Textured bone block implants

Abstract

Implantable pliable bone blocks comprising a solid block of cortical bone characterized by a length, width and thickness, having a first and a second face on opposite sides of the block. The first and second faces have a plurality slot features. The angle of incidence of the slot features of the first face and the x-axis and the angle of incidence of the slot features of the second face and the x-axis (a 2 ) are such that the slots would intersect if they were in the same plane. Methods are provided for making implantable pliable bone blocks.

What is claimed is: 
     
         1 . An implantable pliable bone block, comprising: a solid block of cortical bone characterized by a length (along an x-axis), width (along a y-axis) and thickness (along a z-axis), having a first face and a second face along the x and y axes on opposite sides of the block, each of the first and second faces having a plurality of substantially linear and substantially parallel slot features wherein the angle of incidence (a 1 ) of the slot features of the first face and the x-axis and the angle of incidence (a 2 ) of the slot features of the second face and the x-axis are such that the slot features of the first face would intersect the slot features of the second face if they were in the same plane. 
     
     
         2 . The bone block of  claim 1 , wherein the demineralized solid bone block is at least about 50% to about 100% demineralized. 
     
     
         3 . The bone block of  claim 1 , wherein the demineralized solid bone block further comprises a bioactive agent. 
     
     
         4 . The bone block of  claim 3 , wherein the bioactive agent is selected from the group consisting of an osteoinductive agent, blood, serum, platelet concentrates, bone marrow aspirate, hematopoietic stem cells, stromal stem cells, mesenchymal stem cells, endothelial progenitor cells, red blood cells, white blood cells, fibroblasts, reticulacytes, adipose cells, endothelial cells, bone growth factors, extracellularmatrix proteins, hormones, cytokines, cell signaling proteins, platelet concentrate, blood, pharmaceutical actives, and combinations thereof. 
     
     
         5 . The bone block of  claim 4 , further comprising an osteoinductive agent selected from the group consisting of transforming growth factor-beta (TGF-fl) including the five different subtypes (TGFfl1-5); bone morphogenetic factors (BMPs); platelet-derived growth factors (PDGFs); insulin-like growth factors, fibroblast growth factors (FGFs), vascular endothelial growth factor (VEGF), osteocalcin, osteopontin, and combinations thereof. 
     
     
         6 . The bone block of  claim 1 , wherein the angles a 1  and  2  are each from about 10° to about 35°. 
     
     
         7 . The bone block of  claim 1 , wherein the angles a 1  and  2  are each from about 35° to about 55°. 
     
     
         8 . The bone block of  claim 1 , wherein the angles a 1  and  2  are each from about 50° to about 75°. 
     
     
         9 . The bone block of  claim 6 , wherein the distance between the slot features on each of the first face and the second face is from about 0.5 mm to about 3 mm. 
     
     
         10 . The bone block of  claim 1 , wherein the bone block is lyophilized. 
     
     
         11 . The bone block of  claim 10 , wherein the bone block becomes pliable when hydrated. 
     
     
         12 . The bone block of  claim 1 , wherein the slot features are characterized by a depth substantially along the z-axis, wherein the sum of depth (d 1 ) of the features on the first face and the depth (d 2 ) of the features on the second face is greater than the depth of the block. 
     
     
         13 . The bone block of  claim 12 , wherein a plurality of holes having a diameter of from about 0.5 mm to about 2 mm are formed at the intersections of the slot features of the first face and the slot features of the second face. 
     
     
         14 . The bone block of  claim 1 , configured for percutaneous implantation; posterolateral spinal fusions; filling interbody cages; external or internal bone graft containment; or repair or replacement of ethmoid, frontal, nasal, occipital, parietal, temporal, mandible, maxilla, zygomatic, cervical vertebra, thoracic vertebra, lumber vertebra, sacrum, rib, sternum, clavicle, scapula, humerus, radius, ulna, carpal bones, metacarpal bones, phalanges, ilium, ischium, pubis, femur, tibia, fibula, patella, calcaneus, tarsal bones, or metatarsal bones. 
     
     
         15 . A method for making an implantable pliable bone block for application to a bone surface of a human or animal subject, comprising:
 a) forming a block from cortical bone, the block by a length (along an x-axis), width (along a y-axis) and thickness (along a z-axis), having a first face and a second face along the x and y axes on opposite sides of the block;   b) demineralizing the block;   c) forming a plurality of slots on the first face of the bone block;   d) forming a plurality of slots on the second face of the bone block; and   e) wherein the angle of incidence (a 1 ) of the slot features of the first face and the x-axis and the angle of incidence (a 2 ) of the slot features of the second face and the x-axis are such that the slot features of the first face would intersect the slot features of the second face if they were in the same plane.   
     
     
         16 . The bone block of  claim 15 , wherein the angles a 1  and  2  are each from about 10° to about 35°. 
     
     
         17 . The bone block of  claim 15 , wherein the angles a 1  and  2  are each from about 35° to about 55°. 
     
     
         18 . The bone block of  claim 15 , wherein the angles a 1  and  2  are each from about 50° to about 75°. 
     
     
         19 . The method of  claim 15 , wherein the cortical bone block is at least about 50% to about 100% demineralized. 
     
     
         20 . The method of  claim 15 , wherein the slot features are characterized by a depth substantially along the z-axis, wherein the sum of depth (d 1 ) of the features on the first face and the depth (d 2 ) of the features on the second face is greater than the depth of the block, such that a plurality of holes having a diameter of from about 0.5 mm to about 2 mm are formed at the intersections of the slot features of the first face and the slot features of the second face. 
     
     
         21 . The method of  claim 15 , further comprising depositing a bioactive agent over a surface of the bone block. 
     
     
         22 . The method of  claim 19 , wherein the bioactive agent is selected from the group consisting of an osteoinductive agent, blood, serum, platelet concentrates, bone marrow aspirate, hematopoietic stem cells, stromal stem cells, mesenchymal stem cells, endothelial progenitor cells, red blood cells, white blood cells, fibroblasts, reticulacytes, adipose cells, endothelial cells, bone growth factors, extracellularmatrix proteins, hormones, cytokines, cell signaling proteins, platelet concentrate, blood, pharmaceutical actives, and combinations thereof. 
     
     
         23 . The method of  claim 20 , wherein the osteoinductive agent selected from the group consisting of transforming growth factor-beta (TGF-fl) including the five different subtypes (TGFfl1-5); bone morphogenetic factors (BMPs); platelet-derived growth factors (PDGFs); insulin-like growth factors, fibroblast growth factors (FGFs), vascular endothelial growth factor (VEGF), osteocalcin, osteopontin, and combinations thereof. 
     
     
         24 . The method of  claim 15 , further comprising configuring the implantable pliable bone block for percutaneous implantation; posterolateral spinal fusions; filling interbody cages; or repair or replacement of ethmoid, frontal, nasal, occipital, parietal, temporal, mandible, maxilla, zygomatic, cervical vertebra, thoracic vertebra, lumber vertebra, sacrum, rib, sternum, clavicle, scapula, humerus, radius, ulna, carpal bones, metacarpal bones, phalanges, ilium, ischium, pubis, femur, tibia, fibula, patella, calcaneus, tarsal bones, or metatarsal bones. 
     
     
         25 . The method of  claim 15 , further comprising lyophilizing the block.