Is synthetic bone graft safe in infected revision?
Honest answers from Elite Surgical, hip & knee revision in Bon Secours Mercy Health, OH.
You're preparing for a revision of an infected total knee at Bon Secours Mercy Health. The tibial defect is significant, and you're weighing graft options. You want to avoid a graft that might act as a hiding place for bacteria.
When you revise an infected joint, the graft you choose matters. A solid allograft can become a hiding place for bacteria. It acts like a dead scaffold that antibiotics can't reach. A porous synthetic graft works differently. ACTIFUSE has an 80% porous structure that lets blood vessels and antibiotics flow through it. It remodels into your patient's own bone as the infection heals. The silicate substitution in ACTIFUSE encourages bone growth and vascular ingrowth right away. This means the graft is replaced by living bone, not just sealed off.
The cost of a synthetic graft is often compared to allograft or BMP-2. In a revision case, the graft cost is a small part of the total procedure. The real expense is a failed graft that leads to another surgery. Using a graft that supports infection clearance can save time and money. Talk to your hospital's value analysis committee about the published data on ACTIFUSE. The data shows it can reduce the risk of reoperation due to infection. That saves the hospital money and saves the patient from another procedure.
Don't default to allograft simply because it's familiar. Before your next revision case, review the clinical evidence on porous synthetic grafts in infected fields. A staged protocol with local antibiotics and an ACTIFUSE graft is a proven approach. Elite Surgical can in-service your team and provide the published studies. Call us to have the data in front of the value analysis committee this week. We can also arrange a case coverage so you see the graft handling in the OR.
Your patient's infection clears, and the graft remodels into healthy bone. The revision implant stays stable. You have a confident, reproducible approach for infected revisions at Bon Secours Mercy Health. No more worrying about a graft sequestrum. Your team can handle infected revisions with a reliable graft that works with the body's healing process.
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 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.
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.
how to choose bone graft femoral defect revision hip
Look for a porous scaffold that holds shape when packed and remodels over time. Match the graft format to the defect. A runny material will not stay in an open femoral defect.
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.
Ready to talk?
Elite Surgical handles hip & knee revision in Bon Secours Mercy Health and the area around it.