Tibial defect found during knee revision? Choose your graft now.
For Allegheny Health Network, PA surgeons managing tibial defects during hip & knee revision.
You removed a failed knee implant at an Allegheny Health Network hospital. The tibial bone underneath has a contained defect that did not show on the preoperative X-ray. You need to fill that void before the new component goes in, without a second surgical site.
After a failed knee replacement, the tibial bone often loses density behind the implant. A contained defect means the walls are intact, so the void is a pocket, not a through-and-through break. It rarely shows on routine X-rays because metal scatter and cement can hide the bone loss. During revision in an Allegheny Health Network OR, you discover the true defect only after removing the component. That is when the graft choice changes the outcome. The defect sits under the tibial tray, often hidden by cement.
The graft volume depends on the size of the contained defect. Most tibial defects in revision cases need 5cc to 15cc of moldable material. Hospital pricing varies by contract, but a high-porosity synthetic graft usually costs less than BMP-2 and avoids the second-site morbidity of autograft. The scope of the revision stays the same. The graft just fills the void so the new implant has solid bone support. Your Allegheny Health Network rep can review current contract pricing with you before the case.
Before you close, pack the contained tibial defect with a moldable synthetic graft that allows blood and cells to move through it. ACTIFUSE has an 80% porous scaffold that remodels into the patient's own bone. Avoid taking iliac crest autograft if the patient already has one surgical site. Elite Surgical covers revision cases in Allegheny Health Network and can have the graft in your OR for the next case. One call sets up an in-service or a case coverage.
Once the defect is filled and the new implant is seated, the graft begins to remodel into host bone. The patient has one surgical site, not two. Follow-up X-rays show the void filling over months. You leave the OR knowing the tibia supports the revision, not just the cement. No donor-site pain, no second scar, no extra recovery time.
Other things people in Allegheny Health Network ask
bone graft for tibial bone loss revision knee
Pack the contained defect with a porous synthetic bone graft scaffold. It should hold shape and remodel as the revision heals. Do not leave the defect empty or filled with cement alone.
bone graft substitute for large acetabular defect revision hip
Pick a graft that packs the defect well and has high porosity for bone ingrowth. ACTIFUSE's 80% porous scaffold fills contained defects and remodels into the patient's own bone as the revision heals. For very large defects, consider a moldable version like ACTIFUSE SHAPE to adapt to irregular contours. Avoid grafts that resorb too fast and leave the cup unsupported.
how to choose bone graft substitute for femoral defect revision hip
Choose a moldable synthetic bone graft substitute for irregular femoral defects. It should pack into the canal without extra instruments. Look for a graft that remodels into host bone so the area is not left with permanent filler.
bone graft substitute cost revision hip
Ask for per-cc or pack pricing, not a flat case price. Cost depends on the size of the acetabular or femoral defect. Compare synthetic graft cost to autograft, which includes OR time and a second incision.
synthetic bone graft safe infected revision
You need a graft that won't act as a sequestrum. Porous synthetic scaffolds like ACTIFUSE allow vascular ingrowth and antibiotic penetration. They don't provide a hiding place for bacteria the way a structural allograft can. Use it with a staged protocol and appropriate local antibiotics.
Ready to talk?
Elite Surgical handles hip & knee revision in Allegheny Health Network and the area around it.