Cost of bone graft substitute for calcaneus fracture repair?
Per-case pricing for bone graft substitutes in calcaneus fracture repair. Allegheny Health Network, PA.
You're scheduling a calcaneus fracture repair at an Allegheny Health Network facility. The bone void will need a graft substitute. But the pricing you've seen is quoted per spine fusion level, not by the volume you'll actually use. You may need 5cc to 10cc for a calcaneus, but level-based quotes don't match. That makes it hard to give your hospital a fair per-case cost.
Bone graft substitutes for calcaneus fractures are priced per cubic centimeter, not per spinal level. ACTIFUSE, a synthetic silicate-substituted calcium phosphate, gets packed into the bone void after the surgeon fixes the fracture with hardware. The graft gives new bone a scaffold to grow across. When you search for pricing, you see quotes for spine fusion cases because that's where most grafts are sold. A calcaneus repair uses a different volume, so those per-level numbers don't help.
A calcaneus fracture often requires 5cc to 10cc of graft substitute. Synthetic grafts like ACTIFUSE are priced by the cc. The total cost depends on the volume needed and the delivery system. A 5cc kit plus a standard delivery device will cost less than a 10cc kit for a larger defect. Your rep can give you a per-case estimate that breaks out the graft and the tools separately. Compare that to the cost of a second surgery if the void collapses.
Ask your graft supplier for a per-case cost breakdown by volume, not by fusion level. Tell them you need pricing for a calcaneus repair, typically 5cc to 10cc. If you're looking at ACTIFUSE, Elite Surgical can give you that breakdown, including the delivery system cost. Then compare it to the facility's cost of a revision surgery. Leaving a calcaneus void unfilled or letting it collapse after fixation leads to worse outcomes and higher overall expense.
Once you have a volume-based quote, you can submit a realistic per-case budget to your hospital. The surgeon gets the right amount of graft for each patient. The patient has a better chance of healing without a second surgery. You have a clear, defensible cost that matches how the product is actually used in the OR.
Other things people in Allegheny Health Network ask
bone graft for large tibial plateau defect
Pick a graft that resists compression and supports the articular surface. A moldable, high-porosity graft like ALTAPORE SHAPE packs into irregular voids and stays put. For smaller subchondral gaps, a flowable graft delivered by syringe gives complete fill without leaving dead space. Always use it with rigid internal fixation; the graft is not load-bearing on its own.
weight bearing after tibial plateau fracture with synthetic bone graft
Weight bearing depends on the fixation, not the graft. The graft provides a scaffold for bone ingrowth but does not add immediate structural support. Follow your standard postoperative protocol for the plate and screws. Most patients stay non-weight-bearing for 8 to 12 weeks, with progression based on X-ray healing. The graft will remodel over that time; early loading does not speed it up.
how to choose bone graft substitute for distal radius fracture
Match the graft form to the void shape. For a small, contained cavity, a flowable graft in a syringe (like ACTIFUSE FLOW) fills every corner without overpacking. For a larger, uncontained defect, a moldable graft (like ACTIFUSE SHAPE) holds its form and does not migrate. If you need antibiotic delivery, ACTIFUSE ABX gives you enhanced handling plus the option to mix in powdered antibiotics. Avoid granules that can scatter into the joint.
synthetic bone graft safe open fracture
Synthetic grafts like ACTIFUSE are inorganic and do not provide a food source for bacteria the way allograft can. They can be used in a contaminated field after thorough debridement and irrigation. Many surgeons place the graft at the index procedure to maintain space and deliver local antibiotics mixed into the graft. If there is gross purulence, stage the grafting for a second look 48 to 72 hours later.
ACTIFUSE FLOW vs ACTIFUSE SHAPE fracture
For narrow, deep voids where you need the graft to flow into crevices, use ACTIFUSE FLOW. Its syringe delivery lets you place it precisely without overpacking. For a wide, shallow defect that needs to hold its shape while you close, ACTIFUSE SHAPE molds to the cavity and stays in place. If the void is both deep and wide, start with FLOW to fill the bottom, then cap it with SHAPE.
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Elite Surgical handles fracture repair in Allegheny Health Network and the area around it.