Choosing a graft for femoral bone loss in revision hip?
Choosing a graft that stays packed and remodels: hip & knee revision guidance for Bon Secours Mercy Health, OH.
You're scheduled for hip revision in Bon Secours Mercy Health, OH, and the surgeon found a contained defect in the femur. You need graft material that fills the void and stays put while the new stem is set. A runny paste will not hold in that open space, so the graft choice matters.
During a revision hip, the old implant has to come out. That can leave a hole in the thigh bone, called a femoral defect. A contained defect has walls around it. This hole is what the graft has to fill. You need graft material that fills the hole and stays packed while the new implant is seated. If the material is too runny, it slides out of the open defect. If it is too solid, it may not fill small gaps.
Cost depends on the size of the femoral defect, not a flat price. A small contained hole may use one 5cc or 10cc kit. A larger defect may need two or more kits. The graft format also matters: strips and blocks cost differently than paste or granules. Using a synthetic graft avoids a second incision to harvest bone from your hip. That can mean less pain and a shorter recovery, even when the graft itself is not the biggest line item.
Before your revision date, ask the surgeon three questions. Is the femoral defect contained or open? What graft format are you planning? Does that graft hold its shape when packed, or does it run? A runny material will not stay in an open femoral defect. Ask for a porous scaffold that remodels over time, like ACTIFUSE. Elite Surgical can review the published evidence with your surgical team in Bon Secours Mercy Health before the case.
Once the right graft is packed into the femoral defect, it holds the space while your body rebuilds bone through the scaffold. Over months, the graft remodels into your own bone. The new hip stem sits in a stable bed. You focus on walking again, not on whether the graft washed out.
Other things people in Bon Secours Mercy Health 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 for tibial defect during knee revision
Pack the contained defect with a moldable bone graft substitute that has high porosity and remodels into host bone. Avoid autograft if the patient already has a second surgical site. The graft should support the new implant while healing.
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.
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Elite Surgical handles hip & knee revision in Bon Secours Mercy Health and the area around it.