Composite allograft, press, and methods

Prosthesis (i.e. – artificial body members) – parts thereof – or ai – Implantable prosthesis – Bone

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623 22, A61F 228, A61F 232

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active

059818280

ABSTRACT:
A composite allograft press comprises a loading frame and a two piece mold to form an composite allograft and in particular an acetabular cup from impacted cancellous bone chips and cement. Pressure is applied by a manually operated lever through a rack-and-pinion gear mechanism to a plunger attached to one part of the mold. Compression load switches in-line with the plunger indicate the correct loading to the mold to produce a composite allograft in which the inner surface is smooth and comprised essentially of hardened bone cement material. The outer portion of the allograft may have limited cement extrusions but the exterior of the cup primarily shows exposed cancellous bone surface. In surgery a composite allograft; e.g., an acetabular cup, is fixed in the acetabulum with bone screws to fill an acetabular defect. A plastic liner is affixed with bone cement directly to the composite allograft cup to receive the femoral component.

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patent: 5326368 (1994-07-01), Collazo
patent: 5329846 (1994-07-01), Bonutti
"Bone Grafting in Total Hip Replacement for Acetabular Protrusion," J. Bone & Joint Surg., vol. 62-A, No. 7 (Oct. 1980).
"Bone Grafting in Total Hip Replacement for Acetabular Protrusion," Acta Orthop. Scand., 55 (1984).
"Impacted Cancellous Allografts and Cement for Revision Total Hip Arthroplasty," J. Bone & Joint Surg., Vo. 75-B, No. 1 (Jan. 1993).

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