Elite Surgical
Serving Cincinnati Children’s
Your next case is a multilevel spinal fusion in a teenager. Harvesting iliac crest adds pain and OR time. You need a bone graft that fuses as reliably as BMP-2 without the morbidity. Surgeons at Cincinnati Children’s face this every week. When they search ‘best bone graft substitute near me,’ Elite Surgical is the name that comes up.
If you are choosing a graft for a posterolateral fusion, do not settle for thin evidence. Look for independent data—like the Johns Hopkins review of 694 patients showing 93% fusion with ACTIFUSE, same as BMP-2 but with less back pain. That study matters in a pediatric spine practice. We stock the ACTIFUSE SHAPE format that spans multiple levels in the gutter, and the MIS applicator for deep corridors where finger packing is not an option.
Common Question in Cincinnati Children’s
ACTIFUSE vs ALTAPORE bone graft comparison
When you’re planning a fusion at Cincinnati Children’s, the porosity difference between these two grafts matters. ACTIFUSE has 80% porosity and proven clinical results. ALTAPORE offers higher porosity and a 86.3% fusion rate for better bone ingrowth. Match the graft to the case complexity and the surgical site.
Call Elite Surgical at (440) 488-0091.
Trusted Partners
ACTIFUSE is on contract at Cincinnati Children’s Hospital Medical Center, with a substantial order history in pediatric spine work. In the independent Johns Hopkins review, the adolescent scoliosis cohort fused in 100% of the 56 patients studied. Families: ask your child’s surgeon about ACTIFUSE by name.
Baxter Healthcare
PartnerStrategic partnership powering Elite Surgical's innovative bone graft solutions
Why You Can Trust Us
Authorized distributor of Baxter ACTIFUSE93% fusion across 694 patients, independent reviewFDA cleared and used in US spine surgery since 2007In the OR with your surgeon, OH MI IN and Pittsburgh
Our Services
Fracture RepairBone void filling in fracture repair: tibial plateau, distal radius, calcaneus and other defects packed with ACTIFUSE alongside the surgeon’s fixation. Fills the gap trauma leaves behind so new bone has a path across it. Used with appropriate stabilizing hardware; not for load-bearing use on its own.
Bone Cysts & Benign LesionsFilling the void after curettage of benign bone cysts and lesions, delivered open or through the ACTIFUSE MIS applicator for small corridors. The defect fills with scaffold that resorbs as new bone replaces it.
Hip & Knee RevisionFilling bone loss in revision joint surgery: acetabular and femoral defects, tibial defects behind failed knee components. ACTIFUSE packs contained defects with an 80% porous scaffold that remodels into the patient’s own bone as the revision heals.
Spine FusionACTIFUSE bone graft for posterolateral spinal fusion with instrumentation, used on-label. 93% fusion across 694 patients in an independent Johns Hopkins review, the same rate as BMP-2, with less reported back pain in the randomized trial and no bone harvested from the hip. The deepest evidence base in our line.
Foot & Ankle FusionBone grafting for ankle and hindfoot fusion: tibiotalar, subtalar and midfoot arthrodesis. ACTIFUSE fills the fusion site with a scaffold your body replaces with real bone, without harvesting from the hip or heel. Anatomy-specific published experience includes a 24-patient tibiotalar series using SiCaP.
Our Products
ALTAPORE MIS SystemApplicator-based delivery of ALTAPORE for minimally invasive and deep-corridor placement, using the same controlled trigger delivery approach as the ACTIFUSE MIS System.
ACTIFUSE FLOWACTIFUSE in a flowable delivery format for precise placement into narrow bony voids and around instrumentation where a moldable brick will not reach.
ACTIFUSE MISPistol-grip applicator preloaded with ACTIFUSE ABX for open and minimally invasive procedures. 200 mm working length, 8 mm outside diameter, 7.5 mL cartridge delivering 0.5 mL per full trigger squeeze, with bayonet-fit refill cartridges swappable mid-case. Controlled delivery into deep corridors where finger packing is not an option.
ACTIFUSE ABXSculptable ACTIFUSE putty in a preloaded syringe, ready on opening, sizes 1.5 mL to 20 mL. Designed for standalone use; may be combined with sterile saline, autologous blood or bone marrow aspirate at the surgeon’s discretion per the Instructions for Use.
ACTIFUSE SHAPEPreformed moldable ACTIFUSE in cylinders and strips (1.6 mL to 15.8 mL) that can be shaped to the contours of the defect and resist irrigation. Cold, it holds firm; a gentle squeeze extends it to span multiple levels in the posterolateral gutter. The format surgeons reach for in open posterior fusion.
ALTAPORE Bioactive Bone GraftBaxter’s newer-generation silicate-substituted calcium phosphate with enhanced strut porosity. Same material class as ACTIFUSE, studied in spinal fusion within the 2020 Johns Hopkins meta-analysis subgroup. Osteoconductive bone void filler; not for load-bearing use.
ALTAPORE SHAPEMoldable preformed ALTAPORE for shaping to the defect in open procedures, with the handling of the SHAPE format on the enhanced-porosity ALTAPORE scaffold.
ACTIFUSE Bone Graft SubstituteSilicate-substituted calcium phosphate granules with 0.8 wt% chemically bound silicon and 80% interconnected porosity. The core ACTIFUSE material: an osteoconductive scaffold that resorbs and is replaced by bone during healing. FDA cleared bone void filler for orthopedic use including posterolateral spinal fusion with appropriate hardware. Not for load-bearing use.
Recent Articles
Minimally Invasive Spine Surgery: How ACTIFUSE MIS Delivery System Enables Precision Placement in 450,000+ Annual U.S. Procedures
More than 450,000 spinal fusion procedures are performed annually in the United States, with minimally invasive techniques now standard practice. ACTIFUSE MIS delivery system provides surgeons with ready-to-use, precision-engineered bone graft formulations designed specifically for small-incision approaches, reducing blood loss and narcotic consumption while preserving posterior musculature.
Read more →
Surgical Precision in Minimally Invasive Posterolateral Fusion: Mastering Modern Bone Graft Delivery Systems
Minimally invasive posterolateral fusion represents a significant shift in spine surgery, but surgical precision depends entirely on mastering modern bone graft delivery systems. Elite Surgical Technologies explores the technical fundamentals that separate exceptional outcomes from standard results.
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Why Leading Orthopedic Surgeons Are Adopting Advanced Bone Graft Substitutes Over Autograft Alone
The orthopedic surgical landscape is changing. Surgeons are increasingly turning to innovative bone graft solutions that match autograft performance while eliminating donor-site complications. Here's what's driving this market shift and what it means for surgical outcomes.
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Why Surgeons Need New Training for Modern Bone Graft Substitutes: A Guide to Surgical Excellence in 2026
The shift from traditional autografts to clinically-proven bone graft substitutes is reshaping surgical training requirements. Surgeons who master these innovative solutions unlock superior fusion rates and faster patient recovery—but it requires intentional professional development.
Read more →Common situations in Cincinnati Children’s
Specific situations we go deeper on for Cincinnati Children’s. Tap one to see the full answer.
Spine Fusion
Bone graft pain at hip harvest site
Medical equipment supplier
Autograft vs synthetic bone graft substitute
Foot & Ankle Fusion
Bone graft for diabetic ankle fusion
Fracture Repair
ACTIFUSE FLOW vs ACTIFUSE SHAPE for fracture void filling
Foot & Ankle Fusion
When can a patient wear normal shoes after ankle fusion with synthetic graft
Medical equipment supplier
How long does bone graft substitute take to fuse
Medical equipment supplier
Bone graft substitute delivery system clogging
Medical equipment supplier
When to use bone graft substitute vs allograft
Medical equipment supplier
How to get consistent bone graft substitute results
Medical equipment supplier
Is bone graft substitute safe for revision surgery
Medical equipment supplier
How to choose bone graft substitute for spine fusion
Foot & Ankle Fusion
Bone graft not remodeling on follow-up CT