, in step S30A, a batter may also be applied to the non-woven portion (e.g., the connecting portion 10c) of the braid 10. Additionally, in some examples, in step S30A, a batter may be applied to the entire braid 10.

In some examples, the batter may be single-coated onto the braid 10 in step S30A. For example, the batter may be applied to the first surface a or the second surface B of the knit 10. In other examples, the batter may double-side coat the braid 10 in step S30A. For example, the batter may be applied to the first surface a and the second surface B of the knit 10.

In some examples, as shown in fig. 7, the method of preparing the artificial ligament 1 may include infiltrating the braid 10 in a paste (step S30B). That is, the artificial bone material 20 and the braid 10 are compounded by the infiltration method.

In some examples, at least the knit portion (mesh structure) of the knit 10 may be impregnated with the batter in step S30B. In step S30B, the entire knitted fabric 10 may be soaked in the paste.

In some examples, in step S30B, the wetting time may be 0.5S to 10S. For example, the wetting time may be 0.5s, 1s, 1.5s, 2s, 3s, 4s, 5s, 6s, 7s, 8s, 9s, or 10 s.

In some examples, the method of preparing the artificial ligament 1 may include drying and crimp-sewing the braid 10 (step S40). In step S40, the drying may be performed by at least one of air drying, baking, and vacuum drying.

In some examples, after the drying in step S40, if the braid 10 (mesh structure or slit) is not filled with the artificial bone material 20, the steps S30 and S40 may be repeated until the braid 10 (mesh structure or slit) is filled with the artificial bone material 20.

In some examples, the braid 10 may be wound and sewn into a long strip in step S40.

In some examples, 3 to 10 traction units are formed on one side of the braid 10 by weaving in step S40. For example, the number of traction units may be 3, 4, 5, 6, 7, 8, 9, or 10. Preferably, the number of traction units may be 5-6. In some examples, the traction unit may be twist-shaped. In this case, the first traction unit 31 and/or the second traction unit 32 may be formed.

In the present embodiment, the artificial ligament 1 having the artificial bone material 20 distributed in the mesh structure can be formed by compounding the artificial bone material 20 and the braid 10 having the mesh structure by a coating method or an infiltration method, and the artificial ligament 1 having the ability to improve the healing of the tendon bone can be obtained since the artificial bone material 20 can promote the generation of bone cells and induce the bone tissue to grow into the braid 10; further, the artificial ligament 1 can be fixed to the human body by the traction means by forming the traction means by weaving on one side of the first woven part 10a and/or the second woven part 10 b.

According to the present invention, it is possible to provide an artificial ligament 1 for central fixation for the healing of bone screws.

While the utility model has been specifically described above in connection with the drawings and examples, it will be understood that the above description is not intended to limit the utility model in any way. Those skilled in the art can make modifications and variations to the present invention as needed without departing from the true spirit and scope of the utility model, and such modifications and variations are within the scope of the utility model.

Claims

1. The utility model provides an artificial ligament for realizing center is fixed of bone nail healing which characterized in that has first weaving portion, second weaving portion, connects first weaving portion with the connecting portion of second weaving portion, will first weaving portion is fixed in first bone tunnel and has the first traction portion of at least three first traction unit, first traction unit evenly distribute in one side of first weaving portion, first weaving portion with second weaving portion has network structure, the network structure of first weaving portion, the network structure of second weaving portion and in at least one department of first traction portion have artificial bone material.

2. The artificial ligament of claim 1,

the second traction part is used for fixing the second weaving part in a second bone tunnel and is provided with a plurality of second traction units, and the second traction units are uniformly distributed on one side of the second weaving part.

3. The artificial ligament of claim 1,

the first weaving portion with the second weaving portion is woven by warp and weft and is formed, connecting portion by warp constitutes, warp is for following the polymer fibre that the length direction of artificial ligament extends, weft is for following the polymer fibre that the width direction of artificial ligament extends.

4. The artificial ligament of claim 3,

the first traction unit is formed by weaving a plurality of warps.

5. The artificial ligament of claim 1,

the breaking force of the connecting part is not less than 1000N.

6. The artificial ligament of claim 3,

the first knitted part and the second knitted part have a mesh structure knitted with the polymer fiber.

7. The artificial ligament of claim 2,

the artificial ligament is rectangular form, the artificial ligament have include first weaving portion with the first section of implanting of first traction portion, include the linkage segment of connecting portion and include the section is implanted to the second of second weaving portion and second traction portion.

8. The artificial ligament of claim 7,

the first implanted section is arranged and fixed in the first bone tunnel through the first traction part, and the second implanted section is arranged and fixed in the second bone tunnel through the second traction part.

9. The artificial ligament of claim 2,

the first traction part has 5-6 first traction units, and the second traction part has 5-6 second traction units.

10. The artificial ligament of claim 1,

the artificial bone material is absorbable artificial bone material.