ACTIFUSE FLOW vs ACTIFUSE SHAPE for a fracture void?
Choosing the right bone void filler for fracture repair in Bon Secours Mercy Health, OH.
You're in a Bon Secours Mercy Health OR with a distal radius fracture on the table, and the bone void needs to be filled before you close. You have ACTIFUSE FLOW in a syringe and ACTIFUSE SHAPE on the shelf. Which one gives you the fill and handling this case needs?
A distal radius fracture often leaves a bone void after the fragments are reduced. That gap can stall healing if it is not filled. ACTIFUSE FLOW arrives in a syringe, so it slips into narrow, deep defects and fills the crevices without overpacking. ACTIFUSE SHAPE is a moldable graft that holds its form in a wide, shallow cavity while you close. The difference is handling, not the chemical makeup of the graft.
The choice changes how much product you open and how many minutes you spend placing it. FLOW often saves time because one syringe reaches the bottom of a deep void. SHAPE can reduce waste because you use only what you need to fill a wide defect. For a deep and wide void, you may open both. The cost depends on graft volume and whether you need a second product, not on any premium for one form.
This week, check the void before you open anything. For a narrow, deep defect, reach for ACTIFUSE FLOW first. Place it with the syringe tip at the base and let it flow into the crevices. For a wide, shallow defect, mold ACTIFUSE SHAPE into the cavity and pack it gently so it stays put. If the void is both deep and wide, start with FLOW to fill the bottom, then cap it with SHAPE. Do not use either product for load-bearing support alone. Call Elite Surgical for a quick case review in Bon Secours Mercy Health.
With the right graft in place, the void is gone. The fixation carries the load, and the graft gives bone a path across the gap. You close faster and with less dead space. The patient starts healing with a solid scaffold, and your tray is ready for the next case.
Other things people in Bon Secours Mercy Health 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.
cost of bone graft substitute for calcaneus fracture
Calcaneus fractures often need 5cc to 10cc of graft. Price it by volume, not by level. Synthetic grafts like ACTIFUSE are priced per cc. Ask your rep for a per-case cost breakdown that includes the delivery system. Compare that to the cost of a second surgery if the void is left unfilled or collapses.
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.
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Elite Surgical handles fracture repair in Bon Secours Mercy Health and the area around it.